Long Term Care Manager

GENERAL DESCRIPTION:

This position directs and manages Medicaid Eligibility for the Long-Term Care Unit and Aged, Blind, or Disabled programs to ensure program compliance with State and Federal statutes and regulations. The Eligibility Manager plans, develops, implements, and evaluates major program initiatives to enroll and/or retain clients annually in these programs; manages technical assistance projects related to eligibility functions; participates in access initiatives;

monitors the budget for eligibility services; and undertakes special studies and projects. Monitors work for quality and accuracy.

• Comprehensive health, dental, and vision insurance
• Paid vacation, sick leave, FMLA, and holidays
• Retirement - Pension and 457B plans that help you build a secure future
• Flexible schedules and work-life balance options
• Meaningful work that makes a difference for Wyoming communities

The listed functions are illustrative only and are not intended to describe every function that may be performed in the job level.

• Plans, develops, implements, and evaluates major program initiatives for the Long Term Care Unit and the Aged, Blind or Disabled programs.
• Directs and manages Medicaid Eligibility for Long Term Care Unit and Aged, Blind or Disabled programs.
• Manages technical assistance projects related to eligibility functions.
• Participates in access initiatives.
• Special studies and projects related to eligibility for the Long Term Care Unit and the Aged, Blind or Disabled programs.

Degree in Human Services, Health Administration, Psychology, Social Services, or other related field. The most appropriate level of experience for this position is 6 to 8 years plus the education listed above.

• Knowledge of State and Federal Government functions, procedures, concepts, principles, and practices of professional healthcare administration; policies and procedures established for the work system;
  Medicaid programs, law, and regulatory structure.
• The ability to comprehend Federal regulations, state statutes, program rules, and policy. Able to interpret and integrate the foregoing into legislation, statutes, and policy.
• Knowledge of the Medicaid Management Information System and the Eligibility System and the application to Medicaid programs. Ability to examine data and reports for completeness, accuracy, and conformance with regulations.
• Oral and written communication skills to communicate with a broad range of audiences, including clients, administrators, legislators, contractors, and staff.
• Ability to communicate Medicaid program information and policy to public and private entities.
• Ability to draft Requests for Proposals and evaluate the same. Ability to contract for services via State and Federal Protocols.

• Education:
  
  Bachelor's Degree (typically in Management)
• Experience:
  
  2-4 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Manager I
• OR
• Education & Experience Substitution: 5-7 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Manager I
• Certificates, Licenses, Registrations:
  None

• The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.

• FLSA:
  Exempt
• The Wyoming Department of Health is an E-Verify employer.

The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.

Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.