Social & Community Services Coordinator Advanced/Program Administrator (HCA/MAD #10104164)

$26.33 - $42.12 Hourly

$54,760 - $87,616 Annually

This position is a Pay Band 70

Posting Details

THIS POSTING WILL BE USED FOR ONGOING RECRUITMENT AND MAY CLOSE AT ANY TIME. APPLICANT LISTS MAY BE SCREENED MORE THAN ONCE.

This job posting may be used to fill multiple vacancies.

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 Social & Community Services Coordinator Advanced/Program Administrator will:

• Provide oversight and program management for the following programs Hospital, Dialysis, Ambulatory Surgical Centers, Anesthesia and other programs as assigned;
• Build data requests using Microsoft Access Database and other database systems (SQL, VBA, etc.).

How does it get done?

The Social & Community Services Coordinator Advanced/Program Administrator is responsible for:

• State and Federal Regulations applicable to assigned programs and projects;
• Maintenance of program and benefit policies and processes for all assigned programs and projects;
• Reviewing management of claims, fee schedules, and reimbursement applicable to assigned programs;
• Handling provider inquiries for all assigned programs;
• Designing, developing, maintaining and implementing MS Access databases;
• Assisting with data requests to create reports used by staff and managers to resolve Medicaid program issues.

Who are the customers?

• Medical Assistance Division (MAD) staff, managers, providers, State and Federal agencies.

Ideal Candidate

The Ideal Canidate has:

• Experience with policy management;
• Knowledge of the Medicaid Program and/or experience working with Medicaid;
• Experience writing, reviewing, and implementing processes and policies;
• Experience with Social Services development and coordination;
• Experience analyzing, interpreting, and reporting data;
• Experience proficiently working with Microsoft Office.

Minimum Qualification

Bachelor's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology and/or Family Studies/Services and four (4) years of any combination of experience including working with communities, working on health or social service related matters, social work/case management experience, behavioral health and/or health care. Substitutions apply. See Substitution Table below.

Substitution Table

These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 8 years of experience OR High School Diploma or Equivalent AND 8 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 6 years of experience Associate's degree or higher in any field AND 8 years of experience 3 Bachelor's degree in the field(s) specified in the minimum qualification AND 4 years of experience 4 Master's degree in the field(s) specified in the minimum qualification AND 2 years of experience 5 PhD degree in the field(s) specified in the minimum qualification AND 0 years of experience
• Education and years of experience must be related to the purpose of the position.

• If Minimum Qualification requires a specific number of "semester hours" in a field (e.g. 6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications. No substitutions apply for semester hours.

Employment Requirements

Must possess and maintain valid driver's license.

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

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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.