Financial Management & Counseling Services Program Manager

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 and 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

• 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.

Benefits

State of Maryland Benefits

Further Instructions

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.