Job Description:
MENTAL HEALTH PROGRAM MANAGER I /HEALTH PLAN OPERATIONS MANAGER
Description
Position/Program Information TYPE OF RECRUITMENT: OPEN COMPETITIVE EXAM NUMBER: b4740G FILING DATES: June 5, 2024 at 8:00 a.m. (Pacific Time) This examination will remain open until the need of the service are met and is subject to close without prior notice.
NO OUT-OF-CLASS EXPEREIENCE WILL BE ACCEPTED. REQUIRED EXPERIENCE MUST BE FULLY MET AND INDICATED ON THE APPLICATION BY THE LAST DAY OF FILING. NO WITHHOLDS WILL BE ALLOWED FOR THIS EXAMINATION.
DEFINITION :
The key responsibilities of the MH Program Manager I role include developing and implementing strategic plans between the Department of Mental Health and the health plans operating in LA County. Additionally, the role involves overseeing a cross-functional team comprising representatives from various areas like clinical, administrative, and finance. The primary goal is to ensure strategic alignment and effective execution across all lines of business to coordinate care and services among health plan members who receive services with LA County Department of Mental Health.
Essential Job Functions- Directs and ensures alignment and execution of contractual services delegated through the health plan contracts as the County’s Mental Health Plan (MHP) to ensure Specialty Mental Health Services are being delivered, including state-mandated care coordination and transition of care for shared Medi-Cal beneficiaries. Oversee all seven health plan relationships to ensure deficiencies are addressed and MOU standards are being met.
- Provides leadership to the Health Plan MOU unit through supervision, consultation, training, and support to ensure MCPs comply with MOU standards and beneficiaries are provided efficient service.
- Evaluates employees and overall team performance on a regular and ongoing basis.
- Ensures that program goals are met by utilizing collected data and information to make needed improvements, including adjustments as needed to work assignments to maximize quality of care and staff productivity.
- Engages in meetings with DMH management, Managed Care Plan executives, and Providers to resolve issues, elevate concerns, and inform of policy and procedures.
Requirements SELECTION REQUIREMENTS: A *Bachelor’s Degree in Psychology, Social Work, Sociology, Public Health, Nursing, Health Administration, Human Services, Business Administration, Public Administration, or a closely related field from an **accredited college or University.
- AND - Four years of ***
bona-fide supervisory experience providing administrative and technical direction at the level of ****
Health Program Analyst III, three years of which must have been in a large healthcare or insurance organization with 500 or more employees providing
*****client services/account management.
*A Master’s Degree in Psychology, Social Work, Sociology, Public Health, Nursing, Health Administration, Human Services, Business Administration, Public Administration, or a closely related field from an accredited college or university will be accepted for one year of the required bona-fide supervisory experience providing administrative and technical direction at the level of Health Program Analyst III, if the degree was not used to meet the education requirement.
LICENSE: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
PHYSICAL CLASS:
Physical Class II - Light: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10 pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.
SPECIAL REQUIREMENT INFORMATION: *
Degree: In order to receive credit for any college or university course, or any type of college or university degree, or any certificates, such as Bachelor's or higher, you must include a legible copy of the official diploma or official transcripts from the accredited institution which shows the area of specialization with your application at the time of filing or email to Exams@dhm.lacounty.gov within seven (7) calendar days of filing.
Official Transcript is defined as a transcript that bears the college seal and states "official and/or copy" issued by the school's Registrar Office. A printout of the transcript from the school's website is NOT considered official and; therefore, will NOT be accepted and may result in your application being incomplete or rejected.
NOTE: If you are unable to attach the required documents with your application online, you must e-mail them to Exams@dmh.lacounty.gov within seven (7) calendar days from application submission. In the "Subject" of the e-mail please type the Exam Title.
**ACCREDITATION: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies which are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references.
Foreign degrees must be evaluated for equivalency to United States accredited institutions standards by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services
or the Association of International Credential Evaluators, Inc. (AICE). See Employment Information under Accreditation Information.
***
Bona-fide supervisory experience includes responsibility for planning, assigning and reviewing the work of staff, evaluating employee performance, participating in interviewing and selecting new staff, and performance management.
****Health Program Analyst III is defined as supervising a team of analysts and other technical and support personnel providing technical and consultative services to the management of a program; or overseeing an organization-wide health program.
*****C lient Services/Account Management is defined as establishing strategic partnerships with executive-level leadership across external health plan entities, hospitals, clinics, and insurance organizations. It involves serving as the executive liaison among a group of stakeholders including the State, health plans, and providers to ensure alignment with the patient’s needs and access to care across health systems, compliance with Medi-Cal and Medicare rules and coverage, and oversight over the contracts with each health plan. Moreover, it requires a profound understanding of health plans, elective benefits, and beneficiary coverage, underscoring its crucial role in ensuring seamless operations and client satisfaction within the business landscape.
DESIRABLE QUALIFICATIONS: Additional credit will be given to qualified applicants who possess the following desirable qualifications.
- Experience in overseeing the implementation of contracts and monitoring compliance with contractual obligations.
Additional Information EXAMINATION CONTENT : This examination will consist of an evaluation of education, experience, and desirable qualifications based on information listed on the online application and supplemental questionnaire at the time of filing weighted 100%. Additional credit will be given for experience related to the desirable qualifications.
Applicants must achieve a passing score of 70% or higher on the examination to be placed on the eligible register. ELIGIBILITY INFORMATION: The names of applicants receiving a passing grade on this examination will be placed on the eligible register in the order of their score group for a period of twelve (12) months following the date of promulgation.
RETAKE: No person may compete in this examination more than once every twelve months. Past and present mental health clients and family members are encouraged to apply.
VACANCY INFORMATION: The resulting eligible register for this examination will be used to fill vacancies in the Los Angeles County Department of Mental Health.
AVAILABLE SHIFT: Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.
APPLICATION AND FILING INFORMATION Applicants are required to complete and submit an online Los Angeles County Employment Application AND Supplemental Questionnaire in order to be considered for this examination. Paper applications, resumes, or any unsolicited documents will not be accepted in lieu of completing the online application and Supplemental Questionnaire.
Application filing may be suspended at any time without advance notice.
Apply online by clicking on the "Apply" tab for this posting. We must receive your application by 5:00 pm, PT, on the last day of filing.
Fill out your application completely. The acceptance of your application will depend on whether you have clearly shown that you meet the Selection Requirements. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, and description of work performed. If your application is incomplete, it will be rejected.
IMPORTANT NOTES Please note that ALL information included in the application materials is subject to VERIFICATION at any point during the examination and hiring process, including after an appointment has been made.
• FALSIFICATION of any information may result in DISQUALIFICATION or RESCISSION OF APPOINTMENT.
• Utilizing VERBIAGE from Class Specification and/or Selection Requirements serving as your description of duties WILL NOT be sufficient to meet the requirements. Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED.
Plan to submit your online application well in advance before the deadline as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on govermmentjobs.com/careers/lacounty,gov you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.
CORRESPONDENCE AND UPDATES WILL BE SENT VIA E-MAIL For the time being, all notifications, including results letters and notices of nonacceptance, will be sent electronically to the email address provided on the application. It is important that you provide a valid email address. Please add isan@dmh.lacounty.gov, Exams@dmh.lacounty.gov, and info@governmentjobs.com to your email address and list of approved senders to prevent email notifications from being filtered as spam/junk/clutter mail.
Applicants have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County. Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices.
Plan to submit your online application well in advance before the deadline as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on govermmentjobs.com/careers/lacount.gov you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.
SOCIAL SECURITY NUMBER LANGUAGE Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number
. COMPUTER AND INTERNET ACCESS AT LIBRARIES For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.
FAIR CHANCE EMPLOYER The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment . The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s).
If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. NO SHARING USER ID AND PASSWORD All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.
DEPARTMENT CONTACT Department Contact Name: Irene San, Exam Analyst
Department Contact Phone: (323) 705-4074 or (213) 972-7034
Department Contact Email: exams@dmh.lacounty.gov
ADA Coordinator Phone: (323) 705-4074
Teletype Phone: (800) 735-2922
California Relay Services Phone: (800) 735-2922
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Salary:
$122,088.00 - $164,533.20 Annually