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COMPLETE Multi-System Youth Program Administrator - OH - New Albany

6 days ago


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Job Opportunity Details

Type

Full Time

Salary

Not Telling

Work from home

No

Weekly Working Hours

Not Telling

Positions

Not Telling

Working Location

New Albany-7400 West Campus Road, OH - New Albany, United States   [ View map ]

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Multi-system youth (MSY) are children who require services from more than one child-serving system, including children services, developmental disabilities, mental health and addiction, and juvenile justice. Each of the systems above provide services to multi-system youth and their families, and for some youth, these individuals services meet their clinical needs. However, some youth may have such complex physical, emotional, and behavioral needs, that these individual systems are not meeting their needs.

The Multi-System Youth (MSY) Program Administrator is responsible for management of the MSY application and delivery process as it crosses Care Management entities (CMEs), County Family and Children First Councils (FCFC), Aetna OhioRISE, and the Ohio Department of Medicaid (ODM)

The MSY Program Administrator reports to the Director of the CME Alliance Hub and works in close partnership with the CMEs, FCFCs, and all local and matrixed growth partners to effectively support our CME and FCFC partners and the youth and families in their care. Successful candidate must live in Ohio or be willing to relocate.

Responsibilities include:

Administration of the Multi-system Youth (MSY) program including but not limited to the following:

  • Development and maintenance of MSY tools/job aids for Aetna staff, FCFCs, CMEs, and ODM

  • Management and oversight of the MSY application process

  • Management and oversight MSY funding authorization requests to ODM

  • Coordination with ODM, FCFCs and CMEs on all aspects of the MSY process and to ensure all are updated during every step of the MSY process

  • Ensuring updates about the youth’s status and treatment are submitted to ODM on a timely basis

  • Ensure members have continuity of care coordination while enrolled in MSY

  • Coordination with Aetna Provider Contracting Department and Aetna OhioRISE CFO to ensure Provider contracts with MSY providers are executed and providers are trained on all MSY processes and reimbursement procedures

Required Qualifications

  • 2-3 years of relationship management skills; capacity to quickly build and maintain credible relationships at varying levels externally and within the organization

  • 2-3 years of experience and understanding of the Ohio Medicaid managed care market and familiarity with Ohio’s CMEs and the Multi-System Youth Programs.

  • Ability to go into the New Albany office up to 25% of the time.


Preferred Qualifications

  • Strong organization skills, creativity, and member focused approach
  • Strong interpersonal, communication and presentation skills

  • Excellent organization and time management skills

  • Experience navigating a matrixed organization.


Education

  • Bachelor’s degree in a closely related field or an equivalent combination of formal education and recent, related experience.

Pay Range

The typical pay range for this role is:

$60,300.00 - $130,000.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. 

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. 


More Information

Application Details

  • Organization Details
    4004 Aetna Medicaid Administrators
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