DIRECTOR, SELF-DIRECTED SERVICES

People Inc.; Town of Amherst (NY); On-site; USD 62,000 - 66,000; Full time

Job summary

People Inc. is seeking a Program Director to manage Self-directed Services in the Community Based Services Department. The role provides oversight, guidance and support to Self-Directed Services within the Management Team.

Responsibilities include audits, policy development, supervision of FI Representatives and Self-Direction Specialists, and ensuring Medicaid billing accuracy and resource recoupment. Strong regulation knowledge and NY credentials are required.

Qualifications

• Bachelor's degree preferred or combination of experience and education.
• Must have NY State Broker Credentials or completed upon hire.
• Knowledge of OPWDD regulatory standards.
• Excellent communication, both verbally and in writing.
• Proficient with Microsoft Office suite.

Responsibilities

• Maintain knowledge base of self-directed programs, regulations, finances, and operations.
• Ensure readiness for external/internal reviews and surveys; coordinate follow-up with Compliance Analyst.
• Supervise Fiscal Intermediary Representatives and Self-Direction Specialists.
• Develop policies for self-directed services relating to billing and regulations.
• Oversee invoices and staff payroll to recoup agency resources.
• Review budget item documentation to meet Medicaid billing standards.
• Approve hiring, status changes, and pay rate changes per plans.
• Assist FI Representatives in plan-owner communications and staff coaching.
• Coordinate incident management and follow up on notifications.
• Ensure programs are high quality with continuous improvement.
• Lead new projects supporting agency strategic plans.
• Provide financial and budgeting oversight as assigned.
• Comply with all agency policies and procedures.
• Other duties as assigned.

Skills

Communication skills

Microsoft Office

Education

Bachelor's degree preferred

Job description

Salary Pay Range: $62,353.20 to $66,000

As a member of the Management Team, the Program Director will be responsible for administering and managing Self-directed Services. Provide oversight, guidance and support to Self-Directed Services in the Community Based Services Department as a Program Director.

Essential Functions/Responsibilities

• Maintain a comprehensive understanding/knowledge base of the self-directed programs/models, including regulations, finances and day–to-day operations.
• Ensure program is prepared for external/internal reviews and surveys. Assist in coordination the follow-up and responses to any audit findings with ‘Compliance Analyst’.
• Supervision and development of Fiscal Intermediary Representatives and Self-Direction Specialists, including the awareness and knowledge of staff talent pool, staff backgrounds and experience.
• Assist in developing policies and procedures for self-directed services as they relate to changes in billing, regulations, and day-to-day operations.
• Provide oversight of Self-Direction Specialists to ensure accuracy in invoices and staff payroll to ensure agency resources are fully recouped within the billing.
• Review of justification and supporting documentation for non-routine budget items (including housing, Therapies, OTPS, etc.) to ensure Medicaid billing standards are being met.
• Approve employee hiring, status changes, rate of pay changes as per approved self-directed plans.
• Support Fiscal Intermediary Representatives in communication with plan owners when questions arise regarding their plans. This includes coaching on staffing concerns and discipline.
• Incident Management - Coordination of incidents including appropriate notifications, actions and follow up.
• Ensure programs are of high quality and that improvement is continuous and immediate with appropriate follow up.
• Assumes leadership role in new project assignment that support Agency strategic plans.
• Financial and budgeting oversight as assigned.
• Complies with all agency policies and procedures.
• Other duties as assigned.

Minimum Qualifications

• B.A., B.S. preferred or combination of experience and education
• Current New York State Broker Credentials or completed upon hire
• Must have knowledge of OPWDD regulatory standards
• Excellent communication, both verbally and through writing, and customer satisfaction skills
• High-level understanding and ability to work within Microsoft Office suite

Supervisory Responsibilities

• FI-Representative
• Others as assigned