Managed Care Administrator

Agency

Dept of Health and Human Services

Division

Mental Health

Job Classification Title

Human Services Program Manager I (NS)

Position Number

Grade

NC18

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

This position will manage the DMH/DD/SUS Managed Care Administration Team (“Managed Care Admin Team”). The Managed Care Admin Team oversees the contractual and cross-division administrative functions related to overseeing Tailored Plans for the Division, and where applicable Prepaid Inpatient Health Plans, Standard Plans, and the Child and Family Specialty Plan. These functions include management of contract amendment processes, monitoring of contractual requirements, communication and coordination with NC Medicaid (and other relevant DHHS section) and the respective Plans, and providing technical assistance to DMH/DD/SUS staff in understanding Plan functions and requirements.

Knowledge, Skills, and Abilities / Management Preferences

Salary Range: $63,927 - $111,871

Recruitment Range: $63,927 - $96,493

The Knowledge Skills and Abilities/ Management Preferences are not required. Applicants who possess the following skills are preferred.

• Demonstrated understanding of managed care operations, Tailored Plans (formerly LME/MCOs)
• Demonstrated understanding of the policies, procedures, and funding mechanisms of managed care in North Carolina
• Demonstrated skill in contract monitoring, planning, and communication.

Compensation & Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.

Minimum Education and Experience

Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.

Master’s degree in the area of assignment from an appropriately accredited institution and three years of experience in a closely related program; or Bachelor’s degree in the area of assignment field from an appropriately accredited institution and five years of experience in a closely related program; or an equivalent combination of education and experience.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

Recruiter

Rosa Henegan