What are the responsibilities and job description for the Senior Social Services Coordinator-Dual-Eligible Special Needs Plan (DSNP) Analyst (HCA/MAD #10119064) position at State of New Mexico?
Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Senior Social Services Coordinator- Dual-Eligible Special Needs Plan Analyst will:
Oversee the Dual-Eligible Special Needs Plan (DSNP) to improve care coordination, service delivery, and health outcomes for New Mexicans who are eligible for both Medicaid and Medicare benefits, particularly seniors and individuals with disabilities;
Serve as a program coordinator and subject matter expert for the administration and ongoing oversight of the DSNPs;
Ensure compliance with federal Medicare and Medicaid requirements.
How does it get done?
The Senior Social Services Coordinator-Dual-Eligible Special Needs Plan Analyst is responsible for:
Implementing and maintaining the full Integrated Dual-Eligible Special Needs Plan initiative in New Mexico;
Assisting with development, reviewing, and maintaining the Dual-Eligible Special Needs Plan (DSNP) contracts and any needed contract amendments;
Providing oversight and analysis of DSNP reports to support program implementation and monitoring;
Reviewing and evaluating program data;
Providing support to Agency-Based Community Benefit provider enrollment staff as new providers seek enrollment to provide services to DSNP members.
Who are the customers?
Internal and external stakeholders;
Health Care Authority (HCA) and Medical Assistance Division (MAD) staff and leadership;
Citizens of New Mexico.
Ideal Candidate
Internal and external stakeholders;
Health Care Authority (HCA) and Medical Assistance Division (MAD) staff and leadership;
Citizens of New Mexico.
Minimum Qualification
Associate's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology, Family Studies/Services, Social Sciences, or Human Services and one (1) year of experience as a social work assistant and/or in social or community coordination, working with communities, working on health or social service related matters, social work/case management experience, and/or behavioral health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain a valid driver's license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed in an office setting: late hours and weekends work may be required. Will be exposed to regular periods of video display terminal and keyboard usage and stressful situations. Travel may be required. Incumbent will work under stress and frequent time constraints. Must have own mode of transportation. Incumbent may be required to furnish a personal vehicle for carrying out assignments.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Senior Social Services Coordinator- Dual-Eligible Special Needs Plan Analyst will:
Oversee the Dual-Eligible Special Needs Plan (DSNP) to improve care coordination, service delivery, and health outcomes for New Mexicans who are eligible for both Medicaid and Medicare benefits, particularly seniors and individuals with disabilities;
Serve as a program coordinator and subject matter expert for the administration and ongoing oversight of the DSNPs;
Ensure compliance with federal Medicare and Medicaid requirements.
How does it get done?
The Senior Social Services Coordinator-Dual-Eligible Special Needs Plan Analyst is responsible for:
Implementing and maintaining the full Integrated Dual-Eligible Special Needs Plan initiative in New Mexico;
Assisting with development, reviewing, and maintaining the Dual-Eligible Special Needs Plan (DSNP) contracts and any needed contract amendments;
Providing oversight and analysis of DSNP reports to support program implementation and monitoring;
Reviewing and evaluating program data;
Providing support to Agency-Based Community Benefit provider enrollment staff as new providers seek enrollment to provide services to DSNP members.
Who are the customers?
Internal and external stakeholders;
Health Care Authority (HCA) and Medical Assistance Division (MAD) staff and leadership;
Citizens of New Mexico.
Ideal Candidate
Internal and external stakeholders;
Health Care Authority (HCA) and Medical Assistance Division (MAD) staff and leadership;
Citizens of New Mexico.
Minimum Qualification
Associate's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology, Family Studies/Services, Social Sciences, or Human Services and one (1) year of experience as a social work assistant and/or in social or community coordination, working with communities, working on health or social service related matters, social work/case management experience, and/or behavioral health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain a valid driver's license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed in an office setting: late hours and weekends work may be required. Will be exposed to regular periods of video display terminal and keyboard usage and stressful situations. Travel may be required. Incumbent will work under stress and frequent time constraints. Must have own mode of transportation. Incumbent may be required to furnish a personal vehicle for carrying out assignments.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.