Contract Monitor

Title: Contract Monitor

State Role Title: Prog Admin Specialist II

Hiring Range: $74,263 - $87,329

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Contract Monitor in the Office of Community Living.

Job responsibilities will include, but are not limited to:

The chief objective of this position is to ensure compliance of the Medicaid Managed Care Organizations (MCOs) with state and federal regulation through monitoring the contract between the MCOs and the Department of Medical Assistance Services (DMAS) as it pertains to the Commonwealth Coordinated Care Plus (CCC+) Home and Community Based Waiver.

The business needs for this position have in office requirements to include but are not limited to in-person meetings, printing and mailing applications to external stakeholders, and occasional travel.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Extensive knowledge of Medicaid Managed Care Organizations (MCOs).

Extensive knowledge of Home and Community Based Services Medicaid Waivers and/or Long Term Supports and services.

Considerable knowledge of contract monitoring or quality management.

Experience with plan development, implementation, and oversight.

Knowledge and experience using computer programs to include Microsoft word and excel.

Considerable knowledge and experience interpreting and applying state and federal policy and regulations.

Knowledge and experience managing time and meeting deadlines.

Experience communicating and collaborating with internal and external stakeholders.

Experience using Electronic Health Record.

Additional Considerations

There are no additional considerations for this position.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

Applications and/or resumes sh