DMH Senior Auditor and Program Consultant
at State of Vermont
Waterbury, Vermont, USA -
Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
---|---|---|---|---|---|---|---|
Immediate | 02 Sep, 2024 | USD 30 Hourly | 03 Jun, 2024 | N/A | Human Services,Research,Benefits Administration,Utilization Review | No | No |
Required Visa Status:
Citizen | GC |
US Citizen | Student Visa |
H1B | CPT |
OPT | H4 Spouse of H1B |
GC Green Card |
Employment Type:
Full Time | Part Time |
Permanent | Independent - 1099 |
Contract – W2 | C2H Independent |
C2H W2 | Contract – Corp 2 Corp |
Contract to Hire – Corp 2 Corp |
Description:
OVERVIEW
The Vermont Department of Mental Health (DMH) resides under the Agency of Human Services (AHS) and has the same critical mission in mind: to improve the conditions and well-being of Vermonters and protect those who cannot protect themselves. The individuals and families that the Department of Mental Health (DMH) supports in Vermont’s communities want the same things we all want; safe homes, close friends, loving relationships, good health, and something meaningful to do each day. Our job is to help them succeed.
The team at DMH is always striving to maintain the current level of services available in the system of care for Vermonters while continuing to seek opportunities that expand access to mental health services. The goal is to improve the consumer experience by increasing availability, reducing wait times, and reducing barriers to allow Vermonters and their families to receive the most appropriate care when and where they need it.
Are you passionate about ensuring quality and integrity in mental health services? We are looking for a dedicated professional to join our team in an investigative, analytical, and policy-oriented role. This position is crucial in supporting program integrity, quality control, policy development, and utilization management. Your work will guide mental health care delivery and drive improvements at both the community and departmental levels. This position may require travel.
WHO MAY APPLY
This position, DMH Senior Auditor and Program Consultant (Job Requisition #50249), is open to all State employees and external applicants.
If you would like more information about this position, please contact nicole.distasio@vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
MINIMUM QUALIFICATIONS
Master’s degree in public or business administration or in a human services or health field AND one (1) year or more of experience at a professional level in health care administration, public or business administration, a Medicaid program or in benefits administration.
OR
Bachelor’s degree AND four (4) or more years of experience at a professional level in health care administration, public or business administration, a Medicaid program, or in benefits administration.
OR
Five (5) years or more of experience in health care administration, public or business administration, a Medicaid program, or in benefits administration.
PREFERRED QUALIFICATIONS
Utilization review, compliance, regulatory oversight, and/or research and evaluation experience. Knowledge of the Vermont Medicaid program.
Responsibilities:
- Oversee community program reimbursement reviews.
- Provide policy consultations to community programs, ensuring adherence to health insurance reimbursement standards.
- Monitor provider utilization patterns and address deficiencies with quality improvement actions.
- Author policy documents guiding agency spending, decision-making, and resource management.
- Educate and advise community-based program staff on departmental policies and procedures.
- Coordinate and execute audits, corrective actions, and training for regulatory compliance.
REQUIREMENT SUMMARY
Min:N/AMax:5.0 year(s)
Hospital/Health Care
Pharma / Biotech / Healthcare / Medical / R&D
Health Care
Graduate
Benefits administration
Proficient
1
Waterbury, VT, USA