Behavioral Health Rates Specialist

When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives. Working Title: Behavioral Health Rates Specialist Job Class: Human Services Program Consultant Agency: Human Services Dept Who May Apply : Open to all qualified job seekers Date Posted : 04/26/2024 Closing Date : 05/09/2024 Hiring Agency/Seniority Unit : Human Services Dept / MAPE DHS Central Office Division/Unit : DHS-Central Office / BHDH ADAD Data Information Work Shift: Day Shift Work Hours : 8:00am to 4:30pm Days of Work : Monday - Friday Travel Required : Yes, ( Approximately 1% for occasional meetings statewide travel) Salary Range: $33.90 - $50.27 / hourly; $70,783 - $104,963 / annually Classified Status : Classified Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE FLSA Status : Exempt - Administrative Telework Eligible : Yes Designated in Connect 700 Program for Applicants with Disabilities : Yes The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. Make a difference in the lives of Minnesotans.
The work you'll do is more than just a job. Join the talented, engaged and inclusive workforce dedicated to creating a better Minnesota. Job Summary *Telework (Within Minnesota or Neighboring States) and Flexible Hours Options Are Available.
This position is responsible for developing, advancing, implementing, and communicating behavioral health payment policy for the State's Medical Assistance (Medicaid) programs. The incumbent will serve as the State's technical lead and coordinator in the analysis of rate-setting methodologies and the formulation of recommendations to management on behavioral health services rate development. As the statewide expert, the incumbent will analyze rates-structure options and in consultation with Health Care Administration: Health Care Rates, Federal Relations, MCO Contract Management and Minnesota Health Care Programs (MHCP) policy team members-formulate, advance, and implement behavioral health payment rate policies.
This position will establish payment rates for public behavioral health benefits, including MHCP covered procedure codes, consistent with federal regulations, Medicaid State Plan policy, legislative requirements, rate-structure policy, and Behavioral Health Division (BHD) policy goals. In performing this purpose, the incumbent will exercise expertise in established and innovative rate-setting methodologies.
This position requires knowledge of and experience with applicable federal cost principles, cost reporting and cost analysis, rates-setting, legal compliance expertise, and the full range of communications and interpersonal abilities related to communicating rates to participating providers. Responsibilities include, but not limited to: Lead the development and implementation of a uniform methodologies for behavioral health rates that is transparent, culturally responsive, promotes quality service delivery and client choice. The incumbent will establish rates in compliance with federal criteria and methodology. Annually calculate and adjust fee-for-service rates in compliance with state and federal statute, current rate structures and established rate-setting methodology. Manage rates analysis work and conduct internal analytical work to produce rates based on actuarially sound principles with respect to the data, assumptions, and calculation methodology used. Manage and coordinate with contracted vendor(s) to implement Behavioral Health rate reforms.. Activities include but are not limited to maintaining clear communication with vendor and HCA, financial reporting, invoice review/tracking, financial reconciliation, budget development, and budget/grant revisions. Qualifications Minimum Qualifications To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.
Three (3) years of specialized professional experience with Health Care Programs and/or Behavioral Health programs. Experience must include: Knowledge and understanding of federal and state legal authority as it relates to MHCP payment policy. Knowledge of health care delivery systems and standards of practice. Constructing rate structures and implementing those rates. Knowledge of Medicaid or Medicare cost reports. Understanding of core contract and grant management standards and practices. Preferred Qualifications Extensive knowledge and application of Code of Federal Regulations (CFR) 2 CFR 200. Variety of experiences working effectively with others from different backgrounds and cultures. Experience using the MMIS system. Strong written and oral communication skills with the ability to write complex technical documents including legislation, legal documents, bulletins, legislative reports, and procedures. Ability to monitor, analyze, and advise on the legal trends and developments related to payment policy, nationally and statewide. Knowledge of the legislative process, state government policies, procedures processes, laws, and rules. Ability to give presentations and to facilitate discussions to guide, solicit and explore diverse perspectives. Additional Requirements Minnesota Department of Human Services (DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check. Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance. It also includes contact with the applicant's former employer(s). Application Details How to Apply
Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the job information line at or email . For additional information about the application process, go to .
If you have questions about the position, contact Dennis Stevenson at .
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 76193, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at .
If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at or DEPARTMENT OF HUMAN for assistance. About Human Services Dept
WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential. Why Work for Us Diverse Workforce
We are committed to continually developing a workforce that reflects the diversity of our state and the populations we serve. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve the people of Minnesota. A recent engagement survey of State of Minnesota employees found: 95% of employees understand how their work helps achieve their agency's mission 91% of employees feel trusted to do their jobs 88% of employees feel equipped to look at situations from other cultural perspectives when doing their job 87% of employees report flexibility in their work schedule Comprehensive Benefits
Our benefits aim to balance four key elements that make life and work meaningful: health and wellness, financial well-being, professional development, and work/life harmony. As an employee, your benefits may include:
Public pension plan Training and professional development Paid vacation and sick leave 12 paid holidays each year Paid parental leave Low-cost medical and dental coverage Prescription drug coverage Vision coverage Wellness programs and resources Employer paid life insurance Short-term and long-term disability Health care spending and savings accounts Dependent care spending account Tax-deferred compensation Employee Assistance Program (EAP) Tuition reimbursement Federal Public Service Student Loan Forgiveness Program Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.


AN EQUAL OPPORTUNITY EMPLOYER
Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply.
We will make reasonable accommodations to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at or email and indicate what assistance is needed.