Office of Medicaid Coordination (OMC) Program Manager
Georgia.gov
The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is the state agency that focuses solely on policies, programs, and services for people with mental health challenges, substance use disorders, intellectual and developmental disabilities, or any combination of these. As Georgia’s public safety net, DBHDD operates six field offices and five hospitals throughout the state within three program areas: behavioral health, developmental disabilities and hospital services.
The main office for DBHDD is located in downtown Atlanta.
Job Description
Job Title: Office of Medicaid Coordination (OMC) Program Manager
Pay Grade: N
Position Overview:
The OMC/HSI Program Manager reports to the Director of the Office of Medicaid Coordination and Health Systems Innovation. The OMC/HSI Program Coordinator serves as a supporting expert on Medicaid and Healthcare policy, ensuring activities related to the implementation, fulfillment and reporting of DBHDD Medicaid funded services and supports are performed efficiently and effectively within DBHDD. Additionally, the OMC/HSI Program Coordinator supports the interagency implementation and quality of public sector Behavioral Health and Intellectual and Developmental Disabilities service and product lines.
Duties and Responsibilities:
Directs a diverse range of support, operational, and programmatic activities for a department, agency or facility. Recommends and implements policies and procedures. Directs subordinate managers and staff. The OMC/HSI Program Coordinator organizes with various state public sectors as a partner to:
Design and develop Medicaid products and provide support to the Department of Community Health (DCH) in behavioral health and developmental disability-related innovations;
Coordinate the internal DBHDD teams' response on special Medicaid projects;
Support the Division of IDD and BH in monitoring utilization trends, compliance, and performance of Medicaid programs administered by DBHDD; and
Assist DBHDD programmatic leadership with the development of policy and procedure, clinical criteria, workflows, services and other health documentation and product development activities as needed.
Other duties as assigned.
Specific to special health innovation projects, the OMC/HSI Program Coordinator establishes effective communication and professional working relationships with stakeholders and other involved staff of DBHDD and DCH.
The OMC/HSI Program Coordinator serves as:
Policy content expert to partners on Medicaid innovation and special health projects;
Partner with the programmatic Directors in the Divisions of Behavioral Health and Intellectual and Development Disabilities and Administration to support health and Medicaid innovations;
Coordinator for DBHDD programmatic experts and directors in achieving innovation and special Medicaid projects;
Using project management skills, convenes team members, stakeholders, providers, local governing authorities, advocates, DBHDD and DCH staff as needed to provide pertinent information and provide project status reports;
Monitor current trends, developments and analytics in the healthcare industry including federal legislative and policy proposals for fiscal and operational impacts. Applies pertinent new knowledge to DBHDD programs and policy;
A lead for expertise or research related to existing or emerging Medicaid program innovation and health policy;
Partner with DBHDD and the Medicaid authority on any new Georgia initiatives, including project management for implementations;
Assessment and mitigation of potential gaps and/or opportunities related to behavioral health and/or intellectual/developmental disabilities programs as compared to customer needs and/or payor demands;
Tracker for emerging Centers for Medicare and Medicaid Services (CMS) Grants which benefit DBHDD customers, and spearheading development and implementation of those grants; and
Complete all other duties as assigned.
Required Knowledge, Skills, and Abilities:
Demonstrate ability to complete tasks and assignments independently or with minimal oversight.
Demonstrate ability to work collaboratively, incorporate and/or provide feedback for improvement;
Demonstrate ability to project manage large-scale projects with an array of stakeholders.
Ability to function well in a high-paced, highly visible environment
Knowledge of state, federal and professional standards relevant to the DBHDD programs, services, and operations; and
Demonstrate ability to identify priorities and meet deliverables.
Qualifications:
Bachelor's degree in a related field from an accredited college or university AND Four years of experience managing professional level staff OR Eight years of related professional experience AND Four years managing at the level equivalent to area of assignment OR Four years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent.
Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis
Preferred Qualifications:
Master’s degree from an accredited college or university or higher in Public Health Administration, Political Science, Health Science, Public Policy, Social Work, Sociology, Epidemiology or related field;
Project Management Certification (PPM, Six Sigma, Scrum, Agile); etc.
Benefits
In addition to a competitive salary & benefits, GA Department of Behavioral Health and Developmental Disabilities is part of a statewide initiative called Total Rewards that seeks to attract and retain employees by supplementing their base pay and benefits with programs designed to improve the quality of their work environment and lead to greater job satisfaction and work/life balance. Eligible employees are offered generous benefits, including health and dental insurance; retirement and savings plan options; and paid holidays, vacation and sick leave. For more information, visit https://dbhdd.georgia.gov/benefits
Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.
The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:
- Drug Screening
- TB Evaluation
- Annual Influenza*
*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.
DBHDD is an Equal Opportunity Employer
It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.
This position is subject to close at any time once a satisfactory applicant pool has been identified.
FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.
When applying for this position, you will be asked if you meet the minimum qualifications for this position as stated below and may possibly be presented with additional questions to assess preferred qualifications. Preference will be given to applicants who meet one or more of the preferred qualifications and have demonstrated relevant experience clearly indicated in their work history.