Overview
Main Purpose of Job
This position serves as the sole Program Manager for the Financial Management and Counseling Services (FMCS) contract. The Program Manager will report to the Developmental Disabilities Administration (DDA). This position is responsible for onboarding, transitioning, and quality oversight of the FMCS contract and will provide day-to-day oversight of the FMCS vendor. FMCS includes billing and claims, Electronic Visit Verification (EVV) per the Centers for Medicare and Medicaid Services (CMS) guidelines, and consulting and training for individuals that are self-directing their services.
FMCS are provided for various home and community-based services. The DDA operated Medicaid waiver programs include Family Supports, Community Supports, and Community Pathways. These three programs are designed to provide integrated support services to participants and their families, which enable participants to work toward self-determination, independence, productivity, integration and inclusion in all facets of the community across their lifespans.
In support of the DDA, this position will manage the transition, service implementation of contract requirements including but not limited to the following:
Onboarding new vendors
Transitioning coordination and management including: information and education for stakeholders; provider knowledge transfer including employee, vendor and provider qualification documentation; transfer of employer related items including completion of Employer Appointment of Agent form, IRS Form 2678; and risk factors;
Readiness Review for all vendors prior to the commencement of the contract;
Counseling services;
Fiscal management services;
Review of employment materials and Participant Employer Handbooks prepared by the vendor prior to distribution to participants and stakeholders;
Validate vendor has a functional Customer Service System in place to effectively serve participants and associates as well as updated FMCS websites and portals to provide readily available program information;
Confirm the vendor has implemented an Electronic Visit Verification (EVV) system that records self-directed services;
Quality Assurance (QA) including performance audits and satisfaction surveys;
Provide clear program guidance for vendors after collaboration with internal team members;
Review deliverables required by vendors on a monthly, quarterly and annual basis;
Develop corrective action plans (CAP) for QA performance measures that fall below the established thresholds outlined in the contract or unfavorable audit findings identified during an internal or external audit;
Participate in or lead stakeholder meetings in concert with DDA representatives;
Monitor participant appeals to identify opportunities to improve the program through vendor training, program guidance, etc.;
Maintain vendor contact information including a list of higher level authorities;
Confirm key staffing requirements as outlined in the contract for each vendor and review a vendor’s submission for substitutions for key positions as applicable;
Report misuse of authorized funds immediately to representatives with DDA;
Request Ad HOC reports from vendors as necessary to ascertain contract compliance and integrity.
MINIMUM QUALIFICATIONS
Qualified candidates must possess a Bachelor’s Degree from an accredited college or university and six (6) years of professional experience in health services, three (3) years of which must have been at the managerial and/or supervisory level as a project manager. Candidates must also possess at least 2 years of experience with contract management.
A Master’s degree will substitute for one year of general experience. A Doctorate will substitute for two years general experience. Additional experience will substitute year-for-year for the college degree.
DESIRED OR PREFERRED QUALIFICATIONS
Preferred candidates should possess experience with the following:
Experience with FMCS services
Experience with Self Directed Services for people with Intellectual Disabilities
Experience with Project Management
Knowledge of the State of Maryland Service Delivery System for people with Intellectual Disabilities
SELECTION PROCESS
This is a Management Service position, and serves at the pleasure of the Appointing Authority. A resume must accompany your application.
Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).
Complete applications must be submitted by the closing date. Information submitted after this date will not be added.
Incorrect application forms will not be accepted.
Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
About Maryland Department of Health
The Maryland Department of Health (MDH) provides health care services through State programs, local health departments, State-run hospitals and residential centers, and contracts with private-sector health care providers. MDH can be divided into four major divisions - Public Health Services, Behavioral Health, Developmental Disabilities, and Health Care Financing. In addition, MDH has 20 boards that license and regulate health care professionals; and various commissions that issue grants, research and make recommendations on issues that affect Maryland’s health care delivery system. MDH employs over 6,500 individuals with a budget of more than $12 billion to provide needed services to Maryland communities.