Job Description
Senior Health Policy Specialist (Program Director) - DOM Medicaid Advisory Unit, College of Medicine Senior Health Policy Specialist (Program Director) - DOM Medicaid Advisory Unit, College of Medicine Hiring Department : DOM Medicaid Advisory Unit
Location : Chicago, IL USA
Requisition ID : 1027667
Posting Close Date : 10/29/2024
About the University of Illinois Chicago UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent 'Best Colleges' rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has over 300,000 alumni, and is one of the largest employers in the city of Chicago.
This is a full-time and benefits eligible position. Hybrid and flexible work schedules are available. UIC offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits .
UIC is seeking a Senior Health Policy Specialist (Program Director) to join our College of Medicine, Department of Medicine, Medicaid Advisory Unit. This role is responsible for the development and implementation of analytical and operational support for the Medicaid Advisory Unit (MAU). The UIC DOM MAU is partnering with the University of Illinois' Office of Medicaid Innovation (OMI) to provide clinical and policy expertise to the Illinois Department of Healthcare and Family Services (HFS) Medicaid program. This new program will support the development of state Medicaid policy for new and emerging medical practices and will offer coordinated clinical review for broad and specific clinical programs. The program will coordinate the provision of clinician expertise to OMI and HFS to support current and future prior approval and utilization review activities. The program will also provide expert clinician consultation to stakeholders to inform the development of Medicaid policy on in-need subject matters as directed by HFS and OMI.
Duties & Responsibilities: The Senior Health Policy Specialist position contributes to the design and execution of this new consultative partnership program. The position will develop processes and protocols to provide high-level service to state stakeholders. This position will also provide background research and analytical capacity to inform state policy and to support clinician experts in detailed recommendations to the state on a wide range of healthcare issues. The position will support the production and provision of recommendations and expert guidance to OMI and HFS. This is a critical position serving as a policy coordinator with strong analytical skills, consulting and/or collaborating with a broad range of institutional clinicians/stakeholders in providing recommendations and expert guidance to OMI and HFS.
Analysis/Research (Policy Evaluation):
- Provide extensive background research and review to support Medicaid policy recommendations on subjects such as novel pharmaceutical treatments (gene therapy, weight-loss drugs), new services covered under Medicaid (Health-related social needs, eConsultation), and other needs as identified by OMI/HFS.
- Sustain familiarity with current trends in Medicaid payor innovation and reform, with a specific focus on population/value-based health programs and cost-conscious care delivery.
- Collaborate with data analytics teams at OMI and UIC to contribute quantitative analysis of insurance administrative claims data, guiding utilization review and prospective policy analysis.
- Supports multiple OMI partnership projects by ensuring long- and short-term objectives and deliverables in alignment with HFS expectations.
- Tracks relevant state and national research, policies, and legislation to appropriately conceptualize, initiate, and develop appropriate policy guidance.
- Tracks and documents high-level project updates to ensure substantive and comprehensive reporting to OMI and HFS.
- Prepares, organizes, and communicates policy evaluation research results through the development and editing of research briefs and reports to the MAU Medical Director and key OMI stakeholders.
Operations:
- In collaboration with the MAU Medical Director, develop and implement a unified process for managing clinician-expert prior authorization and utilization review across a diverse suite of clinical programs for Illinois Medicaid.
- Maintain processes to deliver timely, high-quality clinical reviews for HFS, including the purchase and set-up of a system of HIPAA-secure project management.
- Support the identification and recruitment of expert physicians and other qualified clinical health care professionals to inform HFS Medicaid policy and/or provide clinical review, as determined by the needs of HFS.
- Develop and maintain relationships with physicians and policy experts internal and external to UIC.
- Develop a policy for management of conflict of interest in clinical review.
Communication:
- Prepare high-quality, professional reports and presentations for stakeholder audiences in response to consultation requests.
- Perform other related duties and participate in special projects as assigned.
Minimum Qualifications Required:
- Bachelor's degree.
- A total of three (3) years demonstrated experience and applied comprehensive understanding of health policy principles, concepts, practices, and methods to analyze, develop, and implement policies within healthcare systems or related environments.
(Note: Master's Degree in an area consistent with the duties of the position may be substituted for one (1) year of work experience.
Preferred Qualifications:
- Master's degree in Health Science field (eg: Masters in Public Health, Public Policy, Health Policy and Administration).
- A minimum of 3 years experience managing complex health projects & analysis
- Possesses and applies advanced knowledge of health policy principles, concepts, practices and methods
- Requires excellent analytical, problem solving skills combined with skills in communication, organization, project management and presentation.
- Quantitative and qualitative research experience
- Advanced writing and communication skills
- Self-starter and can work independently
To Apply: For fullest consideration click on the
Apply Now button , please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.
Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required 180 days of employment.
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation Looking for more University of Illinois positions? We invite you to search for positions at each of the University of Illinois locations, the University of Illinois System Office and the University of Illinois Foundation. The University of Illinois System Office supports the primary missions of teaching, research, public service, and economic development for all of the Universities and offers positions in all locations. The University of Illinois Foundation is the official fundraising and private gift-receiving agency for the University of Illinois and also offers position in all locations. Click the links below to search for other University of Illinois positions.
University of Illinois Urbana-Champaign
University of Illinois Springfield
University of Illinois System Office
University of Illinois Foundation
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. To apply, visit Copyright 2024 Jobelephant.com Inc. All rights reserved.
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About University of Illinois - Chicago
The University of Illinois Chicago is the city’s largest university and its only public Carnegie Research 1 institution. Its 16 academic colleges serve close to 34,000 undergraduate, graduate and professional students. UIC is recognized as one of the best public universities and one of the most ethnically rich and culturally diverse campuses in the nation, located in the heart of Chicago, it is an integral part of the city's educational, technological and cultural fabric.
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