MAJOR POSITION DUTIES AND RESPONSIBILITIES:

1. Maintains a working knowledge for reviewing and analyzing existing Medical Assistance (MA) regulations at 55 Pa. Code Chapters 1101, 1187, and 1189 regulations governing Nursing Facilities.
2. Primary contact for managing the procedures and guidelines for the LTC Nursing Facility grant project through participation in the development of Request for Proposals (RFP’s), serving on the reviewing and selection committee, and the development and maintenance of the CMP NF grant monitoring tool.
3. Ensures CMP approved projects support resident and family councils and other consumer involvement in assuring quality care in facilities.
4. Maintains and updates the states website on all approved CMP funds to make publicly available to include the dollar amount awarded, the grantee or contract recipients, the results of the project and any other applicable information.
5. Monitors contracts to ensure services are consistent with contract language and comply with federal and state regulations, guidelines, and procedures.
6. Participates in workgroups to develop program contracts including work statements, program narratives, budget projections, allocation of monies and amendments.
7. Collaborates with program offices and internal staff to develop program proposal specifications and evaluation criteria.
8. Serves on evaluation committees to select contract providers and participates in contract or grant agreement negotiations.
9. Develops, implements, reviews, monitors, and evaluates internal and external program manuals and materials based on legislative, regulatory or policy revisions.
10. Responds to phone calls, emails, and other correspondence from providers, representatives, and other stakeholders.
11. Requires the ability to conceptualize automated systems solutions across various IT applications and systems and to analyze and interpret data.
12. Demonstrate a working knowledge of various computer programs such as PROMISe™ and Microsoft Office products.
13. Reviews documents for adherence to Departmental policy, standards, and guidelines, including current Medical Assistance regulations and CMS waivers guidelines where applicable.
14. Maintains the appropriate databases for data input, research, and analysis, updating, and reporting purposes.
15. Prepares written responses for the Secretary and Deputy Secretary as well as correspondence for the Director, Bureau of Fee for Service Programs and the Director, Division of Provider Operations. Respond effectively to inquiries from legislators, providers and other business partners both orally and in writing
16. Review reports and provide responses to various inquiries and report information to management staff on findings as needed. Prepare and scan documents for the electronic filing system including completion of quality control process and renaming documents.
17. Other CMP duties as assigned.