Summary

This job involves creating, managing, and defending policies for Michigan's Medicaid programs covering lab tests, therapies, hearing services, and mental health counseling.

The role requires researching regulations, ensuring compliance, and handling complex questions from providers and the public under pressure.

It's a good fit for someone with experience in healthcare policy or administration who enjoys detailed analysis and problem-solving in a government setting.

Key Requirements

Bachelor’s degree in any major
Four years of professional experience in policy development, program administration, or related field (equivalent to Departmental Specialist 13 level)
Knowledge of federal and state Medicaid statutes and regulations
Experience in research, design, implementation, and evaluation of healthcare policies
Strong skills in monitoring program compliance and conducting quality assurance
Ability to respond to complex issues verbally and in writing under public and political scrutiny
Expertise in coverage and reimbursement for outpatient therapies, laboratories, and behavioral health services

Full Job Description

The Michigan Department of Health and Human Services mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit MDHHS Diversity Equity and Inclusion.

This position functions as the policy specialist for the statewide Medicaid Laboratory, Occupational and Physical Therapy, Speech Pathology & Hearing Services programs, FFS coverage of Psychologists/Social Workers/Family Therapists/ Professional Counselors, as well as other areas as assigned. It is responsible for independent research, design, development, implementation, administration, evaluation and defense of all of the statewide policy, methodology and reimbursement changes related to these programs/issues. It assures program compliance with complex federal/state statutes or regulations, and maintains program integrity through ongoing monitoring of policy activities and quality assurance activities. This position responds both verbally and in writing to complex, non-routine issues and concerns regarding coverage and reimbursement, changes in funding, changes in state and/or federal statute or regulation, as well as the needs of the Program’s providers and beneficiaries while under intense public and political scrutiny. This position is the recognized agency expert for coverage and reimbursement issues related to outpatient therapies, laboratories, hearing services, and FFS coverage of services provided by psychologists/social workers/family therapists/professional counselors.

Position Description

Job Specification

To be considered for this position you must:

apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
attach a cover letter.

if applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts.

Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.

Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions

Requirements

Education

Experience

Departmental Specialist 13

Additional Information

The physical location of this position is 400 S. Pine Street, with remote options available. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.

Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

A secure work location that allows privacy and prevents distractions.
A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities.

MDHHSVacancies@michigan.gov