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169250
MEDICAID PROGRAM SUPERVISOR
AS619     $56,326 - $110,531
Creation Date: 08/29/2005
Change Date: 06/30/2025

FUNCTION OF WORK:
To supervise the research and analysis related to Medicaid programs and to manage policy activities for Medicaid programs statewide.
LEVEL OF WORK:
Supervisor
SUPERVISION RECEIVED:
Broad from a higher-level manager/administrator.
SUPERVISION EXERCISED:
Supervision over lower-level positions.
JOB DISTINCTIONS:
Differs from Medicaid Program Monitor by the presence of responsibility for supervision.

Differs from the Medicaid Program Manager 1-A and Medicaid Program Manager 1-B by the absence of responsibility for managing a small statewide Medicaid program.
CORE COMPETENCIES:
IDENTIFIED BY STATE CIVIL SERVICE, CORE COMPETENCIES ARE THE KNOWLEDGE, SKILLS, ABILITIES AND BEHAVIORS BASED ON THE WORK TASKS OUTLINED IN THE EXAMPLES OF WORK. MORE INFORMATION ON THE SCS COMPETENCY MODEL CAN BE FOUND HERE.

Building and Supporting Teams	Communicating Effectively	Demonstrating Accountability
Driving Results	Focusing on Customers	Following Policies and Procedures
Leading Effective Teams	Making Accurate Judgments	Managing Budgets
Thinking Critically	Training Others	Using Data

EXAMPLES OF WORK:
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

Supervises the research and analysis activities of Medicaid programs statewide.

Conducts audits of eligibility enrollment applications; prepares reports on results of each audit.

Prepares, interprets and clarifies eligibility policies and procedures.

Revises rules, regulations, and procedures to meet changes in law or policy.

Compiles data and proposes budgets for subprogram studies and proposed legislation; determines programmatic impact and composes response for fiscal statements and fiscal notes.

Reviews current and proposed state and federal regulations and/or revisions to those regulations for hospitals and home health providers. Evaluates new and/or revised regulations to determine the impact to the state Medicaid program.

Reviews audits performed by the contracted auditor to determine compliance with federal and/or state policies and regulations, which affect allowable costs.

Coordinates compliance monitoring of Medicaid Application Centers statewide. Receives, approves and schedules all requests for Application Center Representative training.

Advises and assists field staff in performing on-site monitoring reviews to ensure that the Application Centers adhere to federal, state and agency rules and regulations.

Assist in negotiating contractual agreements with Application Centers.

Provides functional supervision over contract staff.

Monitors and evaluates training provided by contract staff.

Prepares the annual budget request utilizing the prescribed format and addendums issued by the Office of Planning and Budget. Prepares detailed analyses and narratives supporting and/or justifying the request as submitted. Responds to requests for additional information and modifications to the budget during the legislative approval process.

Trains staff of all Medical Vendor Administration sections in fiscal management, budget development and variance reporting.

Develops training module and provides essential guidance to managers regarding preparing accurate, pertinent and substantiated data.
QUALIFICATION REQUIREMENTS:
MINIMUM QUALIFICATIONS:
Six years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

Six years of full-time work experience in any field plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

A bachelor's degree plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

An advanced degree or a Juris Doctorate plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.

EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.