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 Medicaid Policy Specialist
Job Class: Human Services Program Representative 2
Agency: Human Services Dept

This position was previously announced on 03/18/2023. If you already applied for this job, you do not need to reapply.

• Who May Apply: Open to all qualified job seekers
• Date Posted: 04/17/2023
• Closing Date: 05/01/2023
• Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
• Division/Unit: DHS-Central Office / BHDH AMH MHCP
• Work Shift/Work Hours: Day Shift
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $28.96 - $42.67 / hourly; $60,468 - $89,094 / annually
• Classified Status: Classified
• Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
• FLSA Status: Nonexempt
• Telework Eligible: Yes
• Re-Posting: Yes
• Designated in Connect 700 Program for Applicants with Disabilities: Yes

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.

• Telework (Within Minnesota or Neighboring States) and Flexible Hours Options Are Available.

The incumbent leads policy development and utilizes advanced technical expertise to develop and improve Minnesota Health Care Programs (MHCP) covered mental health and substance use disorder services in school settings. The position provides leadership and technical expertise and serves as the primary decision-maker for certification of school districts and school-contracted community providers. As principle Medicaid and children’s mental health policy consultant, the incumbent coordinates provider certification with the benefits policy, rates, and provider enrollment units of the State’s Medicaid agency; and with the school mental health and children’s mental health policy and Medical Assistance and Managed Care Organization Policy Team, and Research and Evaluation Team in the Behavioral Health Division; and with the Department of Education special education, compliance, and finance units to provide technical assistance to school districts and school-contracted providers regarding Medical Assistance service standards for Medicaid-covered Children’s Therapeutic Services and Supports (CTSS) and Individual Education Program (IEP) services.

The primary challenge of this position is to interpret and apply state and federal Medicaid law and clinical policy standards to the delivery of Medicaid-covered mental health and substance use disorder services in the context of local school environments, state education finance and administration laws, and state and federal special education laws, standards, and practices, which may differ significantly from healthcare laws, medical payment practices, and behavioral health practice standards.

Some more responsibilities include, but are not limited to:

• School-based provider certification and licensing coordination. Provide leadership and both clinical and technical expertise in the certification of school sites, school districts, and contracted providers to determine compliance as providers of children’s mental health outpatient and rehabilitation services and substance use disorder services, including Children’s Therapeutic Services and Supports (CTSS);
• Behavioral health system and program integrity. Conduct site visits and chart reviews to assess service-delivery performance for recertification, conceptualize, communicate, and enforce corrective actions as necessary to maintain or return to standards compliance;
• Provider training and technical assistance. Develop and deliver training for school-based providers of MHCP-covered behavioral health care regarding provider certification standards, behavioral health benefits, service-delivery standards, administrative and clinical requirements, and billing procedures. Conceptualize and effectively communicate individualized technical assistance to providers and administrators as necessary to successful submit certification and recertification applications, maintain compliance with applicable standards, complete corrective actions, and improve the quality and effectiveness of services delivered.
• Health Care Programs Policy Liaison. Develop and maintain strong partnerships with the Health Care Administration in conducting the operations of the school based behavioral health program and policies of Minnesota Health Care Programs, particularly the IEP Services and rates team.

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 professional experience administering mental health program policy and benefits, rates, billing and claims, eligibility, or service authorization policy for public healthcare programs.

Experience must clearly demonstrate:

• Knowledge of public school special education programs, culture and practices, funding sources, and state and local policies;
• Understanding of MHCP an Federal Medicaid policy related to mental health services;
• Practical understanding of public healthcare programs: benefits, rates, billing and claims, eligibility, and service authorization policy;
• Knowledge of Minnesota’s Behavioral Health service delivery system;
• Policy development, implementation and reform for a diverse set of internal/external stakeholders;
• MS Office Suite and other programs such as: SharePoint, Medicaid Management Information System (MMIS).

• Bachelor’s Degree in Social Work, Psychology, Education, Public Health, or another related fields may substitute for one (1) year of work experience.

**Master’s Degree in Social Work, Psychology, Education, Public Health, or another related fields may substitute for two (2) years of work experience.

Preferred Qualifications

• Variety of experiences working effectively with others from different backgrounds and cultures;
• Clinical licensure in the mental health field;
• Experience delivering health-related services in a school-based setting or for a school-linked provider;
• Ability to evaluate providers’ administrative and clinical infrastructures and reinforce state standards;
• Ability to understand provider limitations and resolve provider barriers to implementation of state and federal policy;
• Strong human relations and communication skills; communicate clearly and professionally both verbally and in writing; respond openly to requests and concerns.

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).

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 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.

If you have questions about the position, contact Deidre Jackson at deidre.s.jackson.mn.us.

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 64093, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at dennis.b.stevenson@state.mn.us.

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 651-431-4945 or DHS_ADA@state.mn.us 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 651-259-3637 or email careers@state.mn.us and indicate what assistance is needed.