Administrative Programs Officer I

State of Nebraska • Lincoln, NE

1d • $21 • Onsite

About The Position

The State of Nebraska, Department of Health and Human Services is seeking a full-time Programs Officer with Provider Relations for the Division of Medicaid & Long-Term Care, Provider Screening and Enrollment Unit, at the Nebraska State Office Building in Lincoln. Come be a part of a great team that does meaningful work for the citizens of our state. You have the passion, we have the opportunities - let's make a difference for Nebraskans!! Examples of Work The high-level responsibilities of this position include the following duties: Reviewing incoming Medicaid provider appeals related to untimely filing and denial of provider enrollment among other appeal types. Preparing and disseminating appeal documentation for hearings. Representing the Department for hearings. Coordinating with Department staff and external stakeholders to resolve appeals outside of a hearing setting when possible. DHHS Appeal Coordination backup support (logging appeals, reaching out to appellants for additional information as needed, routing appeals, contacting the hearing office to schedule appeals, and tracking appeal outcomes). Completing retro enrollment request reviews from Medicaid provider applicants. Reviewing new and existing Medicaid provider screening results to complete enrollment/screening determinations. Reviewing provider screening and enrollment documentation for completion, accuracy, and in accordance with policy requirements. Coordinating the Fingerprint Criminal Background Check (FCBC) with both new and existing providers. Sending provider letters and tracking outcomes of screening requests/results. Responding to phone calls and emails from providers. Assisting with various other duties within the Provider Screening and Enrollment Unit.

Requirements

• Associate degree in public or business administration, accounting, or any discipline related to the work assigned.
• One year of experience in administrative, business management or technical support work including collecting and interpreting statistical, financial, program, or administrative data; or interpreting laws, rules, regulations, and processes.
• Experience may substitute for education on a year-for-year basis.
• Demonstrated ability to multi-task in a busy work environment and maintain a high level of accuracy and efficiency.
• Demonstrated ability to work well within a team of diverse individuals both on-site and remotely.
• Demonstrated ability to be self-less and go above and beyond as needed to complete duties and serve our stakeholders with a high level of customer service.
• Demonstrated ability to work with detailed information with minimal mistakes.
• Must be a hard worker who has predictable and reliable attendance.

Nice To Haves

• One or more years experience in: using the MMIS system, NFOCUS system, and Sharepoint.
• Interpreting, analyzing, and applying regulations for decision making.
• Appeal intake and coordination; preparing and presenting appeal documents in legal hearings.
• Conducting detailed screening/analysis processes for decision making.
• Working in the Medicaid program.
• Writing legal letters/documents.
• 2 or more years experience in: Using Microsoft Office products, namely Excel, Word, Outlook and PowerPoint.

Responsibilities

• Reviewing incoming Medicaid provider appeals related to untimely filing and denial of provider enrollment among other appeal types.
• Preparing and disseminating appeal documentation for hearings.
• Representing the Department for hearings.
• Coordinating with Department staff and external stakeholders to resolve appeals outside of a hearing setting when possible.
• DHHS Appeal Coordination backup support (logging appeals, reaching out to appellants for additional information as needed, routing appeals, contacting the hearing office to schedule appeals, and tracking appeal outcomes).
• Completing retro enrollment request reviews from Medicaid provider applicants.
• Reviewing new and existing Medicaid provider screening results to complete enrollment/screening determinations.
• Reviewing provider screening and enrollment documentation for completion, accuracy, and in accordance with policy requirements.
• Coordinating the Fingerprint Criminal Background Check (FCBC) with both new and existing providers.
• Sending provider letters and tracking outcomes of screening requests/results.
• Responding to phone calls and emails from providers.
• Assisting with various other duties within the Provider Screening and Enrollment Unit.

Benefits

• We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life.
• Your paycheck is just part of your total compensation.
• Check out all that the State of Nebraska has to offer!
• Benefit eligibility may vary by position, agency and employment status.
• For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree