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Posting Details

We are so pleased that you are interested in making an impact through our work at CYFD! The department thrives on dedicated, empathetic, and talented employees who ensure the well-being of the children and families in New Mexico by keeping them safe and healthy.

By joining CYFD, you'll work to find the best ways to support families through difficult situations using community-based prevention and intervention programs. Employees have teammates and a committed leadership team to support them every day.

We look forward to you joining us because caring for and supporting New Mexico's children and youth will take all of us. I know the department's mission is critical to improving the overall well-being of children in our state and, in turn, strengthening the future of New Mexico.

THIS JOB POSTING WILL BE USED FOR ONGOING RECRUITMENT AND MAY CLOSE AT ANY TIME. APPLICANT LISTS MAY BE SCREENED MORE THAN ONCE.
Why does the job exist?

The Performance and Quality Assurance Bureau provides objective performance assessments to Juvenile Justice Services (JJS) leadership to help support their quality improvement efforts. We assesses compliance with JJS procedures and national-best practices by providing functional audits, trend analysis, and recommendations. Reports are created that allow leadership to
evaluate performance over time and in comparison to similar facilities. To ensure that Medicaid applications are submitted by, or on behalf of, eligible juveniles while the juvenile is incarcerated. And reactivate Medicaid benefits to improved access to appropriate re-entry services.
How does it get done?

Provide high quality customer service to our juvenile justice clients, staff, and partners at the Health Care Authority-Medicaid.
Medicaid Specialist are certified Pre-Eligibility Determiners (PEDs ) who will access the NM Medicaid Portal to verify eligibility and benefit status of juvenile justice clients.
Medicaid Specialist communicate and coordinate with the Health Care Authority - Medicaid Unit to ensure proper suspension and re-activation of benefits.
Who are the customers?

Juvenile Justice Case Managers, Transition Coordinators, Reintegration Centers, Probation and Parole and Health Care Authority-Medicaid.
Ideal Candidate

Juvenile Justice Case Managers, Transition Coordinators, Reintegration Centers, Probation and Parole and Health Care Authority-Medicaid.
Minimum Qualification

High School Diploma or equivalent and one (1) year work experience in processing insurance claims, billing, andor collections. Any combination of education from an accredited college or university in a related field andor direct experience in this occupation totaling one (1) year may substitute for the required experience.
Employment Requirements

Must possess a valid Driver's License. Pre-employment criminal background check is required and conditional pending results.
Working Conditions

Office setting, exposure to Visual/Video Display terminal (VDT) and extensive personal computer and telephone usage with extended periods of sitting.
Supplemental Information

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Agency Contact Information: Greg Nelson (505) 331-8562. Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is not covered by a collective bargaining agreement.