social services program specialist 2 - Carson City, NV

JOB · Nevada Health Authority is recruiting for a Social Services Program Specialist 2. This position is part of the Division of Nevada Medicaid's Pharmacy Services Unit and is responsible for developing, implementing, and maintaining policies related to prescription drugs. The r ...

Job description

JOB

Nevada Health Authority is recruiting for a Social Services Program Specialist 2. This position is part of the Division of Nevada Medicaid's Pharmacy Services Unit and is responsible for developing, implementing, and maintaining policies related to prescription drugs. The role ensures compliance with federal and state regulations, the Single Preferred Drug List (SPDL), and drug utilization management practices, while ensuring consistency across Medicaid delivery systems. Key responsibilities include collaborating closely with Managed Care Organizations (MCOs) and vendors to provide guidance on prescription drug coverage, medical billing, and clinical criteria. The position also leads system enhancements, monitors program performance, and communicates policy updates through technical documentation and stakeholder training.Social Services Program Specialists perform administrative and professional work in conjunction with the administration of statewide public assistance, medical assistance, or social services programs. Positions allocated to this series are primarily focused on program administrative functions which include interpretation of regulations and laws; development of program policies and procedures; quality assurance and quality control; preparation of statistical and narrative reports for federal and State entities and division/department management; and development and enhancement of automated systems that support program operations. While incumbents in this series may interact with clients to resolve customer service issues, the purpose of these positions is not the delivery of direct services to program participants. Employees may be assigned supervisory or lead worker responsibility at any level in the series, but this responsibility does not, by itself, warrant allocation to a higher level.

EXAMPLE OF DUTIES

Bachelor's degree from an accredited college or university in a field of study pertinent to the program assignment and one year of professional experience providing social services to clients or program development and evaluation which required the application of regulations, laws, policies and procedures in making determinations; OR Bachelor's degree from an accredited college or university in a field of study pertinent to the program assignment and one year of professional experience providing medical assistance programs, services, or healthcare services to clients or program compliance and evaluation which required the application of regulations, laws, policies and procedures in making determinations; OR one year of experience as a Social Services Program Specialist I in Nevada State service; OR an equivalent combination of education and experience as described above.

SUPPLEMENTAL INFORMATION

This job specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level. Working knowledge of: social services and resources applicable to the assigned program; methods of administering social or medical assistance programs in local and regional offices to ensure compliance with federal regulations and State law and implement new policies and procedures. General knowledge of: purpose and scope of assigned programs; appeal and hearing processes and protocols; automated information system logic and its application to the program assigned; data processing concepts including general data base, system security, data communication, and multiple platform strengths and weaknesses; computer technologies sufficient to develop automated training modules; develop routine database applications; principles and practices for the development and presentation of training classes. Ability to: develop routine databases; evaluate program effectiveness and recommend innovative and improved procedures and practices to enhance program services; mediate between contending parties such as clients and staff, legal services and staff, contractors and the division; coordinate program activities with professionals from a variety of disciplines; interpret broad, ambiguous, and sometimes conflicting regulations and laws; make independent decisions that impact the quality of services provided; resolve complex issues such as eligibility for services; resolve compliance problems while maintaining level of services; identify policy issues which require management resolution; analyze and communicate system needs to programmers and validate the programming process; prepare and update documentation for the computer system manual; conduct needs assessments and interpret results including training needs; evaluate training models and develop appropriate training curriculum, materials and methods; develop statistical and analytical reports; interpret case and program budgets and financial statements; coordinate program staff and unit activities by determining the time, place, and sequence of actions; plan and conduct meetings; relay clear and concise findings to service providers and contract personnel including responding appropriately to opposition or disagreement. Skill in: troubleshooting computer operating problems. Recruiter information contact: Victoria Sheehan -