HEALTH PROGRAM ADMINISTRATOR

State of careers Rhode Island

9d • $93,088 - $105,427

About The Position

GENERAL STATEMENT OF DUTIES: To be responsible for the overall planning, organization, direction, coordination and administration of a health program; to administer the provisions of laws, rules, and regulations, as well as, to ensure the adherence of provisions set forth in grant and contractual agreements relating to the operation of a health program; and to do related work as required.

SUPERVISION RECEIVED: Works under the administrative direction of a superior with considerable latitude for the exercise of independent judgement and initiative; work is reviewed, usually upon completion through conferences and/or written reports for conformance to laws, rules, regulations and policies.

SUPERVISION EXERCISED: Plans, organizes, coordinates, directs, and supervises the work of a professional, technical and clerical subordinate staff.

ILLUSTRATIVE EXAMPLES OF WORK PERFORMED: To be responsible for the overall planning, organization, direction, coordination and administration of a health program; to administer the provisions of laws, rules, and regulations, as well as, to ensure the adherence of provisions set forth in grant and contractual agreements relating to the operation of health programs. To be responsible for the development and implementation of a health program budget and to monitor the fiscal activities of the program to ensure maximum efficiency of services to the general public. To review federal and state statutes and regulations as they affect a health program within the department. To recommend amendments or revisions of existing laws and regulations; and to recommend new legislation and regulations relating to a health program. To review, periodically, the various activities of a health program and to evaluate their efficiency and effectiveness on meeting the needs of the public. To be responsible for the formulation and implementation of standards, policies and procedures of a health program in order to monitor the progress and productivity of a program. To coordinate the overall activities of a health program with those of the Department of Health in order to improve the health of citizens of the state. To attend meetings and conferences involving state, federal and local officials, professionals, and the public concerning departmental programs and objectives. To direct and supervise a subordinate professional, technical and clerical staff engaged in various functions of a health program. To maintain an effective liaison with other state departments and agencies. To prepare extensive technical and statistical written reports relative to the program's activities. To do related work as required.

Supplemental Information This is a full-time staff person for Medicaid’s RIte Share Premium Assistance Program. This individual will be part of a small team that is responsible for the overall operations of the RIte Share Program. A person in this role will assist with gathering and documenting employer health insurance information which includes certificates of coverage, benefit summaries, rate information, employee rosters, etc.—information necessary to determine cost effectiveness. This will include the need to outreach to employers and consumers whose contact information may be outdated or inaccurate; investigate and gather employer and consumer contact information using the internet and other means possible; craft clear and concise communication to employers and consumers requesting such information; enter timely and comprehensive information into a database; answer questions from consumers and employers; complete reporting templates of work completed; conduct cost effectiveness testing; and other relevant work identified by the program manager.

Requirements

• A thorough knowledge of the principles, practices and techniques of health program administration as it applies to a health program and the ability to apply such knowledge in the overall planning, organization, direction, coordination and administration of a health program
• the ability to evaluate the efficiency and effectiveness of a health program to meet the needs of the public
• the ability to direct and supervise a subordinate professional, technical and clerical staff engaged in a health program
• the ability to develop a health program budget and to monitor the fiscal activities of the program
• the ability to establish and maintain effective working relationships with superiors, associates, subordinates, state, federal and local officials, and the general public
• the ability to prepare extensive statistical and technical written reports
• possession of a Master’s Degree in Public Health, Public Administration, Business Administration, Hospital Administration, or any other comparable field of specialization
• employment in a highly responsible position involving participation in the overall administration of a health program
• Extensive knowledge of RI Bridges and the MMIS

Nice To Haves

• Experience in the area of health insurance benefits, including but not limited to the administration of those benefits
• Excellent oral and written communications skills (employers, consumers)
• Proficient in Microsoft Office products
• Quick learner
• Attention to detail
• Investigative skills
• Meticulous record keeping
• Productive and focused
• Resourceful, proactive, organized, critical thinking skills
• Comfortable in a fast-paced dynamic agency
• Bachelor’s degree or relevant experience
• Bi-cultural/bilingual applicants

Responsibilities

• overall planning, organization, direction, coordination and administration of a health program
• administer the provisions of laws, rules, and regulations, as well as, to ensure the adherence of provisions set forth in grant and contractual agreements relating to the operation of health programs
• development and implementation of a health program budget and to monitor the fiscal activities of the program to ensure maximum efficiency of services to the general public
• review federal and state statutes and regulations as they affect a health program within the department
• recommend amendments or revisions of existing laws and regulations; and to recommend new legislation and regulations relating to a health program
• review, periodically, the various activities of a health program and to evaluate their efficiency and effectiveness on meeting the needs of the public
• formulation and implementation of standards, policies and procedures of a health program in order to monitor the progress and productivity of a program
• coordinate the overall activities of a health program with those of the Department of Health in order to improve the health of citizens of the state
• attend meetings and conferences involving state, federal and local officials, professionals, and the public concerning departmental programs and objectives
• direct and supervise a subordinate professional, technical and clerical staff engaged in various functions of a health program
• maintain an effective liaison with other state departments and agencies
• prepare extensive technical and statistical written reports relative to the program's activities
• gathering and documenting employer health insurance information which includes certificates of coverage, benefit summaries, rate information, employee rosters, etc.
• outreach to employers and consumers whose contact information may be outdated or inaccurate
• investigate and gather employer and consumer contact information using the internet and other means possible
• craft clear and concise communication to employers and consumers requesting such information
• enter timely and comprehensive information into a database
• answer questions from consumers and employers
• complete reporting templates of work completed
• conduct cost effectiveness testing

Benefits

• For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/.
• Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees. Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit. Accordingly, any employee hired after this date will be required to participate in the direct deposit system. At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees