Director, CAPM Operations
Company: North Texas State Hospital - Wichita Falls Campus
Location: Wichita Falls
Posted on: June 12, 2021
Contract Administration Mgr II performs highly advanced
(senior-level) operational oversight; providing direction and
guidance for contract reporting, compliance and operational
administration related to the Contract Administration and Provider
Monitoring Office (CAPM) within the Medicaid and CHIP Services
Department (MCS). The Contract Administration Manager II leads a
staff that performs financial and contract oversight and
coordinates with other areas of the agency to ensure contract
compliance. Develops and implements resources and tools for CAPM
staff for monitoring contract compliance and performance. Performs
senior -level policy analysis, research and project management to
continually develop the knowledge, skills, tools and resources
necessary to ensure that CAPMs focus, policies, work methods and
practices align with state and federal policies, practices. Assists
in the development of new strategies and policies that lead to
improved results. Performs senior level research; interprets and
analyzes federal and state statutes, rules, regulations, guidance,
contracts and procedures includes achieving the goals and
objectives as set by the Director; developing and reviewing
policies, procedures and guidelines, establishing priorities,
standards, and metrics to ensure outcomes which can be evaluated
and measured. Provides technical expertise and coordinates with
other areas within the agency, as well as federal, state, and local
officials. Works under minimal supervision with considerable
latitude for the use of initiative, independent judgement, and
Essential Job Functions:
30% Oversees a team of subject matter experts, administrative and
special projects staff responsible for the day-to-day shared
service operations related to policy, administration, complaints
and appeals; data quality assurance and reporting; in the
development, implementation, and maintenance of documented and
reportable controls, and best practice processes. Ensures
transparency, accountability, and responsibility of measurable
performance results; and the continuous improvement in support of
the CAPM contract management and compliance functions. Performs
compliance reviews and other quality assurance controls to identify
performance trends, recommending appropriate actions based on
analysis, and clearly articulating them verbally and in writing.
Confirms appropriate intervention and remedies are coordinated and
implemented in accordance with applicable state and federal
20%Plans, assigns, and supervises the work of others; promotes
ethical leadership, excellent performance, confidentiality, a
positive working environment, and professional development; and
uses leadership and teambuilding skills to motivate department
staff to work toward common objectives and goals. Develops and
maintains relationships across internal and external stakeholders
to ensure program, project and contract activities are
collaborative and coordinated with impacted parties. Collaborates
with agency staff and leaders to identify and drive implementation
of best practices and programs; shares relevant information;
identifies concerns and trends; and recommends improvements to
resolve problems or enhance operations in the management and
implementation of daily activities to effectively accomplish goals.
May represent the program at business meetings, conferences, and
seminars or on boards, panels, and committees.
20% Develops and implements tools to analyze contractor performance
using information that includes but is not limited to: expenditure
data, performance reports, quality management reports, technical
assistance and training documentation, and other pertinent data as
it relates to contractor performance. Communicates the results and
recommends actions on a routine basis to program and other CAPM or
HHSC staff as appropriate.
15% Reviews and approves management, productivity and financial
reports and studies. Reviews guidelines, procedures, rules, and
regulations, and monitors compliance. Develops program goals and
objectives to align with CAPM and HHSC strategic and business
plans. Ensures implementation of agency priorities, business plan
measures, and related initiatives. Plans, develops, implements,
coordinates, monitors, and evaluates policies and procedures.
10% Directs program area(s) and activities. Develops and implements
techniques for evaluating program activities. Reviews results of
special investigations, internal audits, sunset committee
recommendations, SAO recommendations, research studies, forecasts,
and modeling exercises to provide direction and guidance. Ensures
that audit recommendations are operationalized.
10% Develops training materials and delivers presentations to
management and staff related to procurement and contracting
requirements and other program information. Serves as subject
matter expert on assigned workgroups.
Other duties as assigned. May be required to work hours outside of
normal business hours as needed.
Knowledge Skills Abilities:
Knowledge of federal and state Medicaid and CHIP laws, regulations
as well as federal laws and legislation preferred. Proven skills in
analyzing and evaluating complex federal and state legislation,
program, policy, and operations issues. Advanced project management
skills and ability to establish project goals and objectives.
Experience in implementation of complex Medicaid and CHIP
initiatives preferred. Proven ability to manage advanced complex
initiatives with independent judgment including addressing changes
in project scope, resources, and budget. Knowledge of policies and
operating systems in fee-for-service and managed care preferred.
Ability to analyze complex information and develop options and
plans to address identified issues. Skill in performing complex,
advanced level research. Skill in synthesizing, analyzing and
evaluating highly complicated and technical information and
translate it into easily understandable and concise documents and
oral presentations for agency execution, elected officials and the
public. Skill in identification of project risks and gaps and the
ability to develop creative and workable solutions to complex
problems and policy issues. Skill in interpersonal relationships,
including the ability to work with people under pressure, negotiate
among multiple parties, resolve conflicts, and establish and
maintain effective working relationships with various level
personnel in governmental entities. Proven negotiation and
facilitation skills. Proven ability to apply independent judgment
in making critical decisions. Ability to lead and work
cooperatively in a team environment. Ability to use word-processing
and spreadsheet applications in a windows environment. Skill in
communicating effectively both orally and in writing.
Registration or Licensure Requirements:
Certified Texas Contract Manager (CTCM) is preferred and required
within 12 months of hire date unless otherwise approved by
Initial Selection Criteria:
Minimum five years of experience in contract management. Minimum of
five years of experience in business process improvement
initiatives, including development of policies/procedures.
Supervisory experience preferred.
Military occupation(s) that relate to the initial selection
criteria and registration or licensure requirements for this
position may include, but not limited to: 51C, LS, SK, 3044, 6C0X1.
All active duty military, reservists, guardsmen, and veterans are
encouraged to apply if qualified to fill this position. For more
information see the Texas State Auditors Military Crosswalk at
HHS agencies use E-Verify. You must bring your I-9 documentation
with you on your first day of work.
- Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS
agencies will provide reasonable accommodation during the hiring
and selection process for qualified individuals with a disability.
If you need assistance completing the on-line application, contact
the HHS Employee Service Center at 1-888-894-4747. If you are
contacted for an interview and need accommodation to participate in
the interview process, please notify the person scheduling the
Keywords: North Texas State Hospital - Wichita Falls Campus, Wichita Falls , Director, CAPM Operations, Other , Wichita Falls, Texas
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