Behavioral Health Operations Specialist

Behavioral Health Operations Specialist

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Behavioral Health Operations Specialist in the Behavioral Health Services Division. Job responsibilities will include, but are not limited to: This position provides expertise and consultation for Medicaid-funded children's behavioral health programs and services under both Fee-for-Service (FFS) and Managed Care Organization (MCO) contracts. As a subject matter expert, the role supports policy research and development, delivers trainings, and provides technical assistance to providers, MCO health plans, the FFS Service Authorization Contractor (Acentra Health), and Medicaid Enterprise System (MES) vendors. The position ensures compliance with federal and state regulations, assists with developing, testing, and implementing new initiatives, and contributes to data analysis and member care coordination. The position also supports other behavioral health and division projects as assigned. The business needs for this position have office requirements to include but not limited to team meetings, training, supervision, and collaborative tasks that are best conducted face-to-face, and to ensure availability for confidential discussions and to represent the agency during scheduled meetings with internal and external stakeholders. Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: Virginia.org.

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications:

Competitive candidates will meet these minimum qualifications: Considerable experience in initiating, drafting, and submitting Medicaid System Requests (MSR) to implement program and system changes. Considerable experience developing and conducting training and providing technical assistance. Considerable experience assessing, coordinating, and monitoring services within health and social services systems. Considerable knowledge of behavioral health and social service needs of children, individuals with disabilities, and others with special healthcare needs. Considerable experience using computers, database management systems, Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Considerable experience in analyzing, interpreting, and applying federal/state laws, regulations, and Medicaid policy. Considerable experience managing multiple priorities and meeting deadlines. Experience communicating and collaborating with internal and external stakeholders. Considerable experience reviewing, identifying, and evaluating program requirements. Experience developing and executing test cases to support the implementation of new initiatives and system changes.

Additional Considerations:

Competitive candidates should meet these additional considerations: Experience with Project Management and/or Contract Management. Experience with prior Virginia Medicaid Information System (VaMMIS) and Medicaid Enterprise System (MES) experience. Experience with medical terminology and behavioral health clinical services. Considerable leading project management teams and stakeholder groups.

Contact Information:

Name: DMAS Talent Acquisition

Phone: 804-225-4407

Email: askhcdtalentacq@dmas.virginia.gov

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.