Rate Reviewer Jobs in Virginia (NOW HIRING)

Customized Rate Technical Consultant
Job no: 5109305
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Health and Human Services
Title: Customized Rate Technical Consultant
State Role Title: Prog Admin Spec II
Hiring Range: $60,000-$80,000
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location: Central Office
Agency Website: www.dbhds.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Department of Behavioral Health and Developmental Services (DBHDS) is seeking a highly motivated and autonomous individual to serve as a Customized Rate Technical Consultant. This position supports the Waiver Customized Rate team and is responsible for conducting assessments of customized rate waiver funding requests to assist in determining eligibility. Onsite assessments may include, but is not limited to, review of individual support plans, service authorizations, medical and behavioral data, staffing schedules and program budgets. This position provides recommendations in resolving barriers through the exploration of all available community, waiver, and natural resources, and provides appropriate alternatives to service providers, such as the implementation of needed training, technical assistance, and referrals to services such as REACH, occupational/physical therapy, or therapeutic consultation. This position also communicates the results of their assessments to the customized rate review committee, case managers, service providers, Department of Medical Assistance Service (DMAS) appeals department and leadership. This position is responsible for working with service providers to schedule onsite assessments across the state of Virginia and requires up to 75% travel. A valid, unrestricted driver's license and an acceptable driving record in accordance with the Commonwealth's Driver Safety Program are required.
Minimum Qualifications
Knowledge of the Developmental Disability Service Program, including but not limited to, services and support options, support levels and tiers, Supports Intensity Scale (SIS©), reimbursement rates, licensing and human rights regulations, and knowledge of best practices in developmental disability services. Ability to organize and prioritize work assignments independently and possess the ability to use a range of computer programs and database applications such as Word, Excel, and the Waiver Management System (WaMS). Knowledge of the support needs of people with disabilities (physical, cognitive, emotional), and strong negotiation and problem resolution techniques. Strong communication skills and the ability to work with a variety of professionals in the field of intellectual and developmental disabilities.
Additional Considerations
Understanding of medical terminology, and medical standards of treatment.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
This position is eligible, however not guaranteed, for telework opportunities; availability, hours, and duration of telework shall be approved as outlined in the Commonwealth telework policy.
For consideration, interested applicants must apply by completing the online application and/or submit a resume. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. Applications must be submitted by 11:55 p.m., on the listed closing date. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.
DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.
For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.
Contact Information
Name: ShaKiera Miles
Phone: N/A
Email: shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions, to include resumes.
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 11 Aug 2026 Eastern Daylight Time
Applications close: 20 Aug 2026 Eastern Daylight Time
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