Job description

*Please note, by clicking APPLY, you are requesting that a DHHR Recruitment Team Member reach out to you regarding further pertinent application steps.

Nature of Work

Department of Health and Human Resources (DHHR)/Bureau for Medical Services (BMS)/Kanawha Co.-Under direct supervision of the general counsel, service as lead attorney for the WV Bureau for Medical Services (BMS) Managed Care Organizations (MCO) Program. This includes drafting and updating large MCO contract/agreement; be very familiar with all federal MCO statutes, regulations and guidance; providing legal research and advice on an Ad Hoc basis for BMS leadership and other staff related to Managed Care; engaging in written and telephonic correspondence with BMS’s federal partner, the Center for Medicare and Medicaid Services (CMS) related to WV’s MCO Program; engaging in written and telephonic communication with representatives from WV related to the MCO program; attending regular conference calls and meetings with WV’s Medicaid MCO’s and WV MCO’s consulting and actuarial vendor and MCO broker; assisting WV BMS staff with all contract enforcement related actions against MCO’s such as corrective action plans; also serve as lead attorney for WV CHIP. Perform legal research and advise as needed by BMS/CHIP leadership and other employees, including interpretation of federal and state statutes and regulations, court cases and other guidance. Most research would be related to Managed Care but could extend to into other Medicaid or CHIP related areas. Work with leadership on creating an annual legislative agenda and draft; review and communicate with legislative staff in support to the legislative agenda, mostly related to Managed Care. Perform other duties as required for legal support of BMS and CHIP; May include drafting and filing State Plan Amendments (SPA) for WV Medicaid Plan; responding to Freedom of Information Act (FOIA) Requests; overseeing litigation in which BMS is involved; working on issues related to providers for BMS Medicaid; reviewing and advising on policy manual provisions; reviewing and approving procurement documents; working on Medicaid Waiver related documents. Other related duties as assigned. #DHHRJOBS

Minimum Qualifications

Training: Graduation from a regionally accredited or American Bar Association accredited law school.

Special requirement for the Department of Tax and Revenue: Admission to the West Virginia State Bar before the end of a probationary period which may not exceed twelve (12) months.

***DETAILS OF RELATED EXPERIENCE MUST BE SHOWN IN THE WORK EXPERIENCE SECTION OF YOUR ONLINE APPLICATION***

Job Type: Full-time

Pay: $45,042.00 - $83,326.00 per year

Benefits:

• Dental insurance
• Employee discount
• Health insurance
• Health savings account
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Work Location: One location

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