Managed Care Administrator

About the role

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 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. 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. This position is funded in part through federal funds. This position will close at 11:59 p.m. the night before the end date. About the NC Division of Mental Health (DMH): The North Carolina Department of Mental Health provides quality support to achieve self-determination for individuals with intellectual and/or developmental disabilities and quality services to promote treatment and recovery for individuals with mental illness and substance use disorders. 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. Visit website for State Benefits Supplemental and Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/ . DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor's Executive Order 303 , our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. Degrees must be received from ap