About The Position

Under administrative direction of the HHR Office Director 3 for the West Virginia Bureau for Medical Services (BMS), this position provides administration, guidance, oversight, and planning of Home and Community Based Services (HCBS) key Medicaid programs including the Aged and Disabled Waiver (ADW, Intellectual/Developmental Disabilities Waiver (IDDW) Substance Use Disorder Waiver (SUDW), Long-Term Care (LTC), Personal Care (PC), Traumatic Brain Injury Waiver (TBI), Children with Severe Emotional Disorders Waiver (CSEDW) and other developed programs. This position ensures programs are person-centered, financially sustainable, and fully compliant with state and federal regulations. Work is performed with a high degree of independence and requires strong leadership, collaboration, and analytical skills. The Director monitors program performance and fiscal accountability and ensures compliance with federal Centers for Medicare and Medicaid Services (CMS) requirements, including waiver applications, renewals, amendments, and reporting. Responsibilities include: Coordinating across internal BMS divisions, state agencies, contractors, and stakeholders to ensure the delivery of effective and efficient services. Overseeing program budgets, vendor contracts, and grant activities to ensure appropriate use of funds and compliance with reporting standards. Supervising staff and providing guidance on the interpretation and implementation of policy and procedural updates. This position also plays a lead role in the development and execution of quality improvement initiatives. The Director directs the continuous quality improvement (CQI) process across all HCBS programs by identifying risks, analyzing outcomes, and implementing corrective action plans when necessary. The incumbent represents BMS in meetings with CMS, legislators, community organizations, and other external partners, advocating for program improvements and communicating the goals and accomplishments of West Virginia's HCBS system. The Director also provides high-level policy analysis to agency leadership on emerging trends, federal guidance, and innovations that may impact long-term care delivery in the state. Performs other related duties as required.

Requirements

  • Bachelor's degree from a regionally accredited college or university
  • Five (5) years of full-time or equivalent part-time paid professional experience, two (2) years of which must have been in a program administration capacity

Responsibilities

  • Monitors program performance and fiscal accountability
  • Ensures compliance with federal Centers for Medicare and Medicaid Services (CMS) requirements, including waiver applications, renewals, amendments, and reporting
  • Coordinates across internal BMS divisions, state agencies, contractors, and stakeholders to ensure the delivery of effective and efficient services
  • Oversees program budgets, vendor contracts, and grant activities to ensure appropriate use of funds and compliance with reporting standards
  • Supervises staff and providing guidance on the interpretation and implementation of policy and procedural updates
  • Directs the continuous quality improvement (CQI) process across all HCBS programs by identifying risks, analyzing outcomes, and implementing corrective action plans when necessary
  • Represents BMS in meetings with CMS, legislators, community organizations, and other external partners, advocating for program improvements and communicating the goals and accomplishments of West Virginia's HCBS system
  • Provides high-level policy analysis to agency leadership on emerging trends, federal guidance, and innovations that may impact long-term care delivery in the state

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What This Job Offers

Job Type

Full-time

Career Level

Director

Industry

Executive, Legislative, and Other General Government Support

Number of Employees

11-50 employees

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