Advertisement Closes

5/14/2023 (8:00 PM EDT)

23-03965

Human Srvs Prog Compliance Analyst

Employment Type

EXECUTIVE BRANCH | FULL TIME ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK

Hiring Agency

Cabinet for Health & Family Services | Department for Medicaid Services

Location

Location Varies

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.

Description

The Department for Medicaid Services (DMS) provides health care access for eligible low-income residents of Kentucky including children, families, pregnant women, the aged and the disabled as well as a number of programs and services directed at specific eligibility and medical needs. DMS strives each day to meet the mission of the Cabinet for Health and Family Services to be a diverse and inclusive organization providing programs, services and supports that protect and promote the health and well-being of all Kentuckians and their communities.

The Cabinet for Health and Family Services Division of Quality and Population Health’s newly developed Equity and Determinants of Health Branch is seeking qualified candidates for the position of Human Services Program Compliance Analyst.

The Division of Quality and Population Health’s mission is to ensure that all Kentuckians receive access to and are knowledgeable about the full benefits offered through the program. We are currently participating in an innovative multi-state project to identify methods that will address the unique needs related to the social determinants of health (SDoH) for minority populations.

The Human Services Program Compliance Analyst will work closely with the Branch manager and the leadership team to provide programmatic support and guidance for contracted managed care organizations (MCOs) providing quality assurance and compliance support for the branch. If you are innovative, possess highly developed organizational skills, and have a drive for achieving health equity for ALL Kentuckians, come join our team!

Learn more about us at: https://chfs.ky.gov/agencies/dms/Pages/default.aspx

Responsibilities and duties included but not limited to:

• Interpret and provide feedback regarding compliance related to regulations, policies, processes, and procedures with contracting agencies as it relates to social determinants of health and screening requirements for Medicaid enrollees.
• Develops dashboard progress reports and reviews the same to identify focus areas related to equity and social determinants of health (SDoH) for Medicaid enrollees. Implement, develop, and evaluate quality assurance plans with contracted MCOs to meet and achieve established goals and outcomes.
• Serves as liaison for Managed Care Organizations (MCOs) and department staff work groups. Collaborates with MCO representatives to address identified challenges within the specific region or district preventing goal attainment.
• Represents the branch by attending advisory groups and MCO operations meetings. Provide presentations including reporting of branch outcomes to interested stakeholders, partners, or potential partners as needed.
• Performs other duties as assigned.

Preferred Knowledge/Skills:

• Analytical Skills
• Assessment and Planning Skills
• Knowledge of Quality Assurance Measures
• Keen Attention to Detail
• Time Management Skills
• Communication & Presentation Skills
• Teamwork and Flexibility

The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.

Minimum Requirements

Working Conditions

Incumbents working in this job title typically perform duties in an office setting.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

If you have questions about this advertisement, please contact Danita Coulter at danita.coulter@ky.gov .

An Equal Opportunity Employer M/F/D