Assistant Deputy Chief of Programs, Policy, Contracts and Compliance
TennCare is Tennessee’s managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.4 million Tennesseans and operates with an annual budget of approximately $12 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
WHY WORK AT TENNCARE
TennCare’s mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and work collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.
JOB AND DEPARTMENTAL OVERVIEW
Under the Assistant Commissioner and Chief of Long-Term Services and Supports (LTSS) supervision, an employee in this position will serve as the Assistant Deputy Chief of Programs, Policy, Contracts, and Compliance. Long-Term Services and Supports (LTSS) is one of the largest units within TennCare with a team of highly capable staff who are committed to leading the ongoing development and operation of an innovative, sustainable, person-driven long-term services and supports (LTSS) system in which older adults and people with disabilities and/or chronic conditions have the choice, control and access to a full array of high-quality services and supports that assure optimal outcomes, including independence, health, and quality of life. The successful candidate will assist the Chief of LTSS in managing the State’s CHOICES, ECF CHOICES, and Katie Beckett programs and, upon implementation, Integrated I/DD programs effective contracting, readiness review, and ongoing communication and monitoring processes.
• Oversee and support the policy team to ensure that all contracts and amendments are completed accurately and timely
• Ensure that all CHOICES, ECF CHOICES, Katie Beckett, and upon implementation, Integrated I/DD program deliverables are reviewed and analyzed by assigned staff accurately and timely.
• Ensure that the Audit and Reporting team develops and deploys an LTSS wide audit schedule that includes the timeframe for each audit.
• Ensure those audit timelines are shared with Contractors in advance of the new year and that audit announcements, sample requests, audit tools, and audit reports are issued accurately and timely according to the approved audit schedule and protocol.
• Assist in the state’s efforts to maintain and demonstrate compliance with federal requirements by ensuring all information for federally and ad hoc reporting is accurate and timely.
• Attend and support the team in leading and facilitating monthly meetings with the MCO’s.
• Provide and present updates related to CHOICES, ECF CHOICES, Katie Beckett, and upon implementation, Integrated I/DD programs for the MCO executive staff during the scheduled Quarterly meetings, Executive staff meetings, and monthly senior staff meetings (when requested).
• Engage and support efforts specific to workforce development and reportable events management.
• Review and provide feedback on MCO submitted documents via OCCP and through TDCI. Represent TC at internal and external meetings related to MCO performance and compliance.
• Maintain and strengthen relationships and communication with stakeholders specific to each of the MLTSS programs.
• Oversee and support the team in ensuring that all federal, state, and policy changes are reviewed timely.
• Ensure that all PPL, AAAD, PACE and DSNP deliverables are reviewed and analyzed by assigned staff accurately and timely.
• Work closely with each program owner to make sure that results from audits are discussed and analyzed for trends and opportunities. Oversee appropriate communication, CAPs, and LDs are issued when needed.
• Seek opportunities both from a State and Federal level on opportunities to support alignment of dual-eligible members further.
• Support Division initiatives to facilitate ongoing seamless conversion and progress dual-eligible alignment activities and strengthen coordination requirements and processes across all three health plans, as well as non-Medicaid D-SNPs.
• Fully completes the performance management (PM) review process for each direct report by ensuring the performance plan is written using the SMART Formula and performance-planning discussion is held by the designated PM deadline
• Bachelor’s degree in a related field
• Excels at developing teams, building relationships and networks; influences others to achieve challenging outcomes
• on ambitious timeframes
• Strategic thinker and planner, data-driven and analytical in approach to solving problems
• Ability to work in a fast-paced environment with shifting priorities and varying degrees of ambiguity
To see all the great benefits available to State of Tennessee employees, go to the TN.gov Benefits page: https://www.tn.gov/hr/employees1/benefits.html
How to Apply
To apply for this job or see other opportunities at TennCare, visit the state of Tennessee’s Careers page today: https://www.tn.gov/careers/apply-here.html
- Date Posted: July 16, 2021
- Type: Full-Time
- Job Function: Administrative
- Service Area: Government