ACH Quality Program Manager

Important Recruitment Information for this vacancy

• Job Posting closes: Open until Filled
• Required documents uploaded by: All required documents listed below must be attached to your application within 2 days of applying for your application to be considered complete.

Agency Information:

Kansas Department for Aging and Disability Services

Protecting Kansans, Promoting Recovery and Supporting Self Sufficiency

https://www.kdads.ks.gov/

About the Position

Who can apply: Anyone

Classified/Unclassified Service: Unclassified

Full-Time/Part-Time: Full-Time

Regular/Temporary: Regular

Work Schedule: M-F

Eligible to Receive Benefits: Yes

Veterans' Preference Eligible: Yes

Disability Preference Eligible: Yes

Search Keywords: ACH Quality Program Manager

Compensation: Up to $50,000.00 annually

* Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

Comprehensive medical, mental, dental, vision, and additional coverage

Sick & Vacation leave

Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave

Paid State Holidays (designated by the Governor annually)

Fitness Centers in select locations

Employee discounts with the STAR Program

Retirement and deferred compensation programs

Visit the Employee Benefits page for more information…

Position Summary & Responsibilities

Position Summary:

Incumbent works with prospective Nursing Facility (NF) providers on enrollment into the Medicaid reimbursement program, changes of ownership and monitors the NF Enforcement Civil Monetary Penalties and Denial of Payments. The incumbent serves as a subject matter expert for the Nursing Facility Quality Care Assessment program and relays and explains policy or program decisions to the general public; facilitates SCCC review of MDS and medical information to determine eligibility for the VENT program; prepares correspondence, documents and standardized reports, providing recommendations to management on required program changes; and researches agency computer records, (KOTA) files, Kansas Medical Assistance Program (KMAP), Kansas Medicaid Modular System (KMMS), the Internet and other sources as necessary to provide information requested from KDADS program managers, data analysts, contract monitors, the Division Director or to service providers and customers. Incumbent manages the annual resident satisfaction survey and reporting of ratings for Kansas skilled nursing care facilities as required in K.S.A. 75-7435(k). Incumbent will promote, research, implement, and report on quality improvement initiatives with rate setting in adult care homes; this task may include responding to legislative inquiries and requests, a new agency priority, association request, or CMS mandate. Incumbent will attend association conferences to educate, share and present new quality initiative information with nursing facility staff and leadership. Incumbent will be the agency lead for the Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK) program including participating in and managing scheduling of the annual site visits to nursing facilities in the PEAK program requesting to advance levels to verify fidelity to the program requirements, managing the contract to administer the program and overseeing the advisory board activities. This is a hybrid work schedule position.

Job Responsibilities may include but are not limited to the following:

Technical Assistance

Research agency computer records, Nursing Facility (KOTA) files, KMMS, the Kansas Medical Assistance Program (KMAP), the Internet and other sources as necessary to provide information requested from KDADS program managers, contract monitors, and the Division Director or to service providers and customers.

Upon receipt of a Letter of Intent (LOI) and other correspondence that would indicate a change for the Nursing Facility collaborate and communicate change with the Survey, Certification and Credentialing Commission (SCCC), the fiscal agent & KMAP, the owners involved, current rate setting contractor, and current PEAK contractor. Research and evaluate past NF records to identify the source of any possible conflicting information, determine necessary changes, complete, and submit KDADS MS-1 Form to the State Medicaid Fiscal Agent to initiate change to MMIS and KMMS records. Compile and forward information from KDHE reports using appropriate forms and formats to the fiscal agent, the Division Director, KDADS’ Auditing Services Manager, the Managed Care Organizations (MCOs) and the state’s NF rate-setting contractor to ensure that all who need updated information receive it. Receive requests, process, and track and monitor listing of request, prepare appropriate forms and letters.

Sends enrollment packets to potential providers for enrollment, tracks, and processes business portion of change of ownership requests including initial rate setting, and cost report schedule. Review, route for audit, director, and final approval on change of ownership requests. Conduct Medicaid enrollment background checks for new providers and changes of ownership prior to enrollment in Medicaid program. Work with SCCC and providers to resolve questions, issues regarding change of ownership process and/or requirements.

Works with state staff on tracking and reports, current program tasks, and policies and procedures. Analyze, review, and recommend technological and procedural changes to ensure compliance with policy and improve work process. Interprets statutes, regulations, policies, and procedures and assists owners and employees of nursing facilities, independent accountants, and the general public seeking information about nursing facility reimbursement. Responds to provider complaints of a routine and non-routine nature.

Quarterly Care Assessment/Data Management

Establish, maintain, and update files and database records on each NF provider (approximately 360 homes). Identify and retrieve data from KMMS, KOTA NF files and database records as necessary.

Serves as a subject matter expert for the Nursing Facility Quality Care Assessment program. Track Quality Care Assessment payments and format, type, and send Quality Care Assessment notices and delinquency letters to Nursing Facilities when appropriate. Develops, and maintains an electronic tracking system for the Quality Care Assessment payments, which includes the collections and assessments penalties for non-payments, payment plans, and non-timely payments. Maintains database and provides periodic status and fiscal report on Quality Care Assessment payments. Works with KDHE, Medicaid Fiscal Agent, MCOs, and rate-setting contractors regarding any changes required to Licensed bed count and Quality Care Assessment.

Quality Initiatives/NF Enforcement/PEAK Program

Take the lead in re-establishing an annual quality of life survey for nursing home residents. This may include writing a Request For Proposal, reviewing bidders, managing the contract, presenting the results, and engaging nursing facilities to increase participation.

Agency lead for the Promoting Excellent Alternatives in Kansas Program. Manage, schedule, and participate in PEAK site visits to nursing facilities across Kansas to measure compliance with person-centered care. This involves some overnight stays each Spring, interviewing staff and residents, documenting responses, and collaboration with the State’s PEAK contractor. Provide feedback on process improvement and attend trainings related to person-centered care. Attend Association and other related conferences, typically in the Fall, to promote and provide education around agency initiatives. This will occasionally involve overnight stays. Manage contract compliance with contractor that administers the program.

Oversee notification, processing, and collection of civil monetary penalties for NF Enforcement. Works with SCCC, providers, and CMS to resolve issues regarding civil monetary penalty or denial of payment. Be proficient in working with the ASPEN database. Notifies MCOs of resulting rate changes due to imposition or disposition of penalties and denials of payment. Format, type, and send enforcement letters to nursing facilities and other state agency staff in notification of denials of payment. Create MS-1 forms to notify fiscal intermediary of denial of payment status and initiate data changes in MMIS and KMMS. File completed MS-1 forms until confirmation that the change has been entered into the MMIS and KMMS system to ensure that changes are made. Track payment status of nursing facilities from which payment is being denied and initiate removal of payment denials upon notification that nursing facilities are back in compliance with state and federal requirements.

Identify sources, obtain, compile, and evaluate data and information relative to special projects and initiatives as assigned. Determine possible results and impact on agency programs by incorporation of possible changes and submit written recommendation for application to Program & Policy Commission; program managers, Division Director for further consideration and final determination of action to be taken.

Back-up for VENT program to include: Track and process applications for clinical review to ensure compliance with regulations, and work with provider regarding issues; advocate for the growth of this program; collaborate with clinical team; notify MCOs, policy team and fiscal agent of approvals and removals.

Division/Commission/Agency Support and Assistance

Support team with contract amendments, updates and requests for proposals as requested. Serve on committees as appointed to provide input and assistance on agency issues such as intra-agency communication and central filing systems or as the agency’s representative on external committees. Liaison on agency executive’s behalf by planning, coordinating and/or participating in KMMS transition.

Resource Maintenance

Maintain the KDADS Policy Manual for Division staff reference incorporating updates in a timely manner to ensure that the manual offers the most recent information available on agency policy and procedures. Completes special projects and performs other duties as assigned including but not limited to ensuring the agency is adequately staffed during and immediately following natural and/or manmade disasters, infectious disease outbreaks, and/or acts of terrorism. Assists other employees in the work unit in accomplishing assignments as necessary.

Qualifications

Minimum Requirements:

• One year of experience in providing direction necessary to implement the objectives of an agency, program, or organizational unit. Education may be substituted for experience as determined relevant by the agency.
• One year of experience in collecting, evaluating, studying, or reporting on statistical, economic, fiscal/budget, legislative or administrative data.
• Proficient with MS Outlook, Word, and Excel.
• Travel

Preferred:

• Bachelor’s Degree in Public Administration, Health Care Policy/Education, or related/relevant area of study.

Recruiter Contact Information

KDADS – Human Resources Recruiter

503 S. Kansas Ave

Topeka, KS 66603

Phone: 785-296-0463

Fax: 785-368-6688

Email: KDADS.APPLY@ks.gov

Job Application Process

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Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications.

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Start your draft job application, upload other required documents, and Submit when it is complete.

Manage your draft and submitted applications on the Careers> My Job Applications page.

Check your email and My Job Notifications for written communications from the Recruiter.

Email – sent to the Preferred email on the My Contact Information page

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Required Documents for this Application to be Complete

Upload these on the Careers - My Job Applications page

Transcripts

DD214 (if you are claiming Veteran’s Preference)

Upload these on the Attachments step in your Job Application

• Cover Letter
• Resume

Helpful Resources at jobs.ks.gov: “How, What, & Where do I Upload Documents”

How to Claim Veterans Preference

Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.

Learn more about claiming Veteran’s Preference

How to Claim Disability Hiring Preference

Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.

Learn more about claiming Disability Hiring Preference

PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to , or can be mailed/delivered in person to:

ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Landon State Office Building
900 SW Jackson, Rm 401
Topeka, KS 66612

Equal Employment Opportunity

The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.

If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.

Job Type: Full-time

Pay: Up to $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to Commute:

• Topeka, KS 66603 (Required)

Ability to Relocate:

• Topeka, KS 66603: Relocate before starting work (Required)

Work Location: Hybrid remote in Topeka, KS 66603

Salary : $50,000