This position is located in the Recipient and Provider Services section of DMA. This position is responsible for researching, writing and interpreting eligibility policy for the multiple Medicaid programs under Title XIX and the NC Health Choice for Children program under Title XXI. Prepares amendments to the Title XIX Medicaid State Plan and rules for the NC Administrative Procedures Act. Must research and analyze a variety of federal and state laws, regulations, and policies, using the Internet and other tools, and communicate the results orally and in writing in an understandable and accurate manner. This position will be responsible for responding to public inquiries.
Knowledge, Skills and Abilities / Competencies:
Must be able to develop a comprehensive knowledge of Medicaid and NCHC eligibility policy, the legal and regulatory sources upon which the policy is based and the ability to read and analyze complex legal and regulatory documents to understand the requirements and identify issues that need to be resolved. Must possess skill in oral and written communication; possess great tact and patience to deal with difficult callers; must have strong initiative to follow-up questions independently raised by research and analysis and obtain the necessary answers; must show strong attention to detail and must have strong organizational skills.
Minimum Education and Experience Requirements:
Graduation from a four-year college/university and four years of experience in eligibility determination/investigation in AFDC, Medicaid or Stamp programs in a county department of social services or at the state office level, one of which must have been in a supervisory or consultative capacity; or graduation from a four year college/university and four years of experience in a combination of social work and eligibility determination, one of which must have been in a supervisory or consultative capacity in the area of eligibility; or high school graduation and eight years of experience in eligibility determination in AFDC, Medicaid or Food Stamp programs in a county department of social services or at the state office level, two of which must have been in a supervisory or consultative capacity; or an equivalent combination of education and experience.
Supplemental and Contact Information:
The Department of Health and Human Services (DHHS) selects applicants for employment based on job-related knowledge, skills, and abilities without regard to race, color, gender, national origin, religion, age, disability, political affiliation or political influence. Pre-Employment criminal background checks are required for all positions.
Computer literacy is an important component of all DHHS-DMA jobs; we encourage you to apply electronically. All applicants must complete and submit a State application for employment using the new NEOGOV Online Job Application System ( http://www.osp.state.nc.us/jobs/ ) for the State of North Carolina. To receive credit for your work history and credentials, you must list the information on the online application form. Any information not included on the application form cannot be considered for qualifying credit. Any licenses or certificates must be included in the appropriate section of the application form. Attached or incorporated resumes will be accepted, but will not be used for qualifying credit.
*** DEGREES MUST BE RECEIVED FROM APPROPRIATELY ACCREDITED INSTITUTIONS ***
Division of Medical Assistance, Human Resources
Pamela Hamm, 919-855-4121
North Carolina Office of State Human Resources
- 2 years ago - save job