Managerial, planning, and development work for the Department of Social Welfare involving the implementation of a program to provide comprehensive health services to uninsured Vermonters. Duties include the development of managed care programs for families newly covered under the Medicaid waiver as well as gradual extension of managed care arrangements to existing Medicaid recipients.
Supervision is exercised over a professional, technical and clerical staff.
Work is performed under the general direction of the Welfare Medicaid Director. Directs the planning, development, implementation, administration, and financial management of a new managed care program for new and current Medicaid recipients and certain groups of uninsured Vermonters. Develops policies and procedures for eligibility determination, enrollment and plan counselling to Health Access Plan participants. Contracts with medical plans for delivery of services required under the Medicaid demonstration waiver and Vermont statutes. Develops and monitors quality, access and reporting standards to ensure the delivery of benefits consistent with contracts.