Assistant Deputy Chief of Programs, Policy, Contracts, and Compliance - 17966
State of Tennessee
Business & Professional Services , Government , HR, Office & Administrative Support
Position Description / Responsibilities
Under supervision of the Assistant Commissioner and Chief of Long-Term Services and Supports (LTSS), an employee in this position will serve as the Assistant Deputy Chief of Programs, Policy, Contracts, and Compliance.
The successful candidate will report directly to the Chief of LTSS (or Deputy Chief of LTSS) and be responsible for leading and directing LTSS programs, policy, contracting, and compliance functions as further described below.
- Lead and direct the administration of all TennCare LTSS programs, including CHOICES, Employment and Community First CHOICES, the Program of All-Inclusive Care for the Elderly (PACE), Dual Eligible Special Needs Plans and initiatives, the Katie Beckett program, Section 1915(c) Home and Community Based Services (HCBS) waivers, and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID).
- Assist the Chief of LTSS to develop and implement strategic program innovations and improvements.
- Lead and direct LTSS initiatives to facilitate ongoing seamless conversion and progress dual eligible alignment activities and strengthen coordination requirements and processes across the three aligned D-SNPs, as well as non-Medicaid D-SNPs.
- Lead and direct the development and implementation of LTSS policies, protocols, and policy-related communications that guide the implementation and ongoing operation of LTSS programs and services.
- Monitor and assure compliance with federal laws and regulations, federally approved waivers, state laws and administrative rules, contract requirements, policies and protocols pertaining to LTSS programs and services.
- Lead and direct the ongoing procurement, contract development, amendment, readiness review, implementation, compliance monitoring and oversight processes for all LTSS-related contracts with Managed Care Organizations (MCOs) and other system partners responsible for the day-to-day administration of LTSS programs and services, including the Department of Intellectual and Developmental Disabilities (DIDD) and other state agencies, Area Agencies on Aging and Disability, Dual Eligible Special Needs Plans, contracted fiscal employer agent, etc.
- Ensure that all contract deliverables are reviewed and analyzed by assigned staff accurately and timely, and used by program leads to assure vendor compliance with program and contract requirements and to improve vendor performance and outcomes.
- Oversee the audit team's development and implementation of an audit plan as prescribed in the CMS-approved TennCare Quality Strategy, an audit schedule, audit procedures and protocols, and ensure that results from audits analyzed for trends and opportunities, and are used by program leads for purposes of program and vendor management and performance improvement.
- Analyze, track, prepare and present to the Chief of LTSS and Executive Staff on an ongoing basis information pertaining to LTSS contractor performance (based on reviews of contract deliverables, audits, etc.). Coordinate with Senior Staff in other business areas to aggregate performance data in order to better inform program decision making and vendor management.
- Oversee ongoing communication processes with MCOs and other vendors to discuss program and vendor performance, address performance concerns, and continuously drive improvement.
- Serve as a member of the LTSS Senior leadership, and collaborate with other senior leaders to implement LTSS initiatives across LTSS programs and services.
- Represent TennCare and LTSS at internal and external meetings related to LTSS programs and services. Provide and present updates, as needed; serve as a SME regarding TennCare LTSS.
- Maintain and strengthen relationships and communication with stakeholders specific to each of the LTSS programs.
Bachelors degree from an accredited college or university
- 5+ years full-time experience in LTSS or health-related programs, including at least 2-3 years leading the implementation or ongoing operation of aspects of such program(s)
Desirable Qualifications A master's degree in from an an accredited college or university
- Excels at developing teams, building relationships and networks; influences others to achieve challenging outcomes on ambitious timeframes
- Demonstrated capacity to successfully lead and navigate within a fast-paced environment with shifting priorities and varying degrees of ambiguity
- Strategic, systems and process-focused thinker and planner, data-driven and analytical in approach to solving problems; enjoys building and rebuilding
- Results/action-orientation; demonstrated project management expertise
- Flexible and adaptable; ability to adjust plans based on new learning and/or changing program goals
- Excellent organizational skills, including the ability to prioritize, multi-task, and manage workload to meet specific timeframes and deadlines with minimal supervision
- Excellent written and oral communications skills; active listener that can quickly adapt communication to the needs of audiences
- Organizational and political savvy and agility; well-developed negotiation skills
- High emotional intelligence and professional confidence reflected by strong interpersonal skills
Apply at: www.tn.gov/careers