HCBS Waiver Program Specialist

Southwest Michigan Behavioral Health; Portage (MI); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Southwest Michigan Behavioral Health is seeking a Waiver Specialist to oversee HCBS waivers and Medicaid services in the region. You will track enrollment and utilization, support providers, and help clients access needed services.

The role requires a Bachelor’s in a human services field, strong organizational and communication skills, and the ability to travel to multiple service locations. A focus on culturally competent, recovery-based practices is essential.

Qualifications

• Bachelor's in social work, psychology, organizational psychology, healthcare administration, or a human services field.
• Strong organizational skills and attention to detail; tracks and reports data accurately.
• Manages multiple projects and meets deadlines.
• Strong oral and written communication and interpersonal skills; works well in teams and independently.
• Willingness and ability to travel to all service locations.
• Supports culturally competent, recovery-based, person-centered, and trauma-informed practices.

Responsibilities

• Provide administrative oversight and coordination of HCBS waivers and Medicaid services to ensure federal, state, contractual, and PIHP compliance.
• Quality monitoring and oversight of LTSS and HCBS waivers.
• Assist with PIHP oversight, including stratification of cases for waiver slot selection.
• Serve as liaison between MDHHS and CMHSPs on regional needs and requirements.
• Monitor service utilization, documentation timeliness, service access, and provider capacity.
• Track waiver enrollment, utilization, and slot/capacity availability; prepare and submit accurate, on-time reports to MDHHS and internal leadership.
• Guide providers and CMHSPs on administrative and procedural corrective actions; refer clinical performance or quality-of-care matters to the Clinical Quality Specialist.
• Provide administrative training, follow-up, and technical assistance to providers and CMHSPs.
• Identify programmatic or administrative concerns and notify Senior Leadership and oversight committees.
• Stay current with, and comply with, applicable federal and state guidelines and accreditation standards.
• May assist in drafting and reviewing policy and protocol.

Skills

Organizational skills

Attention to detail

Data tracking

Project management

Communication skills

Travel readiness

Education

Bachelor's in social work or related field

Job description

Southwest Michigan Behavioral Health is seeking a Waiver Specialist to oversee HCBS waivers and Medicaid services in the region. You will track enrollment and utilization, support providers, and help clients access needed services.

The role requires a Bachelor’s in a human services field, strong organizational and communication skills, and the ability to travel to multiple service locations. A focus on culturally competent, recovery-based practices is essential.