The Florida Department of Corrections (FDC) is the 3rd biggest state prison system within the country with a budget of approximately $2. 7 billion, about 80,000 inmates incarcerated and almost 145,000 offenders on active community supervision (probation). The department has 143 centers statewide, inclusive of seven private partner facilities, 50 correctional institutions, 16 annexes, three re-entry centers, 33 work camps, 12 FDC operated work release centers, two road prisons, 18 private work release centers, 1 forestry camp & one primary training camp. Over eighty% of its personnel are both licensed correctional officers or probation officers, who enjoy a good salary bundle, and various perks.
Health Services Contract Manager
Medical Program Specialist 2
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.
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 ServiceSubject 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.