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Provider Compliance Manager

Expired Job

State Of Indiana Indianapolis , IN 46218

Posted 3 weeks ago

Work for Indiana:

Join U.S News & World Report's #1 state government! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering applicants stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana employee, you impact the well-being of Indiana's communities every day.

About the job:

The purpose of this position is to ensure that high quality and person-centered services are provided to Medicaid participants through oversight and coordination of the certification and monitoring of DA home and community based service providers. The incumbent is responsible for ensuring compliance with certification requirements, coordinating the work of other unit staff to meet monitoring requirements for health and safety and program compliance, ensuring quality program outcomes beyond basic compliance levels, supporting providers with technical assistance in interpretation of state and federal statutory, rule, and program policy requirements, and assisting the Provider Relations Director in managing the day to day operations of the unit.

A day in the life:

  • Develop and maintain a provider certification and oversight process, that includes a system for meeting required routine monitoring activities.

  • Oversee the execution of provider certification processes through the coordination of certification related activities of the provider relations consultants.

  • Analyze recommendations of provider consultants to make determinations of provider compliance status.

  • Develop, implement and maintain high quality certification and monitoring tools for use by Division staff.

  • Participate in the procurement and development of contract(s) related to provider monitoring activities.

  • Assist Director in the coordination and oversight of the activities of contractor(s).

  • Develop and maintain policy and procedures and documentation related to provider requirements in order to meet federal requirements.

  • Oversee the development and implementation of provider corrective action plans, including making the determination of provider non-compliance as a result of the CAP.

  • Manage the planning and preparation of the semi-annual DA Provider Training, including creating an agenda that is responsive to emerging trends and/or changing state or federal regulatory requirements.

  • Collaborate with DA Regulatory and Compliance Director to respond to provider appeals. Testify on behalf of the DA in appeal proceedings.

  • Coordinate with Medicaid and Department of Health and other FSSA divisions to coordinate provider terminations.

  • Interact with stakeholders and the general public throughout the state to educate and inform about the provider certification process.

  • Prepare all reports and budgets required by the Division.

  • Collaborate with DA/FSSA departments as needed to coordinate oversight activities.

  • Other duties as assigned.

What we're looking for:

A Bachelor Degree is required in any field with a minimum of two years' full-time direct-service experience with the elderly or disabled is preferred; or A master's degree in a related field may substitute for the required experience.

  • Strong desire to impact the systems of care and supports that serve older Hoosiers and those with disabilities in order to increase their abilities to remain in their communities as long as possible

  • Desire to serve Hoosiers through effective fiscal stewardship

  • Demonstrated success in collaborating with diverse stakeholders to achieve desired outcomes.

  • Demonstrated history of accountability and initiative.

  • Demonstrated success as a self-starter capable of working effectively with minimal day-to-day direction.

  • Ability to learn complex regulatory and healthcare-related systems and terminology, and to use that information to make independent decisions and "judgement calls" in the administration of the program.

  • Demonstrated history of strong time management skills to meet deadlines in an environment with mutiple priorities and complete timely, quality work.

  • Ability to facilitate and coordinate the work of non-subordinate co-workers and give direction in the absence of the direct supervisor.

Benefits:

The State of Indiana offers a comprehensive benefit package which includes:

  • New Paid Parental Leave

  • Medical / Dental / Vision plans

  • Health Savings Account available - with Employer Contribution

  • Prescription Coverage

  • Incentive-based Wellness Program

  • Employee Assistance Program

  • Employer-funded Retirement Plan

  • Deferred Compensation Plan with Employer Match

  • Flexible Spending Account

  • Work/life balance: 24 Paid Days Off Annually

  • 12 company Paid Holidays, 14 during election years

  • Group Life Insurance

  • Qualified Employer for the Public Service Loan Forgiveness Program

Want the specifics? Explore the Benefits of Working in State Government!

Note: As a security feature, this application will 'time out' after a period of inactivity. It is recommended that you open the above link and then return immediately to complete the remainder of the application.

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer.


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Provider Compliance Manager

Expired Job

State Of Indiana