- Who May Apply : Open to all qualified job seekers
- Date Posted : 04/26/2024
- Closing Date : 05/09/2024
- Hiring Agency/Seniority Unit : Human Services Dept / MAPE DHS Central Office
- Division/Unit : DHS-Central Office / BHDH ADAD Data Information
- Work Shift: Day Shift
- Work Hours : 8:00am to 4:30pm
- Days of Work : Monday - Friday
- Travel Required : Yes, ( Approximately 1% for occasional meetings statewide travel)
- Salary Range: $ $50.27 / hourly; $70,783 - $104,963 / annually
- Classified Status : Classified
- Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE
- FLSA Status : Exempt - Administrative
- Telework Eligible : Yes
- Designated in Connect 700 Program for Applicants with Disabilities ) : Yes
- Lead the development and implementation of a uniform methodologies for behavioral health rates that is transparent, culturally responsive, promotes quality service delivery and client choice. The incumbent will establish rates in compliance with federal criteria and methodology.
- Annually calculate and adjust fee-for-service rates in compliance with state and federal statute, current rate structures and established rate-setting methodology. Manage rates analysis work and conduct internal analytical work to produce rates based on actuarially sound principles with respect to the data, assumptions, and calculation methodology used.
- Manage and coordinate with contracted vendor(s) to implement Behavioral Health rate reforms.. Activities include but are not limited to maintaining clear communication with vendor and HCA, financial reporting, invoice review/tracking, financial reconciliation, budget development, and budget/grant revisions.
- Knowledge and understanding of federal and state legal authority as it relates to MHCP payment policy.
- Knowledge of health care delivery systems and standards of practice.
- Constructing rate structures and implementing those rates.
- Knowledge of Medicaid or Medicare cost reports.
- Understanding of core contract and grant management standards and practices.
- Extensive knowledge and application of Code of Federal Regulations (CFR) 2 CFR 200.
- Variety of experiences working effectively with others from different backgrounds and cultures.
- Experience using the MMIS system.
- Strong written and oral communication skills with the ability to write complex technical documents including legislation, legal documents, bulletins, legislative reports, and procedures.
- Ability to monitor, analyze, and advise on the legal trends and developments related to payment policy, nationally and statewide.
- Knowledge of the legislative process, state government policies, procedures processes, laws, and rules.
- Ability to give presentations and to facilitate discussions to guide, solicit and explore diverse perspectives.
- MinnesotaDepartmentofHumanServices(DHS)criminalbackgroundcheckwillbeconductedonallfinalistsforthisposition.Finalistsmustpassthe DHS backgroundcheck.
- Employee reference checks will be conducted on all finalists. This may include a review of documentation related to jobperformance.It alsoincludescontact withtheapplicant'sformer employer(s).
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Behavioral Health Rates Specialist - St Paul, United States - State of Minnesota
Description
Working Title: Behavioral Health Rates Specialist
Job Class: Human Services Program Consultant
Agency: Human Services Dept
The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment.
Make a difference in the lives of Minnesotans.
The work you'll do is more than just a job. Join the talented, engaged and inclusive workforce dedicated to creating a better Minnesota.
*Telework (Within Minnesota or Neighboring States) and Flexible Hours Options Are Available.
This position is responsible for developing, advancing, implementing, and communicating behavioral health payment policy for the State's Medical Assistance (Medicaid) programs. The incumbent will serve as the State's technical lead and coordinator in the analysis of rate-setting methodologies and the formulation of recommendations to management on behavioral health services rate development. As the statewide expert, the incumbent will analyze rates-structure options and in consultation with Health Care Administration: Health Care Rates, Federal Relations, MCO Contract Management and Minnesota Health Care Programs (MHCP) policy team members—formulate, advance, and implement behavioral health payment rate policies.
This position will establish payment rates for public behavioral health benefits, including MHCP covered procedure codes, consistent with federal regulations, Medicaid State Plan policy, legislative requirements, rate-structure policy, and Behavioral Health Division (BHD) policy goals. In performing this purpose, the incumbent will exercise expertise in established and innovative rate-setting methodologies.
This position requires knowledge of and experience with applicable federal cost principles, cost reporting and cost analysis, rates-setting, legal compliance expertise, and the full range of communications and interpersonal abilities related to communicating rates to participating providers.
Responsibilities include, but not limited to:
Minimum Qualifications
To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.
Three (3) years of specialized professional experience with Health Care Programs and/or Behavioral Health programs.
Experience must include:
Preferred Qualifications
Additional Requirements
AN EQUAL OPPORTUNITY EMPLOYER
Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.
Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at or email . Please indicate what assistance is needed.
