Program Analyst - CCBHC

PROGRAM ANALYST - CCBHC Under the general supervision of the Health Home Director, the Program Analyst -- CCBHC provides administrative oversight of the Certified Community Behavioral Health Clinic (CCBHC) State Demonstration and creates, directs, and implements its policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: Serves as a liaison between CCBHC Demonstration sites in PIHP Region 7 and MDHHS, communicating regional feedback and provider needs. Provides DWIHN and CCBHC demonstration sites in the region with expertise on the CCBHC philosophy of care and certification requirements. Provides oversight and technical assistance for the CCBHC demonstration. Monitors and ensures the ongoing compliance and quality of CCBHC Demonstration sites in DWIHN's region. Maintains knowledge of federal and state requirements related to CCBHC site certification. Monitors Region 7 CCBHC sites for compliance, quality, and sustainability. Communicates with the Health Home Director and MDHHS about identified areas of concern. Makes policy recommendations to MDHHS with the Health Home Director. Works with the DWIHN Managed Care Operations Department to ensure proper credentialing of CCBHC sites and reviews CCBHC site Designated Collaborating Organization (DCO) agreements. Collaborates with CCBHC Demonstration sites and DWIHN Finance Department to ensure accurate and timely CCBHC financial reporting is submitted to MDHHS. Monitors reporting deadlines for CCBHC sites and ensures reporting requirements are met. Works with CCBHCs to establish a timeline to meet MDHHS reporting deadlines. Distributes data requests from MDHHS to CCBHCs for data collection. Validates submissions by reviewing for completion and evaluating for reasonability and accuracy of data requests prior to sending to MDHHS. This includes but is not limited to quality metrics, cost reports, level of care (LOC) data, reconciliation templates, and ad-hoc requests by MDHHS. Works closely with CCBHCs to ensure the CCBHC can successfully collect required clinic-reported quality measures. Collaborates with CCBHC sites to remedy data collection issues to ensure accuracy of metric reporting. Provides CCBHC technical assistance to CCBHC Demonstration sites. Provides support to CCBHCs related to Health Information Technology, including Waiver Support Application (WSA), CareConnect360, PIHP EHR, and Health Information Exchange (HIEs). Collaborates with internal DWIHN departments to resolve CCBHC issues related to Claims, EHR, Finance, Access, and other disciplines. Monitors and processes CCBHC assignments and transfers in the Waiver Support Application (WSA). Provides WSA technical assistance in partnership with MDHHS. Communicates with providers and other PIHP regions regarding transfers and care coordination across regions. Reviews and analyzes developing CCBHC policy and programmatic updates. Assists the Health Home Director with identification and implementation of operational and process changes resulting from policy change and program requirements. Works with MDHHS and CCBHC sites to validate encounter reporting and correct any discrepancies. Educates internal and external stakeholders about the CCBHC philosophy of care, what it can offer people served, and how it will impact internal operations. Participates in the identification of quality care indicators and outcome objectives. Oversees the collection and review of data related to program performance. Performs related duties as assigned. REQUIRED EDUCATION: A Master's Degree from a recognized college or university in the Human Services, the

Created: 2024-11-02