PAY GRADE: 023
CLASS TITLE:MEDICAID MANAGEMENT REVIEW MONITOR
ALLOCATION FACTOR(S)
This is work in operational management review and control for the Medicaid Contract Management Unit.
EXAMPLES OF WORK PERFORMED:
(Note: The examples of work as listed in this class specification are not necessarily descriptive of any one position in the class. The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to the position. Examples of work performed are not to be used for allocation purposes.)
- Determines that contractor and department offices meet implementation requirements identified in existing and subsequent contracts and amendments.
- Determines the need of any special reporting requirements of the department and defines those needs to the contractors.
- Reviews, monitors and evaluates contractors and any subcontractors' performance regarding fulfillment of contractual obligations.
- Evaluates adequacy of management and administrative reports.
- Assists department program and administrative personnel in the most effective use of reports produced by the Medicaid Management Information System.
- Monitors contractor training of providers, provider groups, and departmental personnel.
- Ensures the adequacy and effectiveness of contractors' system test plans.
- Participates in evaluation of submitted proposals and in any resulting contract negotiations.
- Acts as liaison between the department and the Department of Management Services in all matters arising as a result of this contract.
- Performs related work as required.
KNOWLEDGE, SKILLS AND ABILITIES:
(Note: The knowledge, skills and abilities (KSA's) identified in this class specification represent those needed to perform the duties of this class. Additional knowledge, skills and abilities may be applicable for individual positions in the employing agency.)
- Knowledge of the methods of data collection and analysis.
- Knowledge of basic management principles and practices.
- Ability to collect, evaluate and analyze data relating to the operational and management review of a Medicaid program.
- Ability to review and monitor a Medicaid program to ensure compliance with applicable requirements and standards.
- Ability to understand and apply applicable rules, regulations, policies and procedures relating to monitoring of a Medicaid program.
- Ability to utilize problem-solving techniques.
- Ability to work independently.
- Ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships with others.
MINIMUM QUALIFICATIONS
- A bachelor's degree from an accredited college or university and four years of professional experience in systems analysis, management analysis, program planning, program research, program evaluation, engineering or administrative work; or
- A master's degree from an accredited college or university and three years of professional experience as described above; or
- A doctorate from an accredited college or university and one year of professional experience as described above.
- Professional or nonprofessional experience as described above can substitute on a year-for-year basis for the required college education.
EFFECTIVE:
1/1/1984
HISTORY: