Utilization Manager (management Analyst Iii)

4 days left

Location
Fairfax, Virginia
Salary
$69,407.31 - $115,678.37 Annually
Posted
Jan 01, 2022
Closes
Jan 21, 2022
Ref
22-00046
Hours
Full Time
Job Announcement

Provides project management, cross service coordination, and the administrative oversight necessary to plan, design, implement, and sustain clinically sound Utilization Review (UR) and Utilization Management (UM) processes that support individual choice and cost effective outcomes. Assist in helping to inform and apply UM principles and processes throughout the agency to ensure that clinical services are positively impacted through this knowledge transfer. Provides research and analytical support by utilizing information technology tools, databases, the CSB's electronic health record, and budgetary information. Prepares narrative and statistical reports regarding utilization review, management, and costs. By establishing and maintaining relationships with support coordinators (SC), case managers, private provider organizations, and other stakeholders, will evaluate the efficacy and efficiency of the agency's UR/UM systems. Uses established guidelines to review individual support needs, functional assessments, and service requests to support the decision to initiate or continue services.

Functional areas: Utilization Management, Behavioral Health Care Administration, Human resources, Budgeting and financial management, Contract administration and Business management, Business administration, or Public administration

Note: To learn more about careers that make a difference, watch our video "CSB Celebrates 50th Anniversary of Providing Care."

Illustrative Duties

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position description.)
  • Independently designs, develops, and coordinates ongoing department programs and special projects;
  • Performs a wide range of professional-level management work for more than one broad administrative function including complex analysis and diverse project management in a lead capacity;
  • Coordinates and manages the work of administrative, para-professional, and/or professional-level staff in the day-to-day activities of selected projects. Plans, organizes, and coordinates changes to the policies, procedures, or processes related to multiple administrative functions (financial, procurement, budget, human resources, contract or grants administration, information technology systems, etc.);
  • Plans and conducts or oversees studies or research activities to ensure program quality, determine unmet needs or ensure efficacy of existing programs;
  • Provides guidance, recommendations, and advice to departmental managers;
  • Serves on committees, task forces, and management teams to evaluate the effectiveness and efficiency of existing management/administrative systems;
  • Writes, edits, and finalizes reports and presentations and presents findings and recommendations to department senior managers.


Required Knowledge Skills and Abilities

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an-all inclusive list).
  • Considerable knowledge of mission, goals, and objectives of the organizational unit, program, or activities to which incumbent is assigned;
  • Considerable knowledge of the principles, practices, and techniques relating to the functional area of business operation (e.g. personnel, budgeting and financial management, contract administration and management);
  • Knowledge of the principles, practices and techniques governing management, organization, operations and programmatic services;
  • Ability to identify possible solutions for solving business problems;
  • Ability to evaluate proposals and solutions in terms of benefits, costs, and overall impact on the project, program, or organization;
  • Ability to make oral presentations to department management, other departments, or the public;
  • Ability to write detailed, accurate reports, grants, or solicitations for pertinent areas of administration;
  • Ability to use word processing and presentation software to prepare documents, and to use spreadsheet and statistical analysis software packages to store, manipulate, analyze and present data;
  • Ability to supervise and train staff;
  • Ability to lead assigned employees, including delegating and reviewing work assignments, providing coaching and guidance, monitoring and evaluating performance, and supporting training and development planning.


Employment Standards

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for "Any combination, experience, and training equivalent to")
Graduation from an accredited four-year college or university with a bachelor's degree in field related to the assigned functional area; Plus four years of professional work experience with in the functional area.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, a driving record check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter.

This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies.)

All newly hired employees are required to be fully vaccinated against COVID-19 (two weeks after the last required dose) as a condition of employment or obtain approval of a medical or religious exemption prior to their start date. Proof of an exemption or vaccination status will be required during the pre-employment onboarding process. New employees who obtain an exemption from the vaccine mandate for medical or sincerely held religious beliefs will still be subject to the weekly testing requirement. Vaccinated employees and employees with a medical or religious exemption will complete the attestation online on their first day of employment or shortly thereafter.

PREFERRED QUALIFICATIONS:
  • Master's degree in social work, human services, psychology, or similar field, plus at least 10 years' experience working in similar increasing management position within the behavioral health care environment.
  • Extensive knowledge of utilization review processes, standards, and tool, public/private insurance benefits, behavioral health compliance and quality assurance standards and practices, and electronic medical record data reporting.
  • Must also possess experience collaborating with community partners, boards, and diverse clinical staff.
  • Ability to communicate clearly and concisely, both orally and in writing.
PHYSICAL REQUIREMENTS:
Ability to travel to conduct site reviews and attend meetings off-site. Ability to use automated technology including a computer 6-8 hours a day. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.

Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. EEO/AA/TTY.

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