Marion County, Oregon · 1 day ago
Management Analyst 1 - Developmental Disabilities - Health and Human Services
Salem, OR
Full-time
Onsite
Entry Level
2+ years expMarion County Health & Human Services is seeking a motivated individual to join their Management Analyst team within the Intellectual and Developmental Disabilities department. The role involves implementing and monitoring policies and procedures, performing management tasks, and ensuring compliance with regulations and best practices.
Government Administration
No H1B
Responsibilities
Perform a variety of professional management tasks that have department-wide scope and impact, including program development, preparing and analyzing project budgets, and analyzing contractual and administrative operations
Receive, review and process all client ISP and change forms, following detailed ISP processes. Data enter approved services and provider information as SPAs in POC. Process all employment, in-home, foster care, and ancillary services from ISPs and Action Request Form (ARF). Stay current with POC process changes and any Office of Developmental Disabilities Services (ODDS) policy changes. Receive SE150 plans and verify that they may have the authorized services requested by Case Management
Receive ARF in Developmental Disabilities Management Analyst (DDMA) email submissions and complete necessary Raintree data entry of all client information and enrollments, ticklers, and then create and submit eXPRS DD Eligibility Enrollment (DDEE) electronic forms for all terminations and other changes. Problem-solve issues, work with case managers to make corrections. Data enter Provider, service code information, and foster rates into eXPRS Service Prior Authorizations (SPA) in POC
Submit client address changes to ONE System
Monitor eXPRS to accept/process Service Element Prior Authorizations (SEPAs). Verify and record SEPAs in the SEPAs and Balances workbook for current Biennium. Confirm service element totals match what is recorded in eXPRS
Create eXPRS Client Prior Authorizations (CPAs) from the ISP or Change Form and submit. Upload Supported Living budget to the POC Audit and monitor "draft" CPAs in eXPRS and resolve discrepancies. Delete "draft" CPAs that are duplicates of "approved" CPAs for the same time period. Provide assistance to providers to resolve CPA and claim issues; refer to the DHS eXPRS Support team as appropriate
Monitor state General Fund service elements and notify Health Admin Contracts of needed contract actions and/or contract payments, as relates to state General Fund SE156. Audit SE156 Provider Prior Authorizations (PPAs) to ensure funding has been received and payments to providers have been authorized
High-level complex analysis and modeling for DD program budgetary and contractual compliance
Act as Liaison between Community Development Disabilities Program (CDDP) and State of Oregon staff and contractors. Complete Safeguards Assessment Tool for monitoring on-going DD office HIPAA privacy compliance. Create electronic forms as requested. Run and distribute various DD reports, using Raintree, Reporting Services and eXPRS, including the DD Client Services Population Report and others. Attend, participate, and work with other professionals on financial contract, budgetary, audit and DD Admin business committees, provide system improvement recommendations as warranted
Read and understand ODDS Transmittals and ODDS Worker guides. Analyze impact of changes in Special conditions contract language and inform DD Program Manager or Supervisor. Provide quality assurance (QA) of documents such as Action Review forms, budget documents, and other documents. Complete Cherrylift Roster as needed and reconcile approved enrolled riders on the ridership report and review discrepancies, submit rosters to Cherrylift and ODDS. Review and enter Long Term Care Community Nursing authorizations into MMIS
Review Service Group level when entering POC to ensure number of hours authorized on the ISP are within the range listed as determined by the ONA. Run and review ONA report to ensure tickler dates are updated and remove from ONA due list. Submit completed ONA billing report for Assessors to billing
Accept requests, calls and e-mail from providers or Service Coordinators on the DDMA phone line and personal phone line regarding payment and non-payment issues. Review eXPRS and authorizations or submit inquiries to the ODDS eXPRS Technical Assistance Unit to ask about processing, coding, date problems, payment issues, denials, suspension issues, and other, and then resolve CPA or SPA claims payment issues. Follow-up with the Service Coordinators and Providers
Audit claims reports for SE48, SE50, SE51, SE54. Reconcile and audit DD systems and service elements, including eXPRS CPAs and SPAs ongoing to ensure proper reporting and tracking of client financial data. Complete other audits related to assigned, Eligibility data, PPAs, ODDS 300% Rule or MAGI reports. Complete enrollment audits comparing eXPRS to Raintree to ensure the enrollments mirror each other and resolve discrepancies for service elements 48, 50, 51, 54 and Cherriots. Audits are conducted quarterly until systematic issues are resolved but will continue to be conducted semi-annually to ensure the system is in check. Audit Overdue ONAs and ISPs and send report to supervisors monthly. Quarterly run eXPRS report to add the SE150 “Family Support” and send to Program Supervisor
Generate Billing monthly report for Developmental Disabilities (DD) Program Supervisors. Export SE48 RFFS claims from eXPRS into Excel, update/maintain the spreadsheet with Service Coordinator data, funding and graphs
Run Payment Detail Report and/or RFFS billing from eXPRS and submit to Health Admin Finance for deposit. Enter RFFS claim payments on eXPRS Monthly Payments spreadsheet to track the number of claims paid. Submit report to HHS Administrator, Program Manager and Program Supervisor
Provide training and assistance to DD staff. Manage Raintree corrections and voids; create service tickets on an ad hoc basis
Other duties as assigned by your supervisor
Qualification
Required
Bachelor's degree in public or business administration, accounting or a related field
Two years of responsible experience which includes independent research, design and methodology, and management analysis
Any satisfactory combination of work, education, training, or experience relevant to the position, as determined by Marion County
The finalist for this position will be required to pass a criminal history background check; however, conviction of a crime may not necessarily disqualify an individual for this position
This position may be subject to the following: Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549)
This assignment is represented by a union
This is a full-time position, which is eligible for overtime
Typical Schedule: Monday - Friday, 8:00 am - 5:00 pm, with flexibility depending upon the needs of the department
Knowledge of the principles and practices of public administration and of the principles of sound organization and management; financial principles and practices in local government, and of budget preparation and administration techniques; organizational processes and design; the principles and practices of statistical analysis and data collection
Ability to research and analyze issues and procedures; write clear and concise reports; ability to prepare a budget and to evaluate budgetary requests; conduct and evaluate surveys and special studies; prepare recommendations and to communicate effectively in both oral and written form; prepare and deliver oral presentations; establish and maintain positive working relationships with coworkers and the public; lead, direct, and participate in training and evaluating personnel
Physical Requirements: Stands; sits; moves about the work area; climbs 1 floor of stairs; reaches overhead; lifts up to 10 lbs.; pushes, pulls, moves carts and carries up to 5 lbs.; operates a computer and keyboard; speaks clearly and audibly; reads a 12 pt. font; hears a normal level of speech; may rarely be exposed to heat, cold, dust, office chemicals, vibration, humidity, noise, uneven and wet areas; may rarely traverse ladders and scaffolding
Benefits
Public Service Loan Forgiveness
Generous benefits package
Company
Marion County, Oregon
Located south of the Portland metropolitan area, Marion County stretches from the Willamette River to the Cascade Mountains encompassing nearly 1,200 square miles.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Salvador Llerenas
Chief Human Resources Officer
William Sexton
Senior Human Resources Business Partner
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