Social Services Program Specialist 2

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***

Nevada Health Authority is recruiting for a Social Services Program Specialist 2. This position is part of the Division of Nevada Medicaids Pharmacy Services Unit and is responsible for developing implementing and maintaining policies related to prescription drugs. The role ensures compliance with federal and state regulations the Single Preferred Drug List (SPDL) and drug utilization management practices while ensuring consistency across Medicaid delivery systems. Key responsibilities include collaborating closely with Managed Care Organizations (MCOs) and vendors to provide guidance on prescription drug coverage medical billing and clinical criteria. The position also leads system enhancements monitors program performance and communicates policy updates through technical documentation and stakeholder training.

Bachelors degree from an accredited college or university in a field of study pertinent to the program assignment and one year of professional experience providing social services to clients or program development and evaluation which required the application of regulations laws policies and procedures in making determinations; OR Bachelors degree from an accredited college or university in a field of study pertinent to the program assignment and one year of professional experience providing medical assistance programs services or healthcare services to clients or program compliance and evaluation which required the application of regulations laws policies and procedures in making determinations; OR one year of experience as a Social Services Program Specialist I in Nevada State service; OR an equivalent combination of education and experience as described above.

Participate in planning and developing social services or medical assistanceprograms to provide needed services; conduct needs assessments; research and evaluate existing programs; identify community and financial resources and establish committees to assist with program development; calculate the financial and operational impact to the agency; prepare reports and recommendations for management; apply for grants; draft proposed legislation; develop program plans and acquire administrative approval.

Develop and revise program documentation to include State plans policy manuals procedures and contracts to ensure programs are implemented in accordance with program goals and objectives and in compliance with federal regulations and State laws; analyze and interpret federal regulations and State laws; determine the impact upon program operations; gather input from program personnel and other interested parties coordinate with other affected units within and outside the agency and acquire agency approval and regulatory approval as needed.

Monitor program quality and compliance to ensure programs are operating effectively efficiently and in compliance with program requirements; design monitoring instruments; develop and monitor management information reports; conduct on-site reviews to include a review of program operations management practices and program and financial records; identify problem areas summarize findings in a written report and develop corrective action plans.

Provide technical assistance and guidance to program staff and respond to inquiries and requests for information from a variety of individuals such as agency management and personnel other government agencies community representatives government officials media representatives attorneys and the general public; interpret federal and State regulations; provide policy clarification and statistical information complete surveys resolve complaints and draft correspondence for managers administrators and officials.

Conduct research studies to provide administration with needed information; plan the study and design instruments for gathering data; research existing programs compile and analyze data prepare comprehensive reports and develop recommendations.

Promote social services or medical assistance programs and serve as a spokesperson for the division; communicate and meet with program personnel clients providers media representatives community groups and government officials to promote program goals and objectives; serve as a liaison with federal State and local officials regarding the program; deliver speeches and write press releases and public service announcements; and develop informational material such as posters brochures and pamphlets.

Develop and implement training programs; analyze and research training needs and evaluate training models; develop appropriate training curricula materials and methods; establish training schedules conduct training sessions and evaluate and update curricula on an ongoing basis.

Provide technical guidance to service providers within or outside the State; explain policies procedures and applicable regulations; provide consultation on problematic cases.

Participate in the development maintenance and enhancement of computerized systems to support program operations; research and evaluate the needs of program staff initiate system change requests and work with programming staff to test and implement system changes; prepare documentation for the computer system manual as assigned.

Perform related duties as assigned.

Under direction incumbents perform the full range of duties described in the series concept in conjunction with planning developing and implementing comprehensive complex social services or medical assistance programs. Incumbents interpret broad and sometimes ambiguous statutes and regulations that govern the assigned program area; independently make decisions regarding day-to-day program administration activities; apply recognized professional principles to develop solutions to problems; interpret and apply new and existing policies and procedures and monitor and assess the effectiveness and efficiency of program operations and personnel. Decisions of a controversial nature or which have a significant impact on the program are made in conjunction with or referred to supervisory and managerial conjunction with higher-level program staff managers and chiefs incumbents participate in the development and initial implementation of new program components short- and long-term plans for the assigned program area and develop new program policies that are reviewed and approved by management prior to implementation.

This class is distinguished from Social Services Program Specialist I by greater responsibility for comprehensive complex programs and/or grants and independence in interpreting statutes and regulations. At this level many positions are responsible for new program components or have regional responsibilities.

This job specification lists the major knowledge skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge skills and abilities from a previous level.

Working knowledge of: social services and resources applicable to the assigned program; methods of administering social or medical assistance programs in local and regional offices to ensure compliance with federal regulations and State law and implement new policies and procedures.

General knowledge of:purpose and scope of assigned programs; appeal and hearing processes and protocols; automated information system logic and its application to the program assigned; data processing concepts including general data base system security data communication and multiple platform strengths and weaknesses; computer technologies sufficient to develop automated training modules; develop routine database applications; principles and practices for the development and presentation of training classes.

Ability to: develop routine databases; evaluate program effectiveness and recommend innovative and improved procedures and practices to enhance program services; mediate between contending parties such as clients and staff legal services and staff contractors and the division; coordinate program activities with professionals from a variety of disciplines; interpret broad ambiguous and sometimes conflicting regulations and laws; make independent decisions that impact the quality of services provided; resolve complex issues such as eligibility for services; resolve compliance problems while maintaining level of services; identify policy issues which require management resolution; analyze and communicate system needs to programmers and validate the programming process; prepare and update documentation for the computer system manual; conduct needs assessments and interpret results including training needs; evaluate training models and develop appropriate training curriculum materials and methods; develop statistical and analytical reports; interpret case and program budgets and financial statements; coordinate program staff and unit activities by determining the time place and sequence of actions; plan and conduct meetings; relay clear and concise findings to service providers and contract personnel including responding appropriately to opposition or disagreement.

Skill in: troubleshooting computer operating problems.

Recruiter information contact: Victoria Sheehan -

The State of Nevada is an equal opportunity employer dedicated to building diverse inclusive and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race color national origin religion or belief age disability sex sexual orientation gender identity or expression pregnancy domestic partnership genetic information (GINA) or compensation and/or wages.

Please send direct Inquiries or correspondence to the recruiter listed on this announcement.