HEALTH PROGRAM ADMINISTRATOR

State of careers Rhode Island
•$95,881 - $108,590

About The Position

The Health Program Administrator is responsible for planning, organizing, directing, coordinating, and administering a health program, including ensuring compliance with applicable laws, rules, regulations, grants, and contracts. The role develops and implements the program budget, monitors fiscal activities, reviews applicable state and federal statutes and regulations, evaluates program effectiveness, and establishes program standards, policies, and procedures. It coordinates program activities with the Department of Health and maintains relationships with other state agencies and officials. The position also directs and supervises professional, technical, and clerical staff and prepares extensive technical and statistical reports. Within the Medicaid Office of Program Integrity, this position supports provider enrollment and auditing functions. It conducts internal and onsite provider audits and investigates providers’ billing and business practices to ensure compliance with state and federal requirements. It also assists in representing the agency at administrative hearings related to provider sanctions and terminations resulting from Program Integrity actions. The position requires national fingerprint background screening because it provides access to Federal Tax Information (FTI). Employment eligibility must also be validated through E-Verify. The schedule is Monday through Friday, 8:30 a.m. to 4:00 p.m., for 35 hours per week. State employees hired after September 30, 2014, are required to participate in direct deposit.

Requirements

  • Thorough knowledge of the principles, practices, and techniques of health program administration and the ability to apply that knowledge to administer a health program.
  • Ability to evaluate the efficiency and effectiveness of a health program in meeting public needs.
  • Ability to direct and supervise professional, technical, and clerical staff.
  • Ability to develop a health program budget and monitor its fiscal activities.
  • Ability to establish and maintain effective working relationships with superiors, associates, subordinates, government officials, and the public.
  • Ability to prepare extensive statistical and technical written reports.
  • Master’s degree in Public Health, Public Administration, Business Administration, Hospital Administration, or a comparable field; or a substantially equivalent combination of education and experience.
  • Experience in a highly responsible position involving participation in the overall administration of a health program, or a substantially equivalent combination of education and experience.
  • Must undergo national fingerprint background screening due to access to Federal Tax Information.
  • Must have employment eligibility validated through E-Verify.

Responsibilities

  • Plan, organize, direct, coordinate, and administer a health program.
  • Ensure compliance with laws, rules, regulations, grants, and contractual agreements relating to program operations.
  • Develop and implement the program budget and monitor fiscal activities.
  • Review federal and state statutes and regulations affecting the program; recommend amendments, revisions, or new legislation and regulations as appropriate.
  • Periodically review program activities and evaluate their efficiency and effectiveness in meeting public needs.
  • Formulate and implement program standards, policies, and procedures to monitor progress and productivity.
  • Coordinate program activities with the Department of Health and maintain liaison with other state departments and agencies.
  • Attend meetings and conferences involving government officials, professionals, and the public.
  • Direct and supervise professional, technical, and clerical subordinate staff.
  • Prepare extensive technical and statistical reports regarding program activities.
  • Conduct internal and onsite provider audits and investigate provider billing and business practices for compliance with state and federal requirements.
  • Assist in representing the agency at administrative hearings concerning provider sanctions and terminations resulting from Program Integrity actions.
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