MCS Service Manager

The Managed Care Solutions (MCS) Service Manager performs professional work under the supervision of the MCS Deputy Administrator. Responsibilities include participation in the HealthChoices or managed care programmatic and quality initiatives from the State or County and subsequent planning, implementation and management activities.

* In collaboration with the MCS team, participate in developing and operationalizing the project plan for each initiative.
* Management and participation in project plan to assure project remains on task. Assists with contracting, reinvestment planning and development of RFP's aligning with project plans. Provides regular updates on the progress, identify barriers and monitors achievement of designated plan.
* Create reporting system for monitoring project plans to ensure benchmark completion and successful achievement of metrics.
* Participate in development of joint program and quality projects, such as MCO Performance Incentives, HHS interoffice planning/reports, Community Based Care Management and integrated health/SDoH initiatives,
* Connect to community-based recovery supports in collaboration with the Office of Drug and Alcohol.
* Develop a working knowledge of regulations applying to both Dept of Drug and Alcohol Programs (DDAP) and OMHSAS expectations.
* Research trends and promising practices related to initiatives and interventions across both mental health and drug and alcohol systems.
* Contribute ideas and practices that promote health equity within initiatives
* Ensure that MCS maintains proactive communication with county partner offices, providers. MCO and other key stakeholders.
* Involve members in service, family members and youth in each aspect of special initiatives.
* Participate and collaborate in routine analysis of data to identify trends impacting quality of care and safety within the MH and D&A networks.
* Collaborate with Magellan, MCS quality/performance management and MCS finance across all activities.
* Active participation in workgroups and other key county activities.
* Assist in addressing any special requests by state and/or county
* Self-enrichment on current behavioral health services; evidence based practices; and data analysis
* Other duties as delegated.

* Bachelor's Degree in Behavioral Health related studies, Masters preferred.
* Minimum of 5 years' experience in Behavioral Health {such as experience within the Drug and Alcohol system, certifications such as ASAM, Certified Associate Addiction Counselor (CAAC) or Certified Alcohol and Drug Counselor (CADC)}.
* Managed Care knowledge is preferred.
* Experience in project management, data analysis, and problem resolution.
* Knowledge of the structure, organization and methods of public and private mental health agencies and institutions.
* Ability to utilize commonly used business tools such as MS Office products.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; walk; sit; and talk and hear. The employee is occasionally required to use hands to finger, handle or feel objects, tools or controls; reach with hands or arms; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision and depth perception.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

The noise level in the work environment is usually moderate.