LTSS CHOICES ASSISTANT DIRECTOR - 67798

Executive Service

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.

Background Check:

This position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Who we are and what we do:

TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview:

Under supervision of the Director of CHOICES, an employee in this position will serve as the Assistant Director of the CHOICES program. TennCare CHOICES in Long-Term Services and Supports (or CHOICES for short) is for adults (age 21 and older) with a physical disability and seniors (age 65 and older). CHOICES offers services to help a person live in their own home or in the community. These services are called Home and Community Based Services or HCBS. These services can be provided in the home, on the job, or in the community to assist with daily living activities and allow people to work and be actively involved in their local community. CHOICES also provides care in a nursing home if this is needed.

Key Responsibilities:

• Assist in the program management of additional LTSS contracts and services such as Fiscal Employer Agency (FEA) and Area Agencies on Aging (AAAD)
• Assist in the review and analyzing of contractually required reports to monitor Contractor performance for both CHOICES and Dual Special Needs Program (DSNP)
• Participate in all meetings with contracted partners and other meetings as assigned.
• Review and approve all AAAD and FEA invoices and submit to TennCare contracts in a timely manner.
• Assist with addressing questions and complaints from, or related to, MCOs, AAADs and other stakeholders related to the CHOICES program. complaints related to the CHOICES program. This will include regular contact with MCOs, AAADs, Community Living Supports Ombudsman and other advocates and stakeholders.
• Assist in the management of the nursing facility program, to include tracking, notices and closure processes.
• Assist with the creation and revision of policies, procedures, and protocols related to the CHOICES program.
• Assist in the creation and revision of member education tools and materials for the CHOICES program.
• Provide technical assistance to contractors about the CHOICES program, as necessary. Other special projects as assigned.
• Review and approve DSNP marketing materials and assist Assistant Director of DSNPs and PACE with special projects as assigned.

Minimum Qualifications:

Bachelor's degree in a related field AND 3+ years in similar role or in health care management or services; experience interpreting policy or procedural provisions for a TennCare, Medicaid, or other related health insurance organization is preferred.

Experience in analyzing data and using data to drive performance and expectations.

Experience with program management and/or grant management.

OR

an equivalent combination of education and work experience may be considered.

Desirable Qualifications:

Experience supporting the elderly, and/or those with physical disabilities, person-centered practices, and integrated employment and community living

Experience working in or with Medicaid or disability related programs

• Strong work ethic and self-motived with ability to work well on a team
• Organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
• Ability to adapt to changing priorities and deadlines
• Strong written and oral communication skills

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.