Title: LTSS Screening Contract Monitor
State Role Title: Prog Admin Specialist II
Hiring Range: $74,263 - $78,120
Pay Band: 5
Agency: Dept of Med Assistance Svcs
Location: Dept of Medical Asst Services
Agency Website: www.dmas.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the LTSS Screening Contract Monitor. The selected competitive candidate will provide exceptional delivery of services to the Office of Community Living Division.
Job responsibilities will include, but are not limited to:
The chief objective of this position is to monitor, review, and analyze program activities of Long-Term Services and Supports Screenings conducted by screening entities across the Commonwealth and provide oversight of Pre-Admission Screening and Resident Review (PASRR) CMS reporting.
This position ensures the adequacy and accuracy of LTSS Screenings by monitoring screening entities' fulfillment of contractual and regulatory obligations as set forth by the Virginia Code.
The position will analyze data and reports created through the Care Management Solution (CRMS) portal to gather facts, analyze findings, reach logical conclusions, and recommend solutions for potential areas of non-compliance.
This position will act as an LTSS Screening subject matter expert, providing technical assistance, education, and guidance to all screening entities and other stakeholders.
Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org
The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.
DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.
At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.
Minimum Qualifications
Competitive candidates will meet these minimum qualifications:
Considerable experience of Long-Term Services and Supports screening regulations as outlined in Federal and State Statues, as well as understanding of the Cardinal Care contract.
Considerable experience and understanding of the guidelines in the Long-Term Services & Supports screening manual.
Considerable experience of procedures/processes of Long-Term services & Supports
Considerable experience with technology, including Microsoft Office, Medicaid Enterprise System (MES), and Care Management Solution (CRMS) portal.
Considerable experience in reviewing and analyzing data trends without supervision.
Experience interpreting and applying federal, state laws, and regulations.
Considerable experience managing competing priorities and meeting deadlines.
Experience communicating with internal and external stakeholders.
Additional Considerations
Competitive candidates should meet these additional considerations:
Experience researching and resolving external stakeholder questions and concerns through various communication methods.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.
The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.
Contact Information
Name: DMAS Talent Acquisition
Phone: (804)-225-4407
Email: askhcdtalentacq@dmas.virginia.gov
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.