MTP Tribal Program Manager (HCPM/OTA) - Project

The North Carolina Department of Agriculture and Consumer Services is seeking a statewide policy expert for the Medicaid Transformation Project (MTP) initiatives for Tribal Nations and Indian health care providers. This role involves leading health care improvements and ensuring compliance with state and federal requirements while providing analyses to top levels of management.

Responsibilities:

• Manage the development and implementation of new statewide health care improvement initiatives related to the Medicaid Transformation Project - 1115 waiver and the Indian health care delivery system in Washington State as the statewide policy expert
• Develop work plans that outline methods for achieving program goals, including considerations for developing, implementing and maintaining program policies, rules, communications and procedures
• Ensure, through monitoring, evaluations and audits, that all programs are in compliance with state and federal requirements, are operating optimally and are in fiscal compliance
• Lead and manage the most complex rule promulgation of new, revised, and/or highly complex Washington Administrative Codes and provider guide projects that impact multiple statewide health care programs, ensuring compliance with the Administrative Procedures Act (RCW34.05)
• Manage and direct the development of the statewide health care initiative related to SHO Letter #16-002 to maximize federal fiscal participation, fund the Indian Health Improvement Reinvestment Account and ensure patient access to quality care
• As it pertains to SHO Letter #16-002, research, develop, and implement training, program materials, and other resource guides, including new and revised provider billing guides and program communications, for external stakeholders, on program compliance and claims submissions
• Develop, design, implement, and administer contracts as necessary for Care Coordination Agreements and Tribal FQHC Affiliate Agreements and monitor for contract compliance
• Lead and manage the most complex rule promulgation of new, revised, and/or highly complex Washington Administrative Codes and provider guide projects that impact multiple statewide health care programs, ensuring compliance with the Administrative Procedures Act (RCW 34.05)

Requirements:

• Bachelor's degree in business administration, public administration, law, public health, health administration, or a related field
• Four (4) years of experience conducting research and analyzing policies, laws, rules, or regulations or comparable combination of graduate education and experience
• Eight (8) years of experience conducting research and analyzing policies, laws, rules, or regulations or comparable combination of graduate education and experience
• Two (2) years of experience working with or for Tribes and/or Indian health care providers (Can be concurrent)
• The ability to take action to learn and grow
• The ability to take action to meet the needs of others
• Ability to take in, analyze and comment on information through a variety of formats, including written, verbal presentations, etc
• Ability to collaborate with a wide variety people who hold different knowledge and comprehension of the Indian health care system and effectively explain how their work affects Tribes, IHCPs and AI/ANs
• Knowledge of the Indian health care system, including health care as a treaty right
• Knowledge of the 1115 waiver