Payment Innovations Lead
State of North CarolinaAbout the role
Agency
Dept of Health and Human ServicesDivision
HEALTH BENEFITSJob Classification Title
Program Analyst II (NS)Position Number
60042606Grade
NC19About Us
The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.
Description of Work
This position serves as the program owner for NC Medicaid Population Health value-based payment (VBP) and Healthy Opportunities (HO) initiatives—driving execution of VBP and HO requirements and improving outcomes across health plan delivery systems. Responsibilities span HOP wind down management (currently paused due to lack of state funding), ongoing HRSN screening oversight across Standard Plans, Tailored Plans, and CFSP, and VBP program performance aligned with DHB’s Quality Strategy.This position includes responsibilities related to leading the wind down of Healthy Opportunities Pilots (HOP) and codifying lessons learned for integration into Medicaid operations. Health related social needs (HRSN) screening expectations across Standard, Tailored, and CFSP plans to support better data exchange and reduce duplicative screens. Collaboration with the Rural Health Transformation Program (RHTP) and sharing HO experience on closed loop referrals and Food Is Medicine approaches.
Knowledge Skills and Abilities/Management Preferences
Salary Grade Range $67,122 - $117,465
Recruitment Range $67,122 - $86,478
**Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours**
Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.
The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:
Strong working knowledge of North Carolina’s Medicaid Managed Care program or other Medicaid Managed Care programs
Experience with HRSN/SDOH initiatives, including screening, closed loop referrals, and program evaluation
Proven ability to propose and implement statewide strategies to address complex systems changes
Proven ability to analyze program data and information concerning program operations to evaluate effectiveness
Proven ability to effectively prioritize and organize work, set clear objectives, and break large-scale projects down to milestone deliverables or outcomes
Posting closes at 11:59 p.m. the night before the closing date
Position is funded in part through federal funds
About the NC Division of Health Benefits:
The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.
All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.
Compensation & Benefits:
The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.
Visit website for State Benefits
Supplemental and Contact Information
The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First
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