Social Services Medical Administration Manager

The State of Connecticut, Department of Social Services (DSS) is recruiting for a Social Services Medical Administration Manager within the Commissioner's Office - Connecticut Medicaid Enterprise Technology System Initiative -CT-METS Project. This position is located in our Central Office in Hartford.  The hours are 40 hours per week, Monday - Friday.

In the Department of Social Services and Department of Developmental Services this class is accountable for managing the policy development and/or program implementation of agency health service programs provided through Medicaid.

Manages the staff and operations of a Medical Administration Operations, Policy Section or Waiver Policy and Enrollment Division; implements policies and/or programs for health care services; coordinates, plans and manages unit activities; formulates program goals and objectives; develops or assists in the development of related policy; interprets and administers pertinent laws; coordinates research, data analysis and program planning efforts; monitors, analyzes and evaluates policies and/or programs to determine cost-effectiveness and quality of service; evaluates staff; prepares or assists in budget preparation; maintains contacts with individuals both within and outside of the agency who might impact on program activities; act as agency contact with and represents the agency before hospitals, medical care providers, Federal and other State agencies, other operating units, agencies and outside officials; maintains liaison with federal and state agencies administering the Title XVIII and XIX programs; may implement and monitor contracts with providers of medical services in the community; performs related duties as required.

Considerable knowledge of policy, regulations and laws applicable to medical care administration; considerable knowledge of public health programs and administration; considerable knowledge of federal and state medical care programs; considerable knowledge of relevant agency policies and procedures; considerable knowledge of and ability to apply management principles and techniques; considerable knowledge of relevant State and Federal laws, statutes and regulations; considerable interpersonal skills; considerable oral and written communication skills.

Nine (9) years of experience in the health services field involving the administration, planning or coordination of health care programs.

One (1) year of the General Experience must have been in a managerial, supervisory or consultative capacity with programmatic and administrative responsibility for a statewide health care program.

Note:

DEPARTMENT OF SOCIAL SERVICES: For State Employees this is interpreted at the level of Health Program Supervisor, Pharmacy Consultant, Planning Specialist, Public Assistance Consultant or Supervising Nurse Consultant.

DEPARTMENT OF DEVELOPMENTAL SERVICES: For State Employees this is interpreted at the level of Developmental Services Program Manager or Developmental Services Supervisor of Case Management.

1. College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half year of experience to a maximum of four (4) years for a Bachelor's degree.
2. A Master's degree in Public Health, Health Care Administration or a closely related field may be substituted for one (1) additional year of the General Experience.

Experience with Connecticut Medicaid program operations, or with operations of other health insurance plans; experience in managing or supporting system development projects;  experience facilitating or overseeing requirements gathering to meet health program business or functional specifications; experience working with technical as well as business staff; considerable contract management experience, including experience working with vendor staff in the areas of project management; and experience troubleshooting or resolving issues related to the project schedule, scope, management of resources, or deliverables.

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.