Managed Care Systems Administrator

Design, develop and implement the state's public children's behavioral health system. Key focus is innovative leadership, design and operations of Medicaid and Affordable Healthcare Act in partnership with DE Medicaid Office. Work includes organization and financing the system, budget development, analysis and oversight of marketing, access, performance and improvement, strategic planning, development of State-Level policies/procedures to guide system operations and maximize federal cost recovery, new service development, compliance.

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

• Plans, develops, implements and coordinates the service delivery system for the child mental health managed care system.
   
• Manages interface between the Division and managed care/cost recovery consultants and other offices.
   
• Coordinates the planning and development of budget proposals to support the ongoing development and enhancement of the managed care system.
   
• Maintains schedule for assessing new services or service levels which should be provided; reviews options for maximizing cost recovery on services provided; gathers and analyzes data through audits and interviews to monitor the quality and appropriateness of services.
   
• Negotiates waivers/contracts with the Medicaid Office.
   
• Sets policies and procedures to guide system development.
   
• Analyzes current referral, intake and admission procedures and recommends improvements/modifications to maximize eligibility/recovery.
   
• Reviews budget and ratesetting methodologies for mental health and drug/alcohol programs and recommends improvements/modifications to maximize recovery/reinvestment.
   
• Plans, assigns, reviews and evaluates the work of assigned staff.
   
• Prepares a variety of reports.

JOB REQUIREMENTS for Managed Care Systems Administrator 
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

1. Possession of a Bachelors degree or higher in Behavioral or Social Science or related field.
2. Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short and long range program goals and objectives. Providing advice to other agency organizational units through consultation.
3. Six months experience in budget development which includes analyzing financial data and making long and short range plans and projections.
4. Six months experience in contract development which includes writing and negotiating contracts.
5. Six months experience in developing policies and procedures.
6. Six months experience in staff supervision of two or more employees which includes to plan, assign, review, discipline, recommend hire, promotion, termination and administer performance plans and reviews.

Merit Only: Current State of Delaware employees in a position covered by the Merit System and who have completed their initial probationary period.

Criminal background check: A satisfactory criminal background check is required as a condition of hire.  The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.

Pre-employment Drug Testing:  Upon a conditional offer, you must undergo pre-employment drug testing as part of the hiring process.

To learn more about the comprehensive benefit package please visit our website at http://ben.omb.delaware.gov/

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at www.delawarestatejobs.com.

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.  The State of Delaware – An Equal Opportunity and Affirmative Action Employer.