Job Information
State of Michigan NETWORK ADEQUACY SPECIALIST 13 - BPHASA - Hybrid in Lansing, Michigan
NETWORK ADEQUACY SPECIALIST 13 - BPHASA - Hybrid
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NETWORK ADEQUACY SPECIALIST 13 - BPHASA - Hybrid
Salary
$2,366.40 - $3,532.00 Biweekly
Location
Lansing, MI
Job Type
Permanent Full Time
Job Number
3901-24-BPHASA-SBHS-064-FILL
Department
Health and Human Services - Central Office
Opening Date
05/09/2024
Closing Date
5/23/2024 11:59 PM Eastern
Bargaining Unit
NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE)
Description
Benefits
Questions
Job Description
The Michigan Department of Health and Human Services mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit MDHHS Diversity Equity and Inclusion .
This position functions as the sole statewide specialist for the design, implementation, and oversight of Specialty Behavioral Health Services Provider Network Adequacy. The position is responsible for monitoring and oversight of contractor performance on standards designed to ensure beneficiary access to covered specialty behavioral health services. The Pre-Paid Inpatient Health Plans and Community Mental Health Service Programs (PIHP/CMHSPs) grants and contracts exceed $3 billion annually. Provider Network Adequacy is the vehicle used by the State to ensure a full array of Medicaid community-based mental health and substance use disorder services are being provided to the public. This position is necessary to coordinate Provider Network Adequacy policy, program service issues, and monitoring for the PIHPs in the State. In this role, the specialist serves as the advisor to MDHHS staff and PIHPs on the implementation of Provider Network Adequacy processes. This position is responsible for developing and monitoring procedures, guidelines, and policies that are the foundation of this specialty area. Position is also necessary to coordinate the development and implementation of policies and partnerships to identify and ensure the ongoing compliance of PIHPs as it relates to Provider Network Adequacy according to federal and state policy and contractual requirements. The position functions as the recognized authority to ensure the appropriate development of tools and processes, and to coordinate with other units within MDHHS and the PIHPs to reduce duplication and improve data collection. Additionally, this position functions in the lead role for the design and development of policy and training recommendations and tools for monitoring Provider Network Adequacy requirements. This position will design, develop, and conduct Network Adequacy improvement activities in coordination with other MDHHS staff and the PIHPs. This position will represent and act as lead for MDHHS in network adequacy related meetings and workgroup discussions.
This position is also responsible for contract completion and for analyzing, monitoring, and reporting on PIHPs/CMHSPs for performance throughout the state. The position will monitor compliance and risk management with an unstable network and complete the Managed Care Program Annual Report (MCPAR) reporting to CMS. The position will be responsible for managing assigned contractors, including monitoring performance with Network Adequacy, and providing on-going technical assistance.
Position Description (https://MCSC.state.mi.us/AgencyPDFs/DEPSPL2Q80N PD 42724..pdf)
Job Specification
To be considered for this position you must:
apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
attach a cover letter.
if applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.
Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions (http://www.michigan.gov/documents/mdcs/New_Online_Employment_Application_Guide_-_First_Time_User_446027_7.pdf)
Required Education and Experience
Education
Possession of a bachelor’s degree in any major
Experience
Departmental Specialist 13
Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.
.
Additional Requirements and Information
The physical location of this position is Capital Commons. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.
Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.
Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:
A secure work location that allows privacy and prevents distractions.
A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities.
The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.
YOUR APPLICATION FOR ANY POSITION DOES NOT GUARANTEE YOU WILL BE CONTACTED BY THE DEPARTMENT/AGENCY FOR FURTHER CONSIDERATION. ONLY THOSE APPLICANTS INTERVIEWED WILL BE NOTIFIED OF THE RESULTS.
The department reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.
If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.
For information about this specific position, please email MDHHSVacancies@michigan.gov . Please reference the job posting number in subject line.
Follow us on LinkedIn for more job opportunities!
#MDHHSjobs #Veteranfriendly #Careerswithpurpose #CommunityHeroes
MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer.
State employment also offers rewarding careers where you can help Michiganders enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote-work options that can help give the flexibility you need. The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award.
More details on benefits for our new hires are below:
Rewarding Work:State of Michigan jobs allow you to serve Michiganders in many different ways depending on your interests and skills. Help preserve and protect our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state’s military and veterans; rebuild our state’s infrastructure; or support other state agencies through our fiscal, IT, and HR systems.
Insurance Benefits:The State of Michigan offers health, mental health, dental, and vision insurance to eligible career employees, their spouses, and their children. The state also covers a life-insurance benefit of two times employees’ annual salary (up to $200,000). The state also offers long-term-disability insurance that can provide continuing benefits if an injury or illness prevents employees from working. More information is available atwww.mi.gov/employeebenefits.
Retirement Programs:The State of Michigan offers 401(k) and 457 plans for new hires to save for retirement. The state will automatically contribute an amount equal to 4% of your pay to a 401(k) account. The state will also match up to 5% of your pay if you contribute to your 401(k) account. Your contributions vest immediately, and the state’s contributions fully vest after just 4 years. More information is available athttp://www.mi.gov/orsstatedc.
Vacation and Sick Leave:Eligible full-time employees receive between15 and 35 personal daysand13 sick daysper year that may be rolled over to the following year if not used. Eligible employees also receive an additional day each year for community service or school functions.
Paid Parental Leave:Eligible employees can take12 weeks of paid leaveimmediately after a birth or adoption to allow needed time together at home with a new child.
Paid Holidays:Eligible employees receive 13 or 14 paid holidays each year including New Year’s Eve and Day, Martin Luther King Jr. Day, Presidents’ Day, Memorial Day, Juneteenth, the Fourth of July, Labor Day, Election Day, Veterans Day, Thanksgiving, Thanksgiving Friday, Christmas Eve and Day.
Bonus Programs:Eligible employees with five years of service also receive annual longevity bonuses that grow as seniority increases. Some positions also may qualify for recruitment, retention, and performance bonuses or other special pay premiums.
Military Pay Differential:Employees in the guard or reserves may also qualify for supplemental pay benefits if miliary pay during qualifying duty is less than normal state pay. Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual.
Tax-Advantaged Programs:In addition to 401(k) and 457 retirement accounts, the state also offers flexible spending account (FSA), health savings account (HSA), and qualified transportation fringe benefit (QTFB) programs that can help you save money by reducing your taxable income.
Student Loan Forgiveness:Working for the State of Michigan may allow you to participate in programs that forgive the balance of qualifying student loans.Information (https://studentaid.gov/manage-loans/forgiveness-cancellation) to help determine if you could qualify is available from the U.S. Department of Education.
Tuition Reduction:Some colleges and universities offer savings to eligible employees and family members to further their education while working for the State of Michigan.
Professional Development:To help develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education and training for college course credits and non-degree programs.
Alternative and Remote Work Schedules:Depending on the nature of their duties, many state jobs offer flexible work schedules and remote or hybrid telecommuting options that can help obtain the work-life balance that you seek.
Great Lakes and Great Times:Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park—just for starters. Our cities offer concerts and cultural events, storied sports teams, education hubs, vibrant downtowns, one-of-a-kind craft beverages, and renowned restaurants for every appetite. From urban centers to beach towns to the great outdoors, the opportunities are endless. With your state salary and benefits and Michigan’s affordable cost of living, you can explore all that Michigan has to offer.
Updated: 2/28/24
01
DEPSPL - Do you possess one of the following? A bachelor's degree or higher in any major. If so, please attach a copy of your official college transcripts. OR At least one year of professional experience in the state classified service.
Yes
No
02
DEPSPL - Do you possess at least four years of professional experience?
Yes
No
03
Do you have any knowledge and or experience with Michigan's public behavioral health system?
Yes
No
04
Please describe your knowledge and or experience with Michigan's public behavioral health system.
05
Do you have 2 or more years of experience in managing Medicaid managed care provider contracts?
Yes
No
06
Please describe your experience in managing Medicaid managed care provider contracts.
07
Do you have experience in contract compliance monitoring?
Yes
No
08
Please describe your experience with contract compliance monitoring.
09
Describe a time when you needed to work cooperatively with someone that did not share the same ideas as you.
10
Please select from the options below: (Please note, actions that have been expunged, formal counseling, and layoff actions need not be reported.) Please select all that apply.
I have been dismissed within the last two years
I have resigned in lieu of discipline or dismissal within the last two years
I have been suspended without pay within the last two years
I have received a written reprimand within the last two years
I have received an unsatisfactory rating within the last two years
I have signed a last chance agreement with MDHHS within the last two years
I certify that none of the above circumstances apply to me
11
Do you have an Intentional Program Violation from the Department of Health and Human Services?
Yes
No
12
Do you have any objection to being finger printed or drug tested?
Yes
No
13
Do you have any substantiated cases of abuse or neglect reported on the Department of Human Services Central Registry?
Yes
No
14
From the options below, which accurately describes your current status? (A current state employee works for an actual state department such as the Department of Corrections, the Department of Transportation, etc.)
A current Michigan Department of Health and Human Services (MDHHS) employee
A Michigan Department of Health and Human Services (MDHHS) employee in layoff status
A current State of Michigan (non-MDHHS) employee
A State of Michigan (non-MDHHS) employee in layoff status
None of the above
15
Are you a current MDHHS employee classified as a Departmental Specialist 13, interested in moving to the same class and level at this location?
Yes
No
16
Did you attach a cover letter and a copy of your resume to your application? (Failure to do so will result in your application being screened out)
Yes
No
17
Did you attach a copy of an official college/university transcript to your application? (Failure to do so may result in your application being screened out.
Yes
No
Required Question
Agency
State of Michigan
Department
Health and Human Services - Central Office
Address
Office of Human Resources
235 S. Grand Ave.
Lansing, Michigan, 48933
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