Departmental Manager 14 - Managed Care Oversight Manager - MDHHS OIG ID - 11832
Job Description
This position is open to current Michigan Department of Health and Human Services (MDHHS) employees only.
The Michigan Department of Health and Human Services mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit MDHHS Diversity Equity and Inclusion.
OFFICE OF INSPECTOR GENERAL (OIG) - CAREER BROCHURE (Download PDF reader)
The incumbent in this position functions as the manager of the Managed Care Oversight Unit within the Michigan Department of Health and Human Service (MDHHS) Office of Inspector General (OIG). MDHHS OIG is a criminal justice agency housed within MDHHS charged with investigating fraud, waste and abuse in programs administered by MDHHS and increasing program integrity and accountability.
The manager of the Managed Care Oversight Unit assists in the planning, development, administration, and direction of the Department’s statewide fraud, waste and abuse investigation program as it relates to Medicaid managed care entities, including fraud prevention and fraud investigation.
This position monitors performance to achieve timely, accurate and appropriate actions by subordinates who are responsible for managing and ensuring compliance with program integrity requirements of the Medicaid Managed Care Entities including, but not limited to, Medicaid Health Plans (MHPs), Prepaid Inpatient Health Plans (PIHPs), Non-Emergency Medical Transportation (NEMT) plan, and Dental plans, all of which are responsible for managing certain aspects of health care for Medicaid beneficiaries enrolled in their managed care entities.
The position administers Civil Service rules and regulations and personnel policies in the selection, evaluation and/or disciplining of staff.
Click here to view the Position Description (Download PDF reader) & here to view the Job Specification (Download PDF reader)
To be considered for this position you must:
apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
attach a cover letter.
If applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature. Please review Civil Service's guidelines regarding Official Transcripts: Official Transcripts (michigan.gov).
Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions (Download PDF reader)
Required Education and Experience
Education
Possession of a bachelor's degree in any major.
Experience
Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.
Preferred experience in accounting and auditing, managed care, and Medicaid or similar health services program.
Experience developing and maintaining policy, procedure and guidelines for highly complex functional areas based on broad and nonspecific operational criteria. Ability to concurrently handle multiple assignments and oversee numerous staff with appropriate prioritization and organization.
Additional Requirements and Information
If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.
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Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.
Position Location/Remote Office: The physical location of this position is 235 S Grand Ave, Lansing, MI 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.
Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.
Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:
A secure work location that allows privacy and prevents distractions.
A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities.
As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check. Due to the nature of this position, an additional extensive background check will be conducted on candidates being considered for the vacancy.
The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.
