Contract Monitor Program Specialist

Virginia Information Technologies AgencyRichmond, VA
Hybrid

About The Position

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Contract Monitor Program Specialist in the Office of Community Living. This role is responsible for monitoring and providing program support for consumer-directed services in Virginia Medicaid Waivers through contract management, performance evaluation, and oversight of the Fiscal/Employer Agent contract administered by the Office of Community Living. The position ensures compliance with Electronic Visit Verification (EVV) requirements, including monitoring adherence to federal and state regulations and identifying areas of risk or noncompliance. Responsibilities also include analyzing and trending complex data and reports, evaluating vendor performance, and recommending data-driven improvements to strengthen program effectiveness, accountability, and service delivery. The business needs for this position have in-office requirements to include attending in-person meetings, training, and occasional travel to vendor-specific sites in Richmond, Virginia. DMAS is working to improve the health and well-being of Virginians through access to high-quality health care coverage and seeks talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

Requirements

  • Knowledge of Virginia Medicaid and consumer-direction model of service delivery for home and community-based waiver services.
  • Experience in analyzing and trending complex data sets.
  • Considerable knowledge of contract management principles, vendor oversight, and performance monitoring practices.
  • Considerable experience of contract monitoring and ensuring adherence to contractual requirements.
  • Considerable Experience in Microsoft Office to include Excel, Word, and PowerPoint.
  • Knowledge/Experience interpretation and application of federal, state laws/regulations.
  • Experience in meeting deadlines.
  • Experience with internal/external stakeholders.

Nice To Haves

  • Experience using the VA Medicaid System (MMIS) or other automated platforms to research inquiries and effectively communicate with stakeholders.
  • Experience with implementation of programs/special projects in alignment with contractual deliverables.

Responsibilities

  • Responsible for monitoring and providing program support for consumer-directed services in Virginia Medicaid Waivers through contract management, performance evaluation, and oversight of the Fiscal/Employer Agent contract administered by the Office of Community Living.
  • Ensures compliance with Electronic Visit Verification (EVV) requirements, including monitoring adherence to federal and state regulations and identifying areas of risk or noncompliance.
  • Analyzing and trending complex data and reports, evaluating vendor performance, and recommending data-driven improvements to strengthen program effectiveness, accountability, and service delivery.
  • Attending in-person meetings, training, and occasional travel to vendor-specific sites in Richmond Virginia.

Benefits

  • The Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship.
  • Selected candidates will have their work authorization completed using the E‐Verify Program.
  • This position could be expected to work in the office as driven by business needs.
  • Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need.
  • The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
  • This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
  • The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations.
  • It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.
  • In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process.
  • The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010).
  • If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.
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