DMH Senior Auditor and Program Consultant

1 week ago

Waterbury, United States State of Vermont Full time
Overview

The Vermont Department of Mental Health (DMH) resides under the Agency of Human Services (AHS) and has the same critical mission in mind: to improve the conditions and well-being of Vermonters and protect those who cannot protect themselves. The individuals and families that the Department of Mental Health (DMH) supports in Vermont's communities want the same things we all want; safe homes, close friends, loving relationships, good health, and something meaningful to do each day. Our job is to help them succeed.

The team at DMH is always striving to maintain the current level of services available in the system of care for Vermonters while continuing to seek opportunities that expand access to mental health services. The goal is to improve the consumer experience by increasing availability, reducing wait times, and reducing barriers to allow Vermonters and their families to receive the most appropriate care when and where they need it.

Are you passionate about ensuring quality and integrity in mental health services? We are looking for a dedicated professional to join our team in an investigative, analytical, and policy-oriented role. This position is crucial in supporting program integrity, quality control, policy development, and utilization management. Your work will guide mental health care delivery and drive improvements at both the community and departmental levels. This position may require travel.

Key Responsibilities:

* Oversee community program reimbursement reviews.
* Provide policy consultations to community programs, ensuring adherence to health insurance reimbursement standards.
* Monitor provider utilization patterns and address deficiencies with quality improvement actions.
* Author policy documents guiding agency spending, decision-making, and resource management.
* Educate and advise community-based program staff on departmental policies and procedures.
* Coordinate and execute audits, corrective actions, and training for regulatory compliance.

Why Join Us?

* Impactful work that enhances mental health care delivery.
* Collaborative environment with extensive interaction with quality, finance, programming, and health care reform teams.
* Opportunity to shape policies and procedures that drive positive change.
* Enjoy a hybrid work schedule that can be flexible to promote work-life balance and allow for teleworking several days a week.
* Work under the guidance of the Director of Policy and contribute to the mission of the Agency of Human Services

Who May Apply

This position, DMH Senior Auditor and Program Consultant (Job Requisition #50249), is open to all State employees and external applicants.
If you would like more information about this position, please contactnicole.distasio@vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.

AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Environmental Factors

Work is performed primarily in an office setting and in a variety of field situations. Some private means of transportation should be available since travel outside of the worksite will be required. Urgent deadlines can be anticipated. Position will have extensive interactions with community mental health service providers and management and the State Medicaid Authority.

Minimum Qualifications

Master's degree in public or business administration or in a human services or health field AND one (1) year or more of experience at a professional level in health care administration, public or business administration, a Medicaid program or in benefits administration.

OR

Bachelor's degree AND four (4) or more years of experience at a professional level in health care administration, public or business administration, a Medicaid program, or in benefits administration.

OR

Five (5) years or more of experience in health care administration, public or business administration, a Medicaid program, or in benefits administration.

Preferred Qualifications

Utilization review, compliance, regulatory oversight, and/or research and evaluation experience. Knowledge of the Vermont Medicaid program.

Total Compensation

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

  • 80% State paid medical premium and a dental plan at no cost for employees and their families
  • Work/Life balance: 11 paid holidays each year and a generous leave plan
  • State Paid Family and Medical Leave Insurance (FMLI)
  • Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
  • Tuition Reimbursement
  • Flexible spending healthcare and childcare reimbursement accounts
  • Low cost group life insurance
  • Incentive-based Wellness Program
  • Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.

Equal Opportunity Employer The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.

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