Heritage Health Program Coordinator

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25

Location:

Lincoln NE

Hiring Rate:

$26.138

Job Posting:

JR2026- Heritage Health Program Coordinator (Open)

Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):

0

Job Description:

If you are driven by excellence and are looking for a rewarding career opportunity we invite you to apply for this position!

The Department of Health and Human Services is seeking a motivated individual to join the Medicaid and Long-Term Care team to fill the role of Heritage Health Program Coordinator.

The Heritage Health Program Coordinator will work under limited supervision coordinate the administration of various state and federally funded programs throughout the state to include grant/contract administration budget monitoring and the development of program policies procedures and evaluation criteria to ensure compliance with state and federal regulations; perform related work as required.

This position will monitor analyze and coordinate all grievance and appeal functions for one of the Heritage Health contracts. Heritage Health provides Medicaid covered physical health behavioral health dental health and pharmacy services for Nebraskas Medicaid population. The program coordinator will be responsible for ensuring that their plan meets the operational requirements of the contract and complies with federal managed care rules and regulations which are complex and extensive.

You have the passion; we have the opportunities lets make a difference for Nebraskans!

Job Duties

The following list is not exclusive nor will the position necessarily be responsible for all the duties listed:

• Act as a liaison and confer with various federal and state authorities health plan staff (including Director of Grievance and Appeals) policy review staff care management staff and community leaders.

• Review and prepare written oral summaries on state and federal legislation

• Provide analysis of Grievance and Appeals data and quality metrics.

• Coordinate the development of program goals and evaluation criteria with agency staff health plans staff community officials and/or other state government staff.

• Participate in public hearings on proposed policy revisions.

• Develop corrective action plans for program deficiencies.

• Serve on relative community organizations committees task forces and advisory boards.

Hire Rate: $26.138 per hour non-exempt Hire rate Increases July 1st to $26.726 per hour

Work Schedule: Monday Friday; 8:00 AM -5:00 PM

Dress Attire: Business Casual

Location: Lincoln- Nebraska State Office Building

Driving is required

This position is in office only no remote work.

Requirements / Qualifications:

Minimum Qualifications: Bachelors degree in business or public administration social/behavioral sciences health sciences public health education law or related field OR experience in the development of operational policies and procedures performing quality assurance analysis/evaluation of programs; grant writing contract management or leading community based health/social care groups. Related coursework training and/or education may substitute for the Bachelors degree on a year-for year basis.

Preferred Qualifications:

• Experience in Medicaid and healthcare practice standards for either government or commercial plans.

• Experience and knowledge in program planning implementation monitoring evaluating program functions.

• Advanced proficiency in Microsoft SharePoint Excel Outlook Word and PowerPoint.

Other: Valid drivers license or the ability to provide independent authorized transportation. Regular predictable attendance is an essential job function.

Knowledge Skills and Abilities

Knowledge: Business and management principles. Quality assurance /performance improvement principles and methods of analyzing continuous improvement.

Skills: Communicate clearly and effectively orally or in writing.

Ability to: Relate well with a diverse number of individuals or organizations and work with people in a variety of roles (leadership cooperation education and networking). Learn apply and interpret agency policies and procedures relating to areas of responsibility. Identify and relate pertinent pieces of information to form conclusions. Respond to changes in direction. Establish and maintain a positive working relationship with managers and administrators.

If youre currently employed by the State of Nebraska please dont apply through this external career site. Instead log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: offer a comprehensive package of pay benefits paid time off retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position agency and employment status. For more information on benefits please visit: Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.