This position is located with the Division of Health Care Financing and Policy, Managed Care and Quality Assurance Unit in Carson City, Nevada. This is a supervisory position responsible for monitoring contracts for multiple Managed Care Entities (MCEs), ensuring MCE compliance with State and Federal regulations as well as terms and conditions of each contract. This position will provide leadership over unit staff, manage unit projects, facilitate managed care activities, research and interpret state and federal regulations, track data, trends and statistics, and coordinate with Managed Care Plans. Social Services Program Specialists perform administrative and professional work in conjunction with the administration of statewide public assistance, medical assistance, or social services programs. Positions allocated to this series are primarily focused on program administrative functions which include interpretation of regulations and laws; development of program policies and procedures; quality assurance and quality control; preparation of statistical and narrative reports for federal and State entities and division/department management; and development and enhancement of automated systems that support program operations. While incumbents in this series may interact with clients to resolve customer service issues, the purpose of these positions is not the delivery of direct services to program participants. Employees may be assigned supervisory or lead worker responsibility at any level in the series, but this responsibility does not, by itself, warrant allocation to a higher level. Under general direction, incumbents perform the full range of duties described in the series concept and are assigned the most responsible and complex administrative and professional program assignments on a statewide basis. Regulations governing program areas assigned are usually extensive but not definitive, and incumbents are required to exercise judgment when interpreting the regulations or seeking clarification from federal regulatory officials. Incumbents at this level work directly with a program chief or administrator in planning and implementing principal components of major social services or medical assistance programs and may function as an assistant program chief, supervising subordinate program specialists and other professional personnel as assigned. Incumbents conduct comprehensive research and analyses and develop recommendations for management concerning substantive changes in policies and programs; participate in the development and implementation of new and more complex social services or medical assistance programs and monitor the initial phases of implementation until programs are established and administrative responsibility is transferred to a lower level program specialist. In addition, incumbents recommend new or improved procedures and processes for the provision of services; serve as a consultant to caseworkers, district and regional managers, and lower level program specialists; monitor and evaluate social services or medical assistance programs operated by local government agencies and private organizations; serve as a liaison to federal representatives, other divisions, State and local agencies, service providers, professional and community organizations, and client representatives. This class is distinguished from the lower levels by responsibility for the largest, broadest, and most complex, multifaceted programs. The majority of these positions are supervisory.
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Job Type
Full-time
Career Level
Manager