Senior Consultant / 60020521

Full Job Description

Are you the One? We are looking for a Senior Consultant, who will support all waiver and state plan services in the Office of OIDD Waiver Services, as well as the Office of Waiver and Facilities Services in the Bureau of Policy. This position supports waiver administrators, coordinators, and managers throughout the waiver renewal and amendment process, creates and tracks timelines, and also ensures consistent policy implementation across waiver programs. This role also supports waiver performance, budget, and reporting functions (both internal and federally required) and acts as a liaison to external non-profits.

Manage tasks for analyzing and reporting on waiver assurances and remediation actions. Coordinate analysis of data from OIDD quality management/risk management system and post-payment review process.

Identify areas needing quality improvement strategies & special focus reviews based on non-compliance trends. Document audit trails of analysis and improvement actions.

Analyze each waiver’s performance measure (PM) data annually and assess program performance. Establish consistent reporting and data documentation for completion of CMS quality evidence reports

Support and consult on waiver renewal process tasks that are completed by waiver coordinators and waiver managers, such as gathering public input and researching proposed policy changes.

Support and consult with waiver coordinators and waiver managers in development of business cases and/or business requirements documents for new services.

Establish and track project plan timelines for waiver renewal and amendments.

Monitor alignment and consistency of policy across waiver programs and document and communicate concerns to waiver managers and directors.

Execute tasks for annual 372 reporting to include collection and review of financial data, analysis of expenditures compared to commitments in waiver applications, and comparison to prior year expenditures and utilization to support submission of reports to CMS.

Collaborate with SAS Data Analytics team and START team as needed to build, update and modify source reports required for required federal waiver reporting.

Collaborate with Bureau of Statistics, Analytics and Reporting to build, update and modify dynamic data models and dashboards to summarize and visualize waiver performance measures and other key performance indicators (KPIs).

Monitor external quality improvement organization trends and findings and provide summarized analysis to waiver managers and directors.

Manage reporting and analysis of program and contract budgets (monthly data collection and analysis).

Analyze net expenditure and other internal and external budget reports to assess trends in spending and service utilization.

Provide clarification on spikes in expenditures and utilization, identify variance from projections and complete root cause analysis to explain spending trends. Participate in budget meetings.

Prepare for and attend quarterly SILC meetings. Serve as subject matter expert for contracts and grant awards for SILC and three (3) CILs. Coordinate requests for letters of support.

Other tasks as assigned. Professional development activities. Share learning with colleagues upon request. Attend team and program meetings. Provide accurate input &and timely responses to assigned requests for additional information.

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
• 15 days annual (vacation) leave per year.
• 15 days sick leave per year.
• 13 paid holidays.
• State Retirement Plan and Deferred Compensation Programs.

Requirements

Bachelor's Degree in Health Care, Health Administration, Public Health, Public Administration, Business, or a related field. Three (3) years of experience related to healthcare delivery systems, managed care, or related human services.

An equivalent combination of experience and education may be considered with prior State Human Resources approval

Additional Requirements:

• Occasional overnight travel.
• Sitting or standing for long periods of time.
• Lifting requirements: 20 lbs.
• In-office Role

Qualifications

• Knowledge of an agency's mission, programs and objectives.
• Knowledge of management principles. Knowledge of an agency's organizational structure, the people who manage the work and the processes applicable to government work.
• Ability to interpret and apply rules and regulations.
• Ability to manage work and provide guidance to employees.
• Ability to make presentations and prepare reports.
• Ability to thoroughly research large quantities of information and produce sound recommendations to executive leadership.

Additional Information

Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.

The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.