What are the responsibilities and job description for the Social & Community Services Coordinator III position at State of New Mexico?

26.33 - $42.12 Hourly

54,760 - $87,616 Annually

This position is a Pay Band 70

Posting Details

This job posting may be used to fill multiple positions.

This job posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.

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 III will :

Review Medicaid provider applications and registration requests ensuring accurate maintenance of provider files;

Contribute to the agency's overall success in assuring access to care for Medicaid recipients and compliance with federal and state regulations and requirements;

Assist with Medicaid provider enrollment / registration;

Review, approve or deny Provider Participation Agreements assuring compliance with federal and state regulations and requirements;

Update enrollment status of provider records according to approved or denied applications or registration requests reviewed by others in the Policy & Provider Services Bureau (PPSB) and fiscal agent;

Review reports and system issues to correct existing provider records;

Assist with various special projects and research as required based on Division needs as directed by the supervisor or bureau chief;

Act as the Subject Matter Expert and review Site Visit documents completed by the fiscal agent for new enrollment requests and revalidation / Turnaround Documents (TADs)

Tasks may include :

Review of various reports

Provider account audits

Analysis of system changes and assisting with testing before implementation

How does it get done?

The Social & Community Services Coordinator III is responsible for :

Providing timely and accurate customer service pertaining to provider concerns;

Serving as subject matter expert and providing technical assistance to staff and managers related to Site Visits and general Provider Enrollment processes;

Reviewing accounts as directed by the Manager and providing feedback to the fiscal agent;

Assisting with research and testing of system changes for the Provider Enrollment system.

Who are the customers?

Medicaid recipients, providers, internal State staff and external partners.

Ideal Candidate

The Ideal Candidate has :

Extensive knowledge of Federal and State regulations and requirements related to Medicaid services;

Experience proficiently working with Excel, Word and Share Point;

Experience researching and coordinating with external and internal partners;

Excellent customer service, communication and writing skills;

Experience being detail orientated to ensure quality work on a consistent basis;

Experience with tracking tools, such as Monday.com;

Experience being resourceful, motivated and flexible.

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. Any combination of education from an accredited college or university in a related

field and / or direct experience in this occupation totaling eight (8) years may substitute for the required education and experience.

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.

Salary : $54,760 - $87,616

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Social & Community Services Coordinator III

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