Job Description

Description and Functions

Open Until Filled

GENERAL DESCRIPTION:

This position will manage and administer the Family and Children\'s programs within the Wyoming Medicaid program including management of the day-to-day operations which includes; reviewing and interpreting federal and state rules and regulations, outreach, client complaints, program development, training, review and coordination of foster care cases and child support enforcement to ensure accuracy of both new and ongoing cases whether determinations are made by state staff or contracted staff and to ensure Wyoming residents are receiving the benefits they are entitled to in a timely manner

Human Resource Contact:

ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.

• Program planning and development of long and short-term changes to the Family and Children\'s coverage groups within the Medicaid program.
• Program Management and Administration of the Family and Children\'s coverage groups within the Medicaid program, pursuant to Federal and State Regulations as well as following agency mission and goals.
• Technical Assistance, Training, and Audits of the Family and Children\'s coverage groups.
• Program Reporting and Analysis related to the Medicaid Family and Children\'s coverage groups.

Qualifications

PREFERENCES:

The most appropriate minimum education for this positions is a Bachelor\'s degree

KNOWLEDGE:

• Knowledge of State and Federal Government functions, procedures, concepts; principles and practices of professional healthcare administration; policies and procedures established for the work system; Medicaid programs, law and regulatory structure.
• The ability to comprehend Federal regulations, state statutes, program rules, and policy. Able to interpret and integrate the foregoing into Administrative Rules, policies, and procedures.
• Knowledge of the Business Management System and the Eligibility System and their application to Medicaid programs.
• Ability to examine data and reports for completeness, accuracy, and conformance with regulations.
• Oral and written communication skills in order to communicate with a broad range of audiences, including clients, administrators, legislators, contractors, and staff. Ability to communicate Medicaid program information and policy to public and private entities.
• Ability to consider current and future program goals in developing and coordinating changes.
• Ability to evaluate outcomes in relation to program and agency goals and reason through possible future conditions considers alternatives, and prepares contingency plans.

MINIMUM QUALIFICATIONS:

Education:

Bachelor\'s Degree

Experience:

0-3 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Benefits and Eligibility Specialist

OR

Education & Experience Substitution:

4-6 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Benefits and Eligibility Specialist

Certificates, Licenses, Registrations:

None

Necessary Special Requirements

PHYSICAL WORKING CONDITIONS:

Typically, the employee will sit comfortably to perform the work, however, there may be some walking, standing, bending, and carrying light items

NOTES:

• FLSA: Non-Exempt
• The Wyoming Department of Health is an

employer.

Supplemental Information

048-Wyoming Department of Health - Divison of Healthcare Financing

Click to view the State of Wyoming Classification and Pay Structure.

URL:

The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.

Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.

There are many benefits to living and working in Wyoming. Beautiful country with wide-open spaces and clean air, great recreational opportunities, and no State income tax to mention a few! In addition, the State of Wyoming offers State employees a very generous benefits package. Please

State of Wyoming