Remote Behavioral Health Integrity & Continuity Manager

State of Minnesota; Saint Paul (MN); Remoto; USD 87.000 - 125.000; Tempo pieno

Vantaggi offerti da questo lavoro

Telework eligible

Flexible work hours

Descrizione del lavoro

State of Minnesota is seeking a Behavioral Health Program Integrity & Continuity of Care Manager in Saint Paul. This role leads three units overseeing Medicaid program integrity, continuity of care, and payment integrity to prevent fraud and ensure access to medically necessary care.

The incumbent directs multi-unit teams, reports to the Deputy Assistant Commissioner, and ensures compliance with CMS requirements while aligning with enterprise priorities.

Competenze

• Leadership experience in supervising programs or teams.
• Four years of in-depth knowledge of Medicaid program integrity and continuity of care interventions.
• Understanding of Medicaid statutory and regulatory frameworks for behavioral health programs.
• Experience with Medicaid payment integrity methodologies and data analytics.
• Experience developing policies, directives, and instructions.

Mansioni

• Provide managerial leadership to three subordinate supervisors and units; establish organizational structures and workflows.
• Lead section planning and contribute to BHA strategic planning with policy recommendations.
• Direct Medicaid payment integrity operations and ensure compliance with CMS requirements.
• Represent BHA in inter-agency fraud prevention and coordinate with DHS administrations.
• Partner with data analytics to define metrics and oversee emergency provider transitions.

Conoscenze

Leadership experience

Supervisory experience

Policy analysis

Cross-agency collaboration

Project management

Communication skills

Descrizione del lavoro

State of Minnesota is seeking a Behavioral Health Program Integrity & Continuity of Care Manager in Saint Paul. This role leads three units overseeing Medicaid program integrity, continuity of care, and payment integrity to prevent fraud and ensure access to medically necessary care.

The incumbent directs multi-unit teams, reports to the Deputy Assistant Commissioner, and ensures compliance with CMS requirements while aligning with enterprise priorities.