Manager V

Texas Health & Human Services Commission•Houston, TX

3d•$6,378 - $10,786•Hybrid

About The Position

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Provider Fiscal Compliance (PFC), Manager V. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by administering the daily operations and activities of the PFC team for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver programs, and the Community First Choice (CFC) service. This position is responsible for the development and implementation of quality controls and processes while fostering a collaborative environment among both internal and external stakeholders. This position is responsible for providing leadership and direction to the PFC team. Work involves: coordinating activities to address issues and establish priorities in a timely manner; reviewing and approving monitoring findings and appropriate actions; establishing team goals and objectives; developing policies and procedures; conducting quality assurance reviews; ensuring efficiencies within the team; performing internal and external reporting, communications, trainings, and presentations; conducting personnel actions such as recruiting; and supervising the work of others. May serve as a Contract Manager. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy. This position reports directly to the Director II for Provider Monitoring within Contract Administration and Provider Monitoring unit.

Requirements

Bachelor's degree from an accredited college or university with a major in the human services, business, or legal fields, plus four years’ work experience in the human services field. Additional related work experience may substitute for the required education on a year for year basis with a maximum substitution of four (4) years.
Minimum of two (2) years’ experience in a supervisory, management, or lead position in a related human services field. Experience must be recent, within the last three (3) years.
Experience with Home and Community-based Services and Texas Home Living Waiver Programs, required.
Experience in developing policies and procedures, required.
Experience conducting fiscal or contract compliance monitoring, financial oversight, or other types of relevant oversight activities, required.
Experience with computer database systems and Microsoft Office products, required.
Ability to travel at least 40% of the time with some travel including overnight stays, required.
Knowledge of HCS and TxHmL Medicaid Waiver programs.
Knowledge of principles and practices of contract administration and management.
Skill in performing supervisory or managerial activities and responsibilities.
Skill in working with Microsoft Office products, specifically Excel, PowerPoint, and Word at an intermediate level.
Ability to motivate staff to obtain a standard of excellence in their work and to foster an environment of continuous improvement.
Ability to work collaboratively across MCS to accomplish objectives.
Ability to implement creative solutions to problems.
Ability to balance team and individual responsibilities.
Ability to manage an organizational unit with complex high-volume workflows.
Ability to exercise sound judgment in making critical decisions and solving problems.
Ability to construct, analyze, interpret, and apply complex policies/procedures, legislation, regulations, rules, data, and contract provisions.
Ability to write sensitive documents with precise language.
Ability to understand and utilize automated information systems including billing systems and databases.
Ability to make presentations to customers, stakeholders, and senior management.
Ability to attend to multiple priorities and organize work.
Ability to make timely and effective decisions and produce results.
Certified Texas Contract Manager (CTCM) certification must be obtained within one (1) year of employment, if not already certified, unless otherwise approved by Supervisor.
Valid Driver’s License with ability to obtain Texas Driver’s License within 60 days of hire.

Responsibilities

Manage the daily activities of staff responsible for developing and implementing systems of contract monitoring of complex, large scope, high dollar contracts.
Evaluate staff adherence to policy and procedure, rules, regulations.
Provide technical assistance to staff.
Manage and develop staff through development of performance standards, review of performance data, consultation, training, and performance appraisal.
Manage staff on adherence to requisite skills necessary to conduct contract monitoring activities.
Plan, assign and supervise the work of unit staff.
Create and maintain staff development plans.
Provide guidance for contract activities and monitoring staff compliance with established guidelines, policies and procedures.
Manage employee conduct, leave and work performance and recommend personnel actions.
Oversee the preparation and accuracy of correspondence and reports to external and internal parties regarding contract issues and activities.
Prepare status reports for leadership identifying progress, productivity, key milestones, results of evaluation activities, vendor compliance, and trends or anomalies that may require additional Contract oversight.
Ensure communication and coordination occurs with internal and external stakeholders on issues related to contract functions.
Review and verify payment schedules, budget, budget allocations/forecasts and payment are properly reflected in contract agreements.
Oversee developing and implementing systems of contract monitoring for complex contracts using onsite and desk reviews/monitoring activity, testing, and coordinating information from multiple sources.
Establish goals and objectives for the contract oversight monitoring.
Establish guidelines, policies and procedures.
Develop and approve schedules, priorities, and standards for achieving goals.
Manage evaluation activities and risk assessments, identifying risks/issues and areas in need of change.
Make recommendations to leadership on risk mitigation strategies and suggestions for improving operations.
Manage the operations and activities of contract and programmatic compliance.
Ensure processes and systems are in place to determine if contractors are meeting their contract performance obligations by monitoring, tracking, and reporting the results of key metrics.
Initiate appropriate actions based on the results of contract performance.
Identify trends or anomalies that may require additional contract oversight.
Provide technical assistance and guidance to division or department staff.
Represent the Medicaid and CHIP Services Department at meetings, hearings, trials, conferences, and seminars.
Perform other duties as assigned and required to maintain operations.