Apply on Employer Site

DC Department of Human Resources · 18 hours ago

Special Projects Officer

Washington, DC

Full-time

Onsite

Entry, Mid Level

$150K/yr - $150K/yr

1+ years exp

DC Department of Human Resources is focused on improving health outcomes for residents of the District of Columbia. The Special Projects Officer will advise on complex policy and operational issues related to the Medicaid program, conducting extensive research and analysis to identify vulnerabilities and propose solutions.

AdviceB2BEducationEmploymentHuman ResourcesManagement Consulting

No H1B

U.S. Citizen Only

Responsibilities

Develops and manages special projects and programs as well as provides special focus and special assistance related to oversight of publicly funded health care programs, including Medicaid, State Children's Health Insurance Program (S-CHIP) and Alliance, health system reform and the emerging D.C. Health Care Exchange

Specifically, the position will focus on identifying vulnerabilities within these programs and advising on innovative solutions

Establishes and maintains relationships with partners and key stakeholders throughout the development of special projects related to identifying fraud, waste, and abuse data trends within the Medicaid provider network; collaborating on joint projects to combat fraud, waste, and abuse; and coordinating regular workgroup sessions to ensure smooth operational efficiency

Performs independent research and analysis of the medical, demographic, legal, ethical, political and financial components of issues and makes recommendations based on research findings

Qualification

Medicaid knowledgeData analyticsHealthcare reform knowledgeSASPowerBiFraud investigationMicrosoft OfficeResearch skillsStakeholder engagement

Required

Mastery knowledge of Medicaid and CHIP requirements from the Centers for Medicare and Medicaid Services (CMS), District laws and rules, Mayor's Orders and court decisions, and understanding of the mission, objectives, strategies, and program goals of DHCF and DPI

Extensive familiarity with the data tools utilized by DHCF, including SAS, PowerBi, Accurint, CaseIQ, and Microsoft Office

Mastery knowledge and understanding of major national healthcare reform efforts including the Affordable Care Act and major factors affecting access to health care by low-income, uninsured and under-insured people

Mastery level knowledge of health care fraud investigatory practices and how to utilize data analytics to identify trends and vulnerabilities within publicly funded health care systems

Ability to use personal computers which include software such as Microsoft Word, Microsoft Excel, Microsoft Access, and Microsoft Outlook

Mastery knowledge of health care terminology and methods

Specialized experience is an experience which is directly related to the position and has equipped the individual with the knowledge, skills, and abilities to successfully perform the duties of the position. To be creditable, the incumbent must possess at least one (1) year of specialized experience equivalent to the next lower grade level in the normal line of progression