Provider Enrollment Contract ManagerRate & Actuary Contract Manager

State Of Wyoming

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profile Job Location:

Cheyenne, WY - USA

profile Monthly Salary: Not Disclosed
Posted on: 21 hours ago
Vacancies: 1 Vacancy

Job Summary

Description and Functions


Open Until Filled

GENERAL DESCRIPTION:

This position manages and oversees provider enrollment for Wyomings statewide Medicaid program that comprehensively pays over $500 million annually to 30000 providers. This position will oversee all work for Management of Rate Analysis and Reimbursement contractors and Rate Setting and Audit contractors to include oversight of RFP and preparation of business plan and procurement processes. This position will also supervise the position of HSHP10 Health Program Supervisor- Supplemental Payment Program Manager.

Working for the State of Wyoming offers more than a paycheck. Our total compensation package includes:

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


  • Oversees the contract for the provider enrollment vendor to assure that it complies with State and Federal regulations for enhanced Federal Financial Participation.
  • Oversees medical rate analysis and reimbursement assistance service contracts for facilities and providers and contract for certified public accountants for nursing facilities.
  • Plans implements and evaluates program goals and objectives for Department performance reports and strategic plans.
  • Supervises the position of Supplemental Payment Program Manager.

Qualifications


PREFERENCES:


  • Bachelors degree or equivalent experience and training typically in business policy planning information technology public administration healthcare administration or other closely related fields.
  • Minimum of five years of professional work experience in business accounting healthcare administration insurance or public administration.
  • Five years experience in managing a budget reporting and IT project experience.
  • Demonstrated ability to balance multiple demands on time and resources when assigning projects or delegating responsibilities. This includes interpersonal relations team building consensus building goal setting performance evaluation and individual motivation.
  • Demonstrated ability to research and analyze complex problems as well as identification of options and solutions; decision making and evaluation of results.
  • Demonstrated skill in public speaking and oral and written communication at a variety of levels and with multiple audiences.


KNOWLEDGE:


  • State government functions and procedures including State and Federal laws policies and procedures.
  • Medicaid law and regulatory structure including State and Federal Medicaid statutes regulations and policies.
  • Knowledge of accounting budgeting and data analysis.
  • Contract procurement negotiation and administration.
  • Concepts principles and practices of professional healthcare administration.
  • Legal requirements and procedures relating to rule promulgation.
  • Administrative fair hearing process; citation and interpretation of complex legislation.


MINIMUM QUALIFICATIONS:

Education:
Bachelors Degree (typically in Healthcare)
Experience:
1-3 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Supervisor
OR
Education & ExperienceSubstitution:
4-7 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Supervisor
Certificates Licenses Registrations:
None

Necessary Special Requirements


PHYSICAL WORKING CONDITIONS:


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


NOTES:


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

Supplemental Information


Clickhereto view the State of Wyoming Total Compensation Calculator.

Click
here to view the State of Wyoming Classification and Pay Structure.

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


Required Experience:

Manager

Description and FunctionsOpen Until FilledGENERAL DESCRIPTION:This position manages and oversees provider enrollment for Wyomings statewide Medicaid program that comprehensively pays over $500 million annually to 30000 providers. This position will oversee all work for Management of Rate Analysis a...
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