PCAP Manager

This position is responsible for administering the Premium and Copayment Assistance program (PCAP) within the HIV Medication Assistance Program (HMAP) which includes the processes for enrolling clients into PCAP, coordinating with the contracted insurance navigators to ensure proper insurance enrollment, coordinating insurance copayment assistance with the contracted pharmacy benefits manager, coordinating premium payments with insurance carriers, and managing critical data management and analysis. Responsibilities include:

• Hiring, training, and supervising PCAP program staff
• Direct and supervise data collection and analysis by the program Epidemiologist and other staff.
• Plan, develop and conduct activities within the HMAP/PCAP program to examine the causes of negative health outcomes and implement interventions to control and prevent them.
• Collect, analyze, and interpret statistical data, prepare epidemiologic reports, providing epidemiological data for decision making related to program operations and client health outcomes.
• Supervise the data collection and the quality assurance in sophisticated, independent quantitative analyses, including trend analysis and independent statistical and epidemiological analysis of program activities.
• Responsible for developing policies and procedures for PCAP operations and ongoing maintenance.
• Responsible for writing and maintaining SAS Programs and creating/managing tracking tools in SAS and Microsoft Excel

The PCAP sub-program is a highly complex operation that requires intense oversight and the work of data experts to assure that: program enrollment and renewals are completed properly and timely, insurance enrollment is completed efficiently and timely, insurance premiums are paid correctly and timely, insurance copayments are coordinated and paid appropriately, changes to monthly premiums are recorded correctly, churn on and off the program and insurance is managed effectively, alternative eligibility is identified quickly, peak cost periods are projected accurately, and multiple other program tasks are managed. This position will also be responsible for communicating with insurance carriers, insurance navigators, the contracted pharmacy benefits manager, the contracted pharmacy, program staff, unit leadership, clients, medical providers, case managers and a variety of other stakeholders. HMAP and PCAP are extremely data-driven with high visibility to the public and state leadership.
About the Division of Public Health and the Communicable Disease Branch:
The NC Division of Public Health (DPH) works to promote and contribute to the highest possible level of health for the people of North Carolina - Everywhere, Everyday, Everybody.
The Communicable Disease Branch of the Division of Public Health primarily deals with infectious diseases that are reportable by law to the state health department, as well as a few other communicable diseases of public health significance, such as influenza, norovirus infection and certain healthcare-associated infections.To receive credit for all of your work history and credentials, you must list the information on the application form. Any information listed under the text resume section or on an attachment will not be considered for qualifying credit. Qualified candidates must document on the application that they possess all of the following:

• Considerable knowledge of epidemiology principles, surveillance and investigation, study design, descriptive statistics, and statistical analysis.
• Significant knowledge of biostatistics including the use of statistical software and statistical programming languages.
• Significant knowledge of data management, database design, manipulation of complex data files, and summarizing data analysis results
• Significant experience creating and documenting processes related to insurance enrollment and coordination.
• Significant experience training and supervising program staff.
• Ability to communicate effectively orally and in writing.
• Skill in leadership, supervision, and strategic planning.

Management Preferences:

• Skill in SAS programing to manage and manipulate multiple datasets, including writing, running and troubleshooting SAS programs.
• Experience using advanced functions in Microsoft Excel such as Pivot Tables, X Look up, and conditional formatting
• Knowledge of third-party coverage such as Medicaid, Medicare and private health insurance;
• Experience supervising individuals and coordinating work task activities;
• Knowledge of informatics, data management, database design, manipulation of complex data files, and summarizing data analysis results
• Ability to manage large volumes of work governed by frequently changing rules and policies
• Knowledge of HIV and health care and treatment

Some state job postings say you can qualify by an "equivalent combination of education and experience." If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See oshr.nc.gov/experience-guide for details.

Doctoral degree in epidemiology or a closely related health field from an appropriately accredited institution;
OR
Master's degree in epidemiology or closely related health field from an appropriately accredited institution and one year of related experience;
OR
an equivalent combination of education and experienceEmployment Type: Permanent Full-Time