Director, Office of Medicaid Coordination- Atlanta

Georgia Department of Revenue•Atlanta, GA

About The Position

The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is seeking a Director of the Office of Medicaid Coordination to lead the department’s Medicaid strategy and operational infrastructure. DBHDD operates Georgia’s 1915(c) waivers for people with intellectual and developmental disabilities, including the NOW and COMP programs serving approximately 14,000 participants, and serves as the state’s behavioral health authority overseeing Medicaid-funded mental health and substance use services. The Director is DBHDD’s Medicaid policy and financing leader and its principal counterpart to the Department of Community Health, Georgia’s single state Medicaid agency. Strategically, the Director advises leadership; directs waiver renewals, State Plan amendments, and rate studies; shapes federal financing strategy; and directs DBHDD projects under Georgia’s Rural Health Transformation (GREAT) initiative. Operationally, the Director oversees the administrative structures that support federal funding and service compliance, including interagency agreements, the Medicaid cost allocation plan, Advance Planning Documents, provider manual alignment, and federal reporting. The Director leads budget and program staff. The role leads Medicaid policy development and implementation for IDD services and the Community Behavioral Health Rehabilitation Services benefit; governs Medicaid review and concurrence of behavioral health and IDD provider manuals; and directs State Plan amendment and Medicaid waiver application, amendment, and renewal work. It also manages Medicaid administrative contracts and interagency agreements, cost allocation plan compliance, Advance Planning Documents, rate studies, reimbursement methodology development, federal reimbursement strategies, and Medicaid-related fiscal analyses. The Director provides policy and operational consultation for PASRR, psychiatric residential treatment facility services, autism services, CCBHCs, telehealth, and other assigned initiatives. The role works with program and operational offices to implement policy, monitor service access, utilization, quality, and fiscal performance, and oversee DBHDD responsibilities under federal requirements including the HCBS Settings Rule and Medicaid Access Rule.

Requirements

Bachelor’s degree in operations management, business administration, or a related field, plus five years in a managerial or supervisory role; or nine years of related professional experience, including five years in a managerial or supervisory role; or five years of experience at the lower-level Sr Mgr, Business Ops (GSM012) or equivalent.
An equivalent combination of knowledge, education, job or internship experience, training, or certifications that provides the necessary knowledge and skills may be substituted year-over-year.
Current professional licenses and certifications may be required for certain positions within DBHDD; any required license must enable practice in Georgia.
Drug screening, TB evaluation, and annual influenza vaccination may be required.
A national and state background check is required as a condition of employment.

Nice To Haves

Master’s degree in Public Health, Public Policy, Social Work, Business Administration, or a closely related human services field.

Responsibilities

Direct Medicaid policy development and implementation for IDD services and the Community Behavioral Health Rehabilitation Services benefit; assess federal and state policy changes and lead DBHDD’s response.
Govern DBHDD’s Medicaid review and concurrence of behavioral health and IDD provider manuals, ensuring they align with approved State Plan and waiver provisions.
Lead development, submission, federal review coordination, and implementation of Medicaid State Plan amendments.
Lead preparation, submission, coordination, and implementation of Medicaid waiver applications, amendments, and renewals.
Direct DBHDD-led projects supported by Georgia’s Rural Health Transformation GREAT funding.
Lead the Office of Medicaid Coordination, including supervision of budget analysts and program staff.
Develop, negotiate, implement, and monitor Medicaid administrative contracts and interagency agreements, including S599 and its supplements.
Partner with enterprise offices to ensure compliance with DBHDD’s Medicaid Cost Allocation Plan; review allocation methods, activities, assignments, and documentation; resolve discrepancies and monitor implementation.
Oversee development and updating of Medicaid Advance Planning Documents for eligible information systems initiatives, coordinating scope, budgets, cost allocation, procurement, schedules, approvals, expenditures, and reporting.
Direct DBHDD’s participation in Medicaid rate studies and reimbursement methodology development; coordinate supporting data and estimates, review findings, recommend changes, and oversee implementation of approved rates.
Identify opportunities to maximize allowable federal reimbursement and refinance eligible activities; prepare fiscal analyses, recommend funding strategies, and monitor budget effects.
Provide Medicaid policy and operational consultation for PASRR, psychiatric residential treatment facility services, autism services, CCBHCs, telehealth, and other assigned initiatives.
Implement policy with programmatic and operational offices, assign responsibilities, and resolve implementation barriers.
Monitor service access, utilization, quality, and fiscal performance; use data, stakeholder feedback, and compliance findings to identify gaps, recommend corrective actions, and track results.
Oversee DBHDD responsibilities under the federal HCBS Settings Rule, Medicaid Access Rule, and other applicable federal requirements, coordinating implementation, reporting, and corrective actions.