HCBS Provider Support Unit Manager 2025-00778
HCBS Provider Support Unit Manager 2025-00778
Posted on :
11-04-2025
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1 Vacancy
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Monthly Salary
$ 7399 - 8221
Vacancy
1 Vacancy
Posted on :
11-04-2025
Job Description
Description and Functions
- Open Until Filled
GENERAL DESCRIPTION:
Wyomings Home and Community Based Waivers provide communitybased options to Wyoming citizens who are aging or have disabilities in order to live independent meaningful and dignified lives through access to personcentered costeffective services. These waivers serve approximately 5000 individuals with approximately 800 provider entities supporting these individuals across the state. Each of the three waivers the Comprehensive Supports and Community Choices Waiverare Medicaid funded jointly funded by the state and federal governments. The waivers are administered through the Home and Community Based (HCBS) Section of the Wyoming Department of Health.
Within the HCBS Section the Provider Support Unit Manager is responsible for leading to a team of 11 FTEs in their role of delivering support and oversight to waiver providers. This position ensures that the mission and values of the HCBS Section are embedded in the work of the Provider Support Unit and evident in interactions with providers delivering services to program participants. Provider oversight activities include training and technical assistance regarding state and federal rule and regulation initial and ongoing certification of provider entities per HCBS standards incident and complaint review and investigation and provider remediation up to and including representation of WDH at administrative hearings as necessary.
This position serves as a member of the leadership team of the HCBS Section routinely engaging with the team to determine policy priorities implement federal and state directives analyze program data and adjust priorities accordingly. The successful candidate will demonstrate strong leadership skills both as a team lead and as a peer support. Additional responsibilities include engaging with a broad and diverse pool of stakeholders adept facilitation of small and largescale meetings conflict resolution and overseeing the development and implementation of training. This position also participates in the RFP process visioning developing and implementing program and data systems in compliance with state and federal requirements.
Human Resource Contact:
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.- Oversight and management of Provider Support Unit staff: Responsibility for oversight of work product from the Credentialing Team and the Incident Management Team. Responsible for training and professional development of staff; facilitation; problemsolving; conflict resolution; completion of personnel issues including performance evaluations personnel concerns and disciplinary actions. Interprets rule policies and procedures for staff when complex issues arise; responsible for coordinating feedback to stakeholder questions and concerns with other units within the HCBS Section.
- Oversight of provider compliance with state and federal regulation: Identifies policies and processes to revise based on changes to federal and state regulation and identifies gaps in current policies and processes. Coordinates with the HCBS Policy and Communications Unit to facilitate development implementation and updates to policies and processes. Facilitates internal and external training regarding relevant topics for provider support and successful service delivery.
- Guidance and vision for Unit as a part of the overall HCBS Section Leadership team: Serves as a member of the HCBS Section leadership team contributing to Section priorities and projects. Provides data information and expertise to HCBS Section leadership team to assist in decisionmaking. Participates in key roles in project planning and project to ensure the implementation of federal and state requirements
- Provides guidance and oversight to the function of provider management systems: Assists in the RFP process for any system that will impact provider management and coordinates in the implementation of any system that will impact provider management. Serve as a coordinator between various systems regarding provider issues including the PRESM BMS EVV and HCBS provider management system. Ensure data and information entered accurately reflect the work of the Provider Support Unit and coordinate with other units to evaluate data for quality improvement efforts including state and federal reporting. Assist with triage and troubleshooting for provider challenges between various Medicaid systems.
- Oversight of appropriate provider remediation activities: Assists with specific instances of provider noncompliance to support staff in applying appropriate remediation. Reviews interprets and applies Administrative rule and regulation to provider remediation activities. Drafts and/or assists with drafting letters regarding adverse actions and decertification. Coordinates with the Attorney Generals Office on contested cases. Works with Program Integrity Medicaid Fraud and other agencies as appropriate.
- Relationship building and representation of HCBS Section: Attendance at relevant advisory council provider association and other stakeholder meetings. Facilitate conversation and information for providers case managers participants family members and other stakeholders.
Qualifications
PREFERENCES:
Preference will be given to candidates with a Masters Degree in public administration or related field.
KNOWLEDGE:- Excellent customer service skills including diligence in followup regarding next steps and ensuring resolution.
- Strong conflict resolution skills and tools.
- Facilitation skills including public speaking and meeting facilitation.
- Strength in verbal and written communications including experience presenting to large and small audiences and facilitation of training events.
- Ability to strategically navigate difficult conversations including individuals with conflicting and competing priorities.
- Ability to deliver effective coaching and supervision both in person and remotely.
- Proficiency in identifying errors and guiding remediation strategies in information technology systems.
- Ability to manage multiple tasks and priorities meeting deadlines and shifting focus appropriately as new tasks arise.
MINIMUM QUALIFICATIONS:Education:Bachelors Degree (typically in Healthcare)Experience:24 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Manager IOREducation & ExperienceSubstitution:57 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Manager ICertificates Licenses Registrations:NoneNecessary Special Requirements
PHYSICAL WORKING CONDITIONS:- The employee may sit comfortably to perform the work; however there may be some walking standing bending carrying light items driving an automobile etc.
NOTES:- FLSA: Exempt
- The Wyoming Department of Health is anEVerifyemployer.
Supplemental Information
Clickhere to view the State of Wyoming Classification and Pay Structure.
URL: State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change please refer to the A & I HRD Website to ensure that you have the most recent version.
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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