Hybrid NJ DDD Program Lead & Operations Manager

Infinity-Healthcare-Services; Princeton (NJ); Hybrid; USD 85,000 - 130,000; Full time

Job summary

Infinity Healthcare Services in New Jersey seeks a Program Development & Operations Manager to lead the development, implementation and growth of the NJ DDD services. This hands-on startup role will convert Medicaid and DDD provider approvals into compliant, participant-centered programs, build referrals, coordinate intake, recruit staff, and ensure regulatory compliance.

The successful candidate will establish procedures, manage documentation and billing oversight, and collaborate with

Responsibilities

• Develop and execute a phased implementation plan for Infinity Healthcare Services’ approved New Jersey DDD services.
• Establish service-specific operating procedures, intake workflows, documentation standards and quality-assurance processes.
• Review applicable DDD Supports Program and Community Care Program requirements and translate those requirements into daily operational practices.
• Assist company leadership in determining service areas, participant capacity, staffing requirements and program-growth priorities.
• Maintain an implementation calendar with measurable launch, census, staffing, compliance and financial objectives.
• Assist with long-term preparation for future residential-service development when the company becomes eligible.
• Establish and maintain professional relationships with New Jersey support coordination agencies, support coordinators, individuals, families, schools, hospitals, clinicians, advocacy organizations and community partners.
• Present Infinity Healthcare Services’ approved services to appropriate referral sources.
• Attend provider fairs, community events, planning meetings and other outreach opportunities.
• Develop and maintain a structured referral pipeline.
• Respond promptly to referral inquiries and maintain professional follow-up until the referral is accepted, declined or closed.
• Ensure all outreach and referral-development activities comply with Medicaid and DDD requirements.
• Review referrals, ISPs, assessments, service authorizations and supporting records.
• Confirm participant eligibility, approved services, authorized units, service dates, rates and applicable limitations before services begin.
• Coordinate intake meetings with individuals, families, guardians, support coordinators and planning-team members.
• Evaluate whether Infinity Healthcare Services can safely and appropriately meet each prospective participant’s needs.
• Coordinate qualified staff assignments and establish appropriate service schedules.
• Ensure all required consents, acknowledgments, assessments, emergency information and service documents are completed.
• Monitor pending authorizations and communicate with support coordinators regarding missing or incomplete information.
• Maintain accurate referral, waitlist, admission, transfer and discharge records.
• Identify staffing needs based on authorized participant services and geographic coverage.
• Recruit, interview and recommend qualified DSPs, behavioral professionals, therapists and other personnel.
• Verify education, experience, licenses, certifications, background checks, exclusion screenings and other staff qualifications.
• Coordinate required orientation, DDD training, service-specific training and annual retraining.
• Ensure employees understand participant-specific needs, service plans, documentation requirements, incident-reporting expectations and professional boundaries.
• Establish staffing schedules, backup coverage and procedures for missed or interrupted services.
• Monitor staff attendance, performance, professionalism and service documentation.
• Coordinate personnel matters with company leadership and human resources.
• Develop and maintain compliant service-note templates and documentation instructions.
• Review service records for completeness, accuracy, timeliness and consistency with the participant’s authorized service and Individualized Service Plan.
• Reconcile staff schedules, electronic visit records, service notes, authorizations and claims.
• Monitor utilization to prevent services from exceeding authorized units or service dates.
• Coordinate corrections of incomplete or deficient records before claims are submitted.
• Work with billing personnel to resolve claim refusals, denials, authorization problems and payment discrepancies.
• Maintain organized and audit-ready participant and program records.
• Identify overpayments, billing errors or compliance concerns and immediately report them to executive leadership.
• Maintain working knowledge of applicable New Jersey DDD, Medicaid, HCBS, licensing, incident-reporting and provider requirements.
• Assist in developing, reviewing and implementing the agency’s New Jersey policies and procedures.
• Conduct routine participant-file, personnel-file, service-documentation and billing audits.
• Track complaints, grievances, incidents, investigations and corrective actions.
• Ensure required incidents and concerns are reported within applicable timeframes.
• Coordinate internal investigations and corrective-action plans under the direction of executive leadership.
• Monitor participant health, safety, rights, choice, community integration and satisfaction.
• Prepare the program for DDD, Medicaid and other regulatory reviews.
• Immediately escal…

Job description

Infinity Healthcare Services in New Jersey seeks a Program Development & Operations Manager to lead the development, implementation and growth of the NJ DDD services. This hands-on startup role will convert Medicaid and DDD provider approvals into compliant, participant-centered programs, build referrals, coordinate intake, recruit staff, and ensure regulatory compliance.

The successful candidate will establish procedures, manage documentation and billing oversight, and collaborate with