Medicaid Waivers Chief, Social Services Lead

State of Nevada; Reno (NV); On-site; USD 90,000 - 135,000; Full time

Job summary

The State of Nevada's Medicaid Division seeks a Social Services Chief 1 in Reno to lead the administration of 1115 Medicaid Demonstration Waivers, interpret complex federal and state rules, develop waiver applications, and coordinate with CMS and internal teams on budget, reporting, and monitoring.

This role supervises staff and oversees vendor activities, preparing policy analyses and recommendations, while ensuring compliance and program quality within federal requirements.

Qualifications

• Bachelor's degree from an accredited college or university in social work, health or social science, public or business administration or related field and three years of professional social services experience which included serving as a consultant to professional/supervisory program personnel; coordinating program activities with officials and representatives of other agencies; interpreting and applying complex federal regulations, technical journals, and legislative studies; writing program policies, procedures, and reports; and conducting research and preparing recommendations for management; OR an equivalent combination of education and experience.

Responsibilities

• Establish and monitor the accomplishment of unit and program goals and objectives to ensure programs are administered in compliance with federal and State regulations and in accordance with the goals and objectives of the agency.
• Analyze and review data and reports regarding program participation and quality assurance activities; analyze economic and demographic trends and statistical data; determine the availability of resources; consult with administrators regarding agency and program goals and objectives.
• Coordinate resources and activities with other chiefs and district or regional office managers; establish performance indicators and goals and objectives; monitor staff activities to determine progress in meeting goals and objectives and assess the quality of work performed; determine the impact and effectiveness of completed projects and assignments and plan for future changes or activities.
• Direct the development and ensure implementation of State plans, policies, procedures, and support systems to maximize federal financial participation; review and interpret federal and State rules and regulations; research or direct staff to research the financial and operational impact to programs.
• Analyze requested changes to computer and accounting systems and establish appropriate priorities; oversee the development of new or revised policies and procedures and secure administrative approval; respond to inquiries and requests for assistance in the implementation of policies, procedures and system changes; make decisions on unusual cases and operational issues; monitor program quality and compliance through review of management reports and results of on-site reviews.
• Manage the development, negotiation and monitoring of cooperative agreements and program contracts to ensure services are provided and operations are conducted within program parameters; oversee the development of agreements, contract documents and amendments; evaluate and adjust reimbursement rates; conduct periodic reviews of personnel, equipment and program operations; meet with contractors and program personnel to evaluate performance and resolve problems associated with requirements set forth in agreements or contracts; determine whether financial reimbursement should be withheld in situations of non-compliance.

Skills

Program management

Supervision

Regulatory interpretation

Budget analysis

Education

Bachelor's degree in social work, health, social science, public or business administration or related field

Job description

The State of Nevada's Medicaid Division seeks a Social Services Chief 1 in Reno to lead the administration of 1115 Medicaid Demonstration Waivers, interpret complex federal and state rules, develop waiver applications, and coordinate with CMS and internal teams on budget, reporting, and monitoring.

This role supervises staff and oversees vendor activities, preparing policy analyses and recommendations, while ensuring compliance and program quality within federal requirements.