State of Washington

Receive alerts when this company posts new jobs.

Similar Jobs

Job Details

Health Services Contract Manager

at State of Washington

Posted: 11/12/2019
Job Status: Full Time
Job Reference #: 2606843
Keywords: contracts

Job Description

Overall Job Objective

Description



Health Services Contract Manager
Medical Program Specialist 2
Health Services
Headquarters
Tumwater, WA

** To be considered for the first round of interviews please have your applications submitted no later than Wednesday October 23, 2019**

The Department of Corrections is seeking a highly motivated and qualified individual to take on the dynamic role of a Health Services Contract Manager within our Health Services Contracts, Claims and Benefits Unit (HSCCBU). This is a full-time, permanent position located at Department of Corrections Headquarters in Tumwater, Washington.
 
Our mission at the Department of Corrections (DOC) is to 'improve public safety'. With a vast number of innovative sustainability programs, and evidence-based practices used to reduce recidivism, Washington State is highly regarded as a strong leader in the field of Corrections. For additional information about our agency, please visit doc.wa.gov.
 
This position is the statewide subject matter expert (SME) for Health Services (HS) contracts and has full responsibility for the management of those contracts and all related contractual activities of health care cost containment. This position negotiates with current and potential contractors, initiates the contract process and works closely with the contract unit and contracting attorneys throughout the process as well as manages the contract through its term once established.  This position monitors contract compliance, and assists facilities in addressing contractor issues, assures contractors are billing within contract standards and appropriate authorizations have been obtained, and is the lead for HQ staff and the Health Services Managers (HSM) at prison facilities statewide as a resource and SME on the state contracting process, policies and protocols.  This positions leads unit adjudication staff as well as facility and HQ management with regards to their contracting needs. This position, as a part of the Health Services Contracts, Claims & Benefits Unit (HSCCBU), assists the unit manager with legislative and data reports or requests regarding contracts as well as manages all contractor invoicing.  Represents DOC to internal and external stakeholders such as facility and HQ management, other Divisions within the Dept., the Hospital Association, sister state agencies and potential and current contractors.  This positions supports the mission of the organization, keeping communities safe, by ensuring quality health services to offenders which contributes to successful re-entry into society.

To be considered for this position, please attach the following to your online application:
  • Letter of Interest that outlines how you meet the qualifications for this position, and
  • A minimum of three (3) professional references with your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies.

Duties

Key responsibilities of a Medical Program Specialist 2 – Health Services Contract Manager include, but are not limited to:
 

  • Negotiating and managing all contracts for Health Service
    • Subject matter expert for contract process for new, renewed, amended and terminated contracts.
    • Negotiate, manage, extend, amend, terminate and renegotiate all Health Services contracts.
    • Contact and correspond with potential contractors to gather information on proposed services.
    • Inform, instruct and assistant contractors on reimbursement for services.
    • Troubleshoot reimbursement issues with contractors.
  • Oversee the contractor invoicing process.
  • Maintain contract database.
  • Collaborate, train and provide customer service to DOC staff regarding contract activity.
  • Collect and analyze data to deliver reports on contracted services.

Qualifications

Required qualifications of the Medical Program Specialist 2 – Health Services Contract Manager

  • 2 years' experience as a Medical Program Specialist (MPS) or Contract Specialist (CS) or equivalent contract experience may substitute year for year - OR Bachelor's degree with major study in contract management, public health, healthcare administration, or business administration from an accredited college or University whose accreditation is recognized by the U.S. Dept. of Education and the Council for Higher Education (CHEA).
  • Two (2) years' experience with contract negotiations and management and a detailed understanding of required contract terms and the risks and benefits of various contract types.
  • Ability to read and interpret contracts, state and federal laws and regulations, policies and procedures.
  • Effective and professional written and oral communication and the ability to collaborate effectively with teammates and stakeholder in other units, divisions & outside state agencies.
  • Risk and business management skills and experience.
 
 
Desired Qualifications:

  • One (1) year experience working with and or managing WA State Government contracts.
  • Familiarity with (CMS Contract Management System) database.
  • Knowledge of medical terminology.
  • Experience or knowledge of Medical/dental claims processing policies and procedures.
  • Advanced skills in Excel.
  • Proven negotiation skills.

Supplemental Information

'The mission of DOC is to improve public safety.'
 
For additional information about the agency, please visit doc.wa.gov. 
 
IMPORTANT NOTES:
• Please include a minimum of three professional references with your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies.  If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.
• Phone number AND email address are required for all professional references.
• All DOC employees are fingerprinted for a criminal history background check.
• Employees may work directly with or in close proximity to incarcerated individuals in a potentially hazardous setting. Please consider this when deciding whether to apply.
• We are committed to maintaining a drug and alcohol free work environment, and our employees are expected to comply with all state and federal laws. A pre-employment drug test may be administered as part of the selection process, and applicants who test positive for any controlled substances, will be disqualified from consideration.
• Oleoresin Capsicum (OC) is an aerosol pepper spray made available as a means of self-defense and/or de-escalation. Applicants with sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.
• Animal care projects are a common component of most Washington State prisons, including dog and cat programs. Applicants with animal sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.
• Tuberculosis (TB) is a priority health issue for DOC employees. The successful candidate may be required to provide valid proof of a baseline TB skin test within 60 days from the date of hire.  When positive tests result, further information, testing and treatment may also be required. Employment is not contingent upon test results.
• If this position is included in a Union Shop, employees will be required to become members within thirty (30) days of employment.
 
We are committed to hiring individuals who possess core diversity competencies: 
• Foster a positive attitude and openness toward the ever changing social and cultural makeup of the workplace.
• Work effectively with men and women of different perspectives, abilities, disabilities, races, religions, ages, lifestyle preferences and social, ethnic and cultural backgrounds.
• Respectfully acknowledge people's differences and recognize these differences as important and valuable.
• Promote inclusiveness.
• Be culturally sensitive and appropriate.
• Respect and value diverse backgrounds and traditions.
 
DOC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation, gender identity diversity, age, honorably discharged veteran, veteran status, genetic information, or the presence of any sensory, mental or physical disability or the use of a trained guide dog or service animal by a person with a disability. 
 
For questions about this recruitment, or to request reasonable accommodation in the application process, please email dochqhr@doc.wa.gov or call us at (360) 725-8459.  For TTY service, please call the Washington Relay Service at 7-1-1 or 1-800-833-6388.