This is administrative/operational management work related to quality control for more than 30 federally funded public assistance programs.
Manages a staff of 15-20 supervisory, professional and clerical employees.
Responsible for the Department=s corrective action processes involving over eight (8) million dollars of misspent funds.
Nature and Scope
The class incumbent reports to the Deputy Director, Division of Management Services. Work involves planning, directing and monitoring the review and verification of the accuracy of Food Stamps, AFDC and Medicaid case record information and determinations. The incumbent oversees the establishment of validity of error determinations and the preparation of reports regarding errors, the cause and recommended corrective actions. The incumbent is responsible for managing resources allotted to the Bureau of Quality Control and for the development of operating policies and procedures in conformance with overall divisional goals and objectives and federal mandates. Work includes creating all program sampling plans, coordinating program activities with the operational staff and federal officials and overseeing the operation of the National Integrated Quality Control System(NIQCS) for Delaware. Incumbents are responsible for the preparation of annual reports regarding corrective action taken to eliminate and/or reduce error rates. The incumbent participates on or coordinates intra-state and inter-state committees studying error rates, developing corrective action plans, and to ensure that the national quality control process is equitable, efficient and effective.
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
Directs and manages the activities of the Quality Control Unit to ensure work is accurate and meets strict deadline requirement.
Chairs or participates on various intra and interstate committees to study error rates, develop corrective action plans and, to ensure state agencies are aware of current issues.
Informs the Cabinet Secretary of priority issues.
Oversees the preparation of responses to federal regulatory agencies defending the state's position on program payment.
Oversees preparation of the annual corrective action plan for public assistance programs.
Evaluates grant applications and amendments to the State Plan to ensure state requirements are met.
Knowledge, Skills and Abilities
The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.
Knowledge of principles and practices of public administration.
Knowledge of social service programs and applicable federal and state laws, regulations policies and procedures.
Knowledge of managerial principals and practices.
Knowledge of planning principals and practices.
Skill in directing and coordinating quality control review and analysis functions.
Skill in the analysis of operating policies and procedures and development of corrective plans.
Skill in directing the work of staff.
Skill in the application and interpretation of regulatory requirements.
Skill in integrating multiple, homogeneous operating activities.
Ability to establish and maintain effective working relationships with federal and state officials, staff and other employees.
Ability to identify changing needs and to define appropriate action.
Ability to communicate effectively.
JOB REQUIREMENTS for Program Compliance Manager
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short and long range program goals and objectives. Providing advice to other agency organizational units through consultation.
Six months experience in developing policies and procedures.
Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
Six months experience in staff supervision which includes planning, assigning, reviewing, and evaluating the work of others.