Quality Program Manager jobs in Charleston, WV

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Special hiring rate:$50,250 at Bureau for Medical Services

Nature of Work

Under general direction and reporting to the Director, the program manager performs complex administrative and professional work at the advanced level in managing a unit in the Department of Human Services, Bureau for Medical Services. This individual is responsible for management of specific areas in the severe emotional disturbance waiver for children’s facility- based care, including but not limited to, children’s residential services, psychiatric residential treatment facilities, and acute psychiatric levels of care.

Knowledge, Skills, and Abilities:

• Complex level of problem-solving health demands and decisions for assigned areas
• The ability to persuade or dissuade others on major health policy and program matters
• Ability to communicate with medical personnel about medical processes both verbally and in writing

Duties and Responsibilities:

• Provide planning, policy development, direction, coordination, and administration of the operation of the area of assignment
• Enforce agency objectives
• Participate in staff development related to area of assignment
• Develop and maintain collaborative efforts among health services agencies and Medicaid Managed Care Organization
• Performs research and analysis of legislative health issues related to area of assignment
• Research best practices to promote health policy that is nationally accepted
• Writes health policy and provider reimbursement that is congruent with insurance industry standards
• Manages a program with reimbursements of more than $81 million
• Performs research and analysis of other states’ policies, other insurance policies, and current standard or practice for health issues related to areas of assignment
• Performs research and analysis of appropriate coding initiatives related to areas of assignment
• Monitoring and evaluation of health care administration and service deliverables relation to area of assignment
• Assure manuals for area are maintained in a current status
• Provide policy interpretation to staff, supervisor, public officials, and advocacy groups
• Assist director in budget planning
• Respond to fax, email, written or telephone requests from public officials, members, and/or other departments and agencies related to areas of assignment within an established time frame

Performs health-related work as required and other duties as assigned.

Minimum Qualifications

Training: Master's degree from an accredited college or university in the area of assignment.

Substitution: One year of full-time or equivalent part-time paid experience as described below may substitute for the Master's degree.
Experience: Three years of full-time or equivalent part-time paid professional experience in the area of assignment, one year of which must have been in a program administration capacity.

Substitution: Post-graduate training in the area of assignment may substitute through an established formula for the non-supervisory experience.

Job Type: Full-time

Pay: $50,250.00 - $79,358.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Ability to Relocate:

• Charleston, WV: Relocate before starting work (Required)

Work Location: In person