POSITION ANNOUNCEMENT Mental Health Program Specialist Division of Strategic Finance and Managed CareGrade 18Full time Salary Rate: $61,811 to $79,370The Research Foundation for Mental Hygiene, Inc. is seeking a qualified candidate to fill the full-time position of Mental Health Program Specialist at the New York State (NYS) Office of Mental Health (OMH), Division of Strategic Finance and Managed Care, Bureau of Managed Care Oversight. A successful candidate will demonstrate proficiency in Microsoft Office and the use of meeting technologies (e.g., WebEx, Teams, Microsoft Office Suite).FUNCTION AND SCOPE:The Bureau of Managed Care Oversight is responsible for ensuring Medicaid Managed Care Programs' (MMCPs') management of behavioral health services is compliant with all state and federal regulations in order to provide optimal quality of care to the most vulnerable New Yorkers. The Bureau of Managed Care Oversight monitors MMCPs through various oversight activities, including but not limited to surveys, clinical reviews, readiness reviews, citations and enforcement, contract reviews and approvals, children's behavioral health services planning, and behavioral health parity compliance. The Bureau of Managed Care Oversight works closely with multiple state agencies, other OMH and state managed care divisions, and MMCPs, as well as various technical assistance centers serving behavioral health agencies and recipients with behavioral health needs to successfully navigate Medicaid managed care. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:The Mental Health Program Specialist within the Bureau of Managed Care Oversight is responsible for evaluating MMCPs' performance and compliance with behavioral health standards through oversight activities, such as surveys, clinical reviews, readiness reviews, citations and enforcement, contract reviews and approvals, and behavioral health services planning. The functions the candidate will be responsible for include, but are not limited to:
Developing, implementing, and monitoring MMCP compliance with behavioral health standards.Organizing, coordinating, and participating in MMCP oversight activities.Collaborating and maintaining relationships with a wide range of managed care stakeholders, including other OMH divisions and state partners, MMCPs, trade associations, and technical assistance centers. Supporting the Bureaus within the Division of Strategic Finance and Managed Care in a broad range of MMCP evaluation activities; andAssisting the Bureau and Division with the evolving needs and changes related to the oversight of behavioral health services as needed. MINIMUM QUALIFICATIONS:
- Bachelor's degree or higher from an accredited college.
- At least two years of experience working in contracts and/or compliance.
PREFERRED QUALIFICATIONS:
- Knowledge of mental health services, managed care and/or Medicaid, and healthcare policy reform.
- Experience in behavioral health, behavioral health/health care policy, and NYS health insurance programs.
Travel: Limited travel in NYS may be requiredWork Location: The candidate will work at the NYS Office of Mental Health Central Office, 44 Holland Avenue, Albany, NY 12229. Telecommuting may be permitted at the discretion of OMH but may be subject to change.To Apply: Submit an application on the RFMH website at . Please note only applications submitted through our website will be considered.The Research Foundation is a private not-for-profit corporation and is not an agency or instrumentality of the State of New York. Employees of the Research Foundation are not state employees, do not participate in any state retirement system, and do not receive state fringe benefits. Excellent Benefits Package. Employer/Minority/Women/Disabled/Veteran Employer. VEVRAA 41 CFR 60-300.5(a) compliant.