MANAGED CARE PROGRAM MANAGER 2 - 01072024-64541

Job Information

LOCATION OF (1) POSITION TO BE FILLED: DIVISION OF TENNCARE, LONG TERM CARE, DAVIDSON COUNTY.

Working Job Title: Assistant Director of Intellectual Disability Services

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.

TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.

This position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Qualifications

Overview

Responsibilities

1. Develops job plans for assigned subordinates to communicate responsibilities and expected outcomes of performance in their role.
2. Develops strategies and objectives for assigned program areas to enhance performance and improve organizational efficiency.
3. Develops strategies for addressing staffing and head count needs to ensure adequate coverage for assigned workload.
4. Develops strategies for implementing policies and policy changes.
5. Develops spreadsheets, presentations, forms, memos, database queries, logs, and other systems as required to facilitate accurate data gathering, tracking, training, and dissemination.
6. Develops process improvement suggestions to streamline workflow and improve productivity and accuracy.
7. Develops strategies for transition to new contractors and/or vendors.

1. Audits transactions completed by assigned subordinates to ensure accuracy and compliance with standards prior to approval.
2. Evaluates recommendations from staff to improve the economy, efficiency and quality of organization, operations and services.
3. Evaluates the organization, operations and services of a program area.
4. Evaluates recommendations for changes in program policies and procedures and audit tools.
5. Drafts new, or evaluates existing, contractual requirements with contractors or vendors.
6. Evaluates electronic data to ensure accuracy with established protocols and procedures.

1. Actively seeks out work related to developmental opportunities for self and assigned subordinates to improve performance and team efficiency.
2. Periodically reviews current departmental, state, and federal information sources to identify relevant changes in policies, procedures, rules, regulations, and best practices.
3. Attends agency specific training as required to ensure compliance with departmental, state, and federal laws and guidelines.
4. Attends in-service training as required to ensure continual learning and current knowledge of the field.
5. Develops new knowledge, skills and abilities by acquiring and utilizing a new skill set.

1. Leads assigned subordinates in handling complaints, settling disputes, and resolving grievances and conflicts, and otherwise negotiating with others.
2. Leads assigned subordinates in developing constructive and cooperative working relationships with others and maintaining them over time.
3. Leads assigned subordinates in scheduling events, programs, and activities, as well as the work of others.
4. Leads assigned subordinates in monitoring and reviewing information from materials, events, and the environment to detect and assess problems.
5. Leads assigned subordinates in entering and maintaining information in written and electronic form.

1. Contacts vendors and other outside agencies to obtain/provide required information for clarification purposes.
2. Communicates with outside callers to obtain/provide required information, correct errors, and/or for clarification purposes.
3. Performs the most important and difficult public contact and liaison work in explaining and interpreting the Health Care Finance and Administration program.
4. Communicates with legislative staff to investigate and resolve constituent problems and/or program issues.

1. Coordinates with upper management, peers, and assigned subordinates to facilitate workload assignments for the purpose of timely and accurate task completion.
2. Coordinates priorities of work to be accomplished so more important tasks are finished first.
3. Coordinates and facilitates activities of collaborative work groups.

1. Monitors data, reports, compliance audits and contract deliverables for accuracy.
2. Reviews the work of assigned subordinates to provide assistance and guidance on proper order and completion.
3. Monitors resources used by subordinates to ensure sufficient inventory and access to necessary equipment and software.
4. Monitors production quotas for assigned subordinates to ensure that required quotas are met.

1. Obtains information regarding enrollees through multiple media for processing or distribution to subordinates.
2. Receives production and error reports from staff and multiple computer systems to maximize productivity and minimize errors.
3. Receives information from accounting personnel and program personnel in order to develop budgets and contracts.
4. Receives invoices related to contracts for review and to ensure accuracy.

1. Selects job candidates who best fit available positions based on the results of selection assessment and testing.
2. Approves, directly or tacitly, all transactions completed by assigned subordinates to ensure accuracy and compliance with current policies and standard operating procedures.
3. Approves or denies performance evaluations on behalf of the appointing authority to ensure compliance with current policies and standard operating procedures.

1. Notifies supervisory personnel of possible violations of departmental, state, and federal laws, rules, regulations, guidelines, policies, and procedures.
2. Provides guidance and expert advice for changes in division's operations, efficiency and quality of operations and services, both internally and externally.
3. Advises peers and/or assigned subordinates on proper departmental procedures related to the accomplishment of their daily workload.

1. Assesses the performance of assigned subordinates to conduct the performance management process.
2. Assesses the quality of the work of assigned subordinates to provide advice and guidance related to performance management and development.
3. Assesses employee disciplinary and performance management documentation to provide recommendations to directors and Human Resources staff.
4. Assesses candidate applications/resumes to determine who should be interviewed and recommend a candidate for employment.
5. Assesses the contractors and/or service providers to determine qualifications and ability to meet program standards.

1. Encourages and builds mutual trust, respect, and cooperation among team members.
2. Conducts periodic performance development meetings with assigned subordinates to communicate and develop job plans and provide performance feedback and developmental guidance.

1. Resolves disciplinary issues of assigned subordinates.
2. Resolves interpersonal conflicts between assigned subordinates to ensure a respectful and productive work environment.
3. Resolves simple conflicts to ensure timely and efficient performance and maintain positive working relationships with internal and external customers.
4. Maintains a respectful and productive work environment within the assigned work unit to minimize disputes and facilitate performance.
5. Directs complex or difficult to resolve conflicts, both internal and external, to assigned director.

1. Continually documents the performance of assigned subordinates to ensure accurate and unbiased performance management documents.
2. Documents investigations performed for employee relations purposes to ensure accurate information is used in decision making.
3. Receives information from accounting personnel and program personnel in order to develop budgets and contracts.
4. Utilizes tracking databases to continually document reportable information for audit compliance purposes.

1. Interprets a variety of current rules, regulations, policies, procedures, and documentation for internal and external business partners and customers to facilitate understanding, enhance communications, and ensure compliance.
2. Explains program specific procedures and regulations to persons internally, in other departments or divisions, or outside organizations and representatives, as required.

1. Uses appropriate databases and tracking software specific to federal, state and agency, as required.
2. Uses office productivity software including but not limited to word processing programs, spreadsheet programs, presentation software, web-based email programs and search engines.

1. Networks with internal and external business partners to ensure open dialogues exist and to facilitate coordination and unified effort.
2. Maintains professional working relationships with peers, with assigned subordinates, and with Executive Staff to ensure smooth and effective team operations.

1. Identifies the developmental needs of others and coaches, mentors, or otherwise helps others to improve their knowledge or skills.
2. Conducts periodic performance development meetings with assigned subordinates to communicate and develop job plans and provide performance feedback and developmental guidance.

1. Schedules personal workload and the workloads of assigned subordinates to ensure timely processing and account for current workload. Resolves interpersonal conflicts between assigned subordinates to ensure a respectful and productive work environment.
2. Schedules deadlines for subordinates to ensure timely submission of required information.
3. Schedules training, orientations, meetings, and projects, as required.

1. Maintains confidential reports, files, and logs as required to ensure compliance with departmental, state, and federal laws, rules, regulations, and best practices.
2. Enters personal time and leave/overtime requests into the appropriate databases, as required.
3. Responds to emails, phone calls, and other correspondence as required.

1. Identifies changes to policies to update standard operating procedures and ensure that the team's work is in compliance with the most current standards as well as state and federal.
2. Identifies work priorities to ensure the most important work is completed first based on work experience, supervisor guidance, and departmental, state, and federal laws, rules, regulations, and guidelines.

Competencies (KSA's)

1. Decision Quality
2. Perspective
3. Problem Solving
4. Process Management
5. Perseverance
6. Managerial Courage
7. Written Communication
8. Integrity and Trust
9. Approachability
10. Building Effective Teams

1. Administration Management
2. Law and Government
3. Customer and Personal Service

1. Monitoring
2. Active Listening
3. Critical Thinking
4. Reading Comprehension
5. Trouble Shooting
6. Complex Problem Solving
7. Systems Evaluation
8. Management of Personnel Resources
9. Time Management

1. Inductive Reasoning
2. Deductive Reasoning
3. Oral Comprehension
4. Speed of Closure
5. Written Comprehension
6. Written Expression
7. Speech Clarity

Tools & Equipment

1. Personal Computer
2. Telephone
3. Fax Machine
4. Printer/Copier/Scanner