Job Description
The Personal Care Attendant Program Implementation Manager will reside in the Fee For Service Community-Based Program Team in a unit dedicated to overseeing the Personal Care Attendant Program, the largest of the Home and Community Based Programs in the Office of Long Term Services and Supports (OLTSS).
The Personal Care Attendant (PCA) Program Implementation Manager liaises with contractor management, focuses on Fiscal Intermediary (FI) and Personal Care Management (PCM) agencies compliance, performance improvement, implementation and oversight of PCM and FI corrective action plans, as needed, oversees implementation of projects, EVV, and is responsible for procurements. This work includes coordinating the implementation and oversight of the PCA program compliance and Electronic Visit Verification (EVV) functions across five PCA Program Coordinators and reporting issues up to the PCA Senior Manager and the Director of Fee-for-Service Community-Based Programs. The person in this position will track and manage multiple complex projects, including project timelines and workplans, and is responsible for planning and coordinating project related activities.
Want more jobs like this?
Get jobs in Boston, MA delivered to your inbox every week.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
- Serve as the lead for self-directed Electronic Visit Verification, including monitoring for compliance, policy development, and program integrity work.
- Serve as the lead in developing and overseeing Fiscal Intermediary and Personal Care Management Agency performance analysis and improvement strategies.
- Develops and sees to completion PCA program related procurements, including the project management of, lead of procurement management team, and development of recommendation memos.
- Participate the administration of the PCA program with the larger team, including policy development and implementation.
- Create, track, and propose recommended contractor key performance indicators (KPIs) and contractor scorecards, based on contractor performance and applicable agency policy.
- Participate in applicable Program Integrity efforts, and serve as a subject matter expert for PCA-related contracts, recommending, responding to, and participating in possible Program Integrity initiatives.
- Respond to intra-agency / interagency inquiries and requests for information regarding PCM/FI contracts, contractors, and policy.
- Provide program-related assistance to other units within the MassHealth, the Executive Office of Elder Affairs, and other agencies in the state government.
- Lead program audits, including developing audit tools, conducting onsite contractor visits, site reviews, and contractor education visits (limited travel required).
Preferred Qualifications:
- Knowledge of strategic and operational planning processes related to procurement, contract management and compliance.
- Experience leading a team of professionals.
- Experience interacting with leaders within state government and/or private non-profit organizations.
- Knowledge and experience in LTSS programs and policy.
- Possess strong programmatic knowledge of the PCA program.
- Experience with Electronic Visit Verification implementation and oversight.
- Possess an understanding of the role of data and analysis in ensuring contract compliance.
- Knowledge of the Massachusetts health care industry and market dynamics related to LTSS.
- Proficiency in Microsoft Excel, Word, PowerPoint, Teams, and Outlook.
- Knowledge of payment reform and care delivery reform strategies, including an understanding of the relationship between payment reforms, delivery system change, quality improvement and customer satisfaction in LTSS.
- Ability to understand, apply and explain pertinent laws, rules, regulations, policies and procedures.
- Knowledge of the methods used in the preparation of charts, graphs and tables, and of the methods of general report writing.
- Ability to analyze and determine the applicability of data, to draw conclusions and to make appropriate recommendations.
- Skilled in problem solving, consensus building, conflict resolution and team building.
- Ability to interpret policies and procedures in written and verbal responses to requests for information.
- Ability to work independently and collaboratively.
- Ability to manage time and set priorities and reach decisions under pressure.
Required Qualifications:
- Ability to set goals and strive for excellence or improvement.
- Ability to identify a problem or opportunity and take action to address current or future problems and opportunities.
- Ability to think through problems, organize information, and identify key factors and underlying causes to generate solutions.
- Ability to work cooperatively with others and be part of a team.
TO APPLY:
Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.
About MASSHEALTH:
To improve the health outcomes of our diverse members and their families by providing access to integrated health care services that promote sustainable & equitable health, well-being, independence and quality of life.
For more information about our agency and programs please visit: www.mass.gov/masshealth
Pre-Offer Process:
A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form.
For questions, please the contact the Office of Human Resources at 1-800-510-4122 and select option #2.
Qualifications
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management of which (B) at least one (1) year must have been in a project management, supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.
Substitutions:
I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.
II. A Bachelor's degree in a related field may be substituted for two (2) years of the required (A) experience.
III. A Graduate degree in a related field may be substituted for three (3) years of the required (A) experience.
IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.