Manager, Contract Monitoring Services

Position : Manager, Contract Monitoring Services
Classification : Full-time, Exempt
Reports to : Director, Network Contracts
Company : DePelchin Family Services
Location : Houston, TX

Position Description :
The Manager, Contract Monitoring will provide leadership and oversight to the Single Source Continuum Contractor (SSCC) subcontract monitoring services and perform highly advanced (senior-level) managerial work, complex monitoring, analysis, and oversight activities. This role will lead network monitoring initiatives and facilitate risk evaluation/monitoring processes. The Manager will also be responsible for assisting with the evaluation of new contract applicants. The position oversees teams that perform monitoring and oversight as well as the Contract Monitoring teams to ensure the efficient and effective addressing of the needs of children in care. Primary responsibilities include establishing goals and objectives, developing policies and procedures, planning, assigning, and supervising the work of staff.

Primary Responsibilities :

• Assist the Director, Network Contracts in all program development of the department, including the development of policies and procedures governing the monitoring process.
• Provide strategic leadership and oversight to the Contract Monitoring Teams. Ensure that all functions related to SSCC subcontract monitoring services are performed efficiently and effectively.
• Lead network monitoring initiatives aimed at monitoring the health of the network.
• Assist with the development, implementation, and monitoring of corrective action plans.
• Develop, collect, and evaluate data through monthly, quarterly, and annual review of deliverables.
• Review reports from regulatory entities, HHSC contractors, and other data sources.
• Develop management reports and conduct periodic written evaluations on managed care contract compliance.
• Support the identification and resolution of contract issues by collaborating with providers.
• Investigate and follow up on member or provider complaints.
• Conduct desk and on-site reviews of contracted services for network providers.
• Collaborate with program staff to identify trends and resolve technical issues.
• Develop review materials and document findings from readiness operational reviews.
• Analyze and assess documents, data, and related materials for readiness and operational reviews.
• Provide guidance in the development of managed care contracts.
• Assist with the review, analysis, and evaluation of rules, bills, and federal/state laws pertaining to SSCC programs.
• Respond to communications from internal and external stakeholders.
• Inform Director of incidents or situations that may impact staff, the department, or the agency.

Required Qualifications :

• Bachelor’s degree, preferably in social services, business or related field.
• Three (3) years’ experience in program monitoring and evaluation for risk and compliance.
• Two (2) years’ experience collaborating with program leadership in the child welfare arena.
• Experience in a managerial or supervisor role managing cross-functional teams.
• Experience in case management software, preferably ExtendedReach and Binti.
• Experienced in developing and implementing risk assessment tools to identify, evaluate, and mitigate potential risks in program services.

Knowledge, Skills, and Abilities :

• Strong understanding of child welfare services, regulations, and performance-based contracting.
• Strong understanding of contract management, monitoring, and evaluation.
• Proven ability to communicate (written and oral) complex data and insights clearly to stakeholders.
• Adept at using data visualization to present complex data and insights to diverse stakeholders with clarity and impact.
• Proficiency in contract management systems and MS Office.
• Demonstrated ability to supervise staff, build team cohesion and foster a collaborative work environment.
• Effective at identifying issues and developing creative and compliant solutions.
• Strong analytical skills with the ability to extract meaning from data and communicate findings clearly.
• Ability to manage multiple priorities in a fast-paced environment.
• Skill in written and oral communication, including the ability to speak publicly.
• Skill in working collaboratively and cooperatively with diverse groups.
• Ability to establish and maintain effective working relationships
• Ability to research, evaluate, and develop policies and procedures.
• Ability to plan, assign and supervise the work of others.

Work Conditions :

• Environment: Hybrid
• Range of Schedule: Mon – Fri, 8:00 a.m. to 5:00 p.m.
• Travel: Occasional – Local and Statewide

DePelchin is Proud to be an Equal Opportunity Workplace.

DePelchin is committed to selecting and employing the best and most qualified person available for each job opening without unlawful discrimination of any kind. Additionally, DePelchin is committed to providing a work environment free of discrimination and harassment on the basis of race, color, sex (including pregnancy, sexual orientation and gender identity), marital or parental status, veteran status, religion, national origin, age, disability, family medical history, genetic information, or political affiliation.