The Personal Care Attendant (PCA) Program Coordinator is responsible for the day-to-day operations of the PCA program, as well as serving as a subject matter expert on the program across the larger MassHealth organization. The position falls under Home and Community Bases Services within OLTSS and reports to the PCA Program Senior Manager.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Work with several units across EOHHS to orchestrate regulation, contract and rate development, engaging in vendor management and strategy, quality initiatives, special projects, program implementation, and performance management.
• Draft materials for members, providers, administration, Budget, Legal, Prior Authorization Unit, Claims Operations, Board of Hearings, MassHealth Publications, Stakeholders and the Advocacy community.
• Manage and ensure all PCM and fiscal intermediary contract requirements are implemented and followed, develop and provide guidance, and oversee PCM and/or fiscal intermediary contracts.
• Manage critical incident reports.
• Assist with, through both in-person and written communications, a robust stakeholder engagement strategy to ensure program policy and direction is communicated clearly to all appropriate stakeholders, providers, members, advocates, and the public.
• Represent the PCA Program in stakeholder engagement, including with the PCA Enhancements Advisory Council and the PCA Workforce Council, as appropriate.
• Perform related duties such as attending meetings and conferences, maintaining records, and preparing reports.
• Be responsible for reporting requirements and identify trends from a range of data sources to inform program management, including utilization data, quality data, finance reports, and overall performance.
• Provide perspective and deliverables in response to federal and state changes to rules, regulations, and policies.
• Be responsible for ensuring timely member and provider communications, as well as interagency inquiries and requests for information regarding payment and policy questions.
• Perform other duties as required.

Preferred Qualifications:

• Knowledge of strategic and operational planning processes related to clinical and business operations.
• Knowledge of the principles and practices of budget development, risk adjustment and predictive modeling.
• Knowledge of management principles and practices related to clinical, interdisciplinary teams.
• Knowledge and experience in LTSS program policy development, analysis and evaluation.
• Possess an understanding of the role of data and analysis in driving system change.
• Ability to develop and maintain effective working relationships with a range of LTSS stakeholders and partners.
• Knowledge of the Massachusetts health care industry and market dynamics related to LTSS.
• Knowledge of payment reform and care delivery reform strategies, including an understanding of the relationship between payment reforms, delivery system change, quality improvement and customer satisfaction in LTSS.
• Skilled in problem solving, consensus building, conflict resolution and team building
• Ability to analyze health and human service legislation and policy
• Ability to interpret policies and procedures in written and verbal responses to requests for information.
• Ability to understand, apply and explain pertinent laws, rules, regulations, policies and procedures.
• Ability to work independently and collaboratively.
• Ability to manage time and set priorities and reach decisions under pressure.
• Ability to coordinate and communicate health and human service policy positions.

TO APPLY:

Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.

About MASSHEALTH:

To improve the health outcomes of our diverse members and their families by providing access to integrated health care services that promote sustainable & equitable health, well-being, independence and quality of life.

For more information about our agency and programs please visit: www.mass.gov/masshealth

Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form.

For questions, please the contact the Office of Human Resources at 1-800-510-4122 and select option #2.

• Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!