Job description

Medicaid Program Manager

Overview

Medicaid Program Advisor:

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Responsibilities

Medicaid Program Advisor – Item 1020

Summary:

This person will lead financial analysts within the Bureau of Nursing Homes & Long Term Care Reimbursement within OHIP’s Division of Finance and Rate Setting (DFRS) in the management of rate setting functions for Medicaid fee-for-service home care and foster care rates.

They will perform high-level analysis in their review of the preparation of rate packages for annual and supplemental rates for these programs and will participate in the collection of cost report data. The incumbent will also interact and collaborate with rate setting, fiscal management, legal affairs, and program staff within the Department as well as other state agencies, consultants, state auditors, and Medicaid providers (e.g. Licensed Home Care Service Agencies, Certified Home Health Aids, Fiscal Intermediaries, and Foster Care 29i providers).

Further, they will often be tasked with developing deliverables and occasionally presenting materials with executive staff in OHIP, the Division of the Budget (DOB), and the Governor’s Office. Additional duties include leading a team to:

• Calculate and load the Medicaid fee-for-service rates for home care and foster care providers;
• Track, analyze, and project home care and foster care rates on a quarterly and annual basis
• Process and review residential long term care audit reports
• Develop, organize, and improve policy and procedures for home care and foster care rate setting
• Organize home care and foster care data, reports, and policies for executive staff review and recordkeeping
• Prepare State Plan Amendments (SPAs) and State Regulations;
• Maintain the home care and foster care rate information on the Department’s public website
• Research, review, and interpret residential long term care law.

Qualifications

Basic Qualifications:

• Bachelor’s Degree
• 8 years of professional experience

Preferred Qualifications:

• Supervision, Subject Matter, Excel, Project Management

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Job Type: Full-time

Work Location: One location

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