Deputy Administrator - HHS - Office of Managed Care Solutions

MCS Deputy Administrator

The MCS Deputy Administrator performs professional work under the supervision of the Administrator of Managed Care Services. This professional assists in planning, developing, and implementing a large comprehensive Behavioral Health Managed Care Medicaid program. Ensures contract compliance with PA DHS contract and sub-contract with Behavioral Health Managed Care Organization.

Essential Duties and Responsibilities :

• In collaboration with the MCS Administrator, oversees the DHS contract requirement as set forth in the Program Standards Requirements.
• Lead role in the oversight of Quality and Performance of the HealthChoices program.
• Lead role in the oversight of all program initiatives.
• Oversight of certain administrative contracts- reinvestment, programs related to special initiatives, advocacy and Consumer satisfaction. Tasks include procurement, contracting, monitoring.
• Lead role to oversee all Request for Proposals issued by MCS or in collaborations with another HHS office.
• Assists in overseeing the MCS operational policies and procedures in support of the HealthChoices Program Standards and Requirements.
• Assures the timeliness, accuracy and completeness of all program and quality reports.
• Participates in the development and monitoring of capitation rates.
• Oversight of Reinvestment planning and reporting. Provide technical assistance to Program Manager responsible to develop plans.
• Provides oversight of Provider Network (network is more than 250 providers) service gap analysis and monitoring of network activity.
• Active role in HHS activities as a contributor to department goals and strategic plan.
• Supervision of Behavioral Health Program Manager responsible for special initiatives.
• Supervision of Quality and Performance Manager.
• Supervision of OSP.
• Other Duties as delegated.

Qualification Requirements :

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; sit; and talk and hear. The employee is occasionally required to use hands to finger, handle or feel objects, tools or controls; reach with hands or arms; and stoop, kneel, crouch or crawl. The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision and depth perception.

Work Environment :

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.