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DDSSA MEDICAL RELATIONS MANAGER

The Disability Determination for the Social Security Administration (DDSSA) Medical Relations Manager is responsible for directing the activities of the Medical Relations and Consultative Examination Department to ensure adherence to policies, procedures and laws. This position is governed by state and federal laws and agency policy.

Class Code:

G271C

Job Grade:

GS11

Special Job Requirements:

Occasional in and out-of-state travel is required.

Typical Functions:

Directs supervisors and support staff by advising on changes in policies and procedures that affect the agency. Recommends new applicants for hire and evaluates the performance of incumbents. Develops and implements operating policies and procedures. Develops training materials, conducts workshops, training/information sessions, and outreach activities for medical and non-medical individuals on the Social Security Administration electronics, and assists in identifying appropriate electronic records express options for business processes. Manages recruitment and identification of Medical Consultants and health care providers to ensure providers are identified and recruited according to Social Security policy and procedures. Investigates and resolves complaints and prepares written responses explaining investigations. Monitors and analyzes statewide activities to identify trends, problems, and progress. Consults with in-house physicians regarding activities, policies, and problems with the medical community and recommends corrective actions to ensure medical community adheres to Social Security policies. Establishes and monitors fee, in accordance with Medicare and Medicaid Agencies, and ensures that consultative examination panelist adheres to regulations and are informed of changes in the Stateâ€Â˜s fee structure. Monitors budget funds for consultative examination cases by reviewing expenditures to ensure funds are available and that spending is within budgeted federal guidelines. Assists in formulating organizational policies by analyzing administrative procedures to devise efficient methods of accomplishing work. Performs other duties as assigned.

Knowledge, Abilities, and Skills:

Knowledge of the Federal Social Security disability program. Knowledge of medical terminology. Knowledge of recruitment techniques. Knowledge of procedural codes to establish allowable fees. Ability to interpret federal rules and regulations relating to the Federal Social Security disability program. Ability to prepare, present, and review oral and written information. Ability to analyze medical information and prepare policies and procedures. Ability to plan, organize, assign, and direct the work of others. Ability to provide technical assistance and answer technical questions.

Minimum Qualifications:

The formal education equivalent of a bachelor’s degree in public administration, sociology, communications or a related field; plus five years of experience in training, Social Security disability adjudication or a related field, including two years in a supervisory capacity.

Required Certificates:

Must possess a valid Arkansas driver’s license.

Exempt:

E
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