OhioRISE Population Health Specialist

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Position Summary

The OhioRISE Population Health Specialist primary responsibility role will be to support Population level improvements through the develop, implement, and manage value-added benefits programs that go above and beyond the standard Medicaid benefits package, specifically designed to meet the unique needs of youth with complex behavioral health conditions.

Responsibilities: ? Design and develop value-added benefits programs tailored to the specific needs of youth with behavioral health conditions within the OhioRISE managed care plan. ? Collaborate with internal teams, including clinical staff, behavioral health specialists, and care coordinators, to identify gaps in existing benefits and develop innovative solutions to address these gaps. ? Conduct research and analysis to identify evidence-based practices, interventions, and services that can be incorporated into the value-added benefits programs. ? Work closely with network providers, community organizations, and external stakeholders to establish partnerships and negotiate contracts for the delivery of value-added services. ? Monitor and evaluate the effectiveness of value-added benefits programs through data analysis, member feedback, and outcomes measurement to ensure continuous improvement and alignment with member needs. ? Stay up-to-date with the latest trends, research, and best practices in the field of behavioral health to inform the development and enhancement of value-added benefits. ? Collaborate with the Communication Director and outreach teams to effectively communicate the availability and benefits of value-added programs to members, providers, and other stakeholders. ? Ensure compliance with all relevant regulatory requirements and guidelines related to the OhioRISE Provider agreement. ? Collaborate with the other Ohio Medicaid Managed Care Planes to support and inform value-added benefits strategies. ? Collaborate with the OhioRISE Flex Fund Administrator to identify Flex Fund utilization trends and determine if a VAB is available that can meet the identified need. ? Provide training and support to internal staff and network providers on the value-added benefits programs and how to effectively utilize and promote them.

Required Qualifications
? Bachelor's degree in healthcare administration, public health, social work, or a related field.
? 2 years of experience in healthcare administration, managed care, or a related field. A focus on behavioral health services for youth, preferred
? Excellent analytical and problem-solving skills, with the ability to gather and interpret data to inform decision-making
? Proficiency in using data analysis tools and software applications
? 1 year of project management experience with the ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines

Preferred Qualifications
? Strong knowledge and understanding of Medicaid managed care programs, regulations, and compliance requirements.
? Experience in developing and managing value-added benefits programs, preferably in a Medicaid or managed care setting
? Familiarity with evidence-based practices, interventions, and services for youth with behavioral health needs.
? Knowledge of HIPAA regulations and confidentiality requirements.
? Exceptional communication and interpersonal skills, with the ability to collaborate effectively with a diverse range of stakeholders
? Excellent analytical and problem-solving skills, with the ability to gather and interpret data to inform decision-making

Education
? Bachelor's degree in healthcare administration, public health, social work, or a related field.
? A Master's degree is preferred

Pay Range

The typical pay range for this role is:

$46,988.00 - $91,800.00

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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/24/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws

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