Senior Manager, Personal Care Attendant Program

The MassHealth Office of Long-Term Services and Supports (OLTSS) is responsible for managing a comprehensive system of care for elders and persons with disabilities. OLTSS manages a range of thirteen (13) Fee-For-Service (FFS) programs that includes include Hospice, Home Health Agency (HHA), Independent Nursing (IN), Therapies, DMEPOS programs (Durable Medical Equipment, Oxygen and Respiratory Therapy Equipment, Prosthetics and Orthotics), Personal Care Attendant (PCA), Early Intervention, Adult Foster Care (AFC), Group Adult Foster Care (GAFC), Adult Day Health (ADH), Day Habilitation, Nursing Facilities, Chronic-Disease Rehabilitation Hospitals as well as two coordinated care programs, Senior Care Options (SCO) and the Program of All Inclusive Care for the Elderly (PACE).

The Personal Care Attendant (PCA) Program Manager manages the contracts for two types of providers: 1 Fiscal Intermediary (FI) and 18 Personal Care Management (PCM) agencies.  This work includes Compliance Management, Contract Management, and functioning as Team Lead for the OLTSS PCA Team.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Develop and implement procedures and guidelines to accomplish program objectives and goals.
• Design and conduct analyses of current and proposed payment methods and policies for PCA program.
• Utilize the OLTSS finance dashboard and other available reporting to analyze program performance and to support rate development and fiscal impacts.
• Ensure program management and service delivery activities effectively support program services goals.
• Assist in the orientation and training of new program staff.
• Manage and provide ongoing support and guidance to team members.
• Manage projects and initiatives relative to the programs.
• Oversee TPA in program-related Board of Hearing (BOH) cases and collaborate with appropriate OLTSS internal staff.
• Manage the review, filing, and follow up of critical incident reports.
• Manage multiple priority projects and maintain up-to-date work plans, implementation strategies and communication plans.
• Draft procurement materials, communications, and reporting metrics.
• Establish and maintain stakeholder relationships.
• Oversee the PCM and FI contract compliance and any necessary update or amendment to those contracts.
• Work cross-functionally within MassHealth and with other state agencies.

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.   

Preferred Qualifications:                                                      

• Knowledge of strategic and operational planning processes related to clinical and business operations.
• Experience leading a team of professionals.
• Knowledge and experience in LTSS program policy development, analysis and evaluation.
• Possess s