Contract Specialist II

3 months ago


Wichita Falls, United States Texas Department of Aging & Disability Services Full time
Job Description:
The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Contract Specialist II position with Community Services (CS), Community Care Services (CCS), Community Care Services Contracts (CCSC) Section. HHSC is driven by its mission statement “We Serve Texas.” The ideal candidate will thrive in an environment that emphasizes fidelity to our mission, collegiality to internal and external stakeholders, nurturing talent within our team, open and transparent communication, and agility to adapt quickly to challenges and changes.
This position performs complex (journey-level) contract management work including contract enrollment, maintenance, and monitoring. Work involves developing and evaluating a broad range of contracts. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Provides orientation and technical assistance on program rules and policies to contractors. Develops, negotiates, and processes contracts and amendments for community care services programs. Conducts monitoring of contract performance including service delivery and fiscal monitoring. Participates in State Office of Administrative Hearings (SOAH). Develops, implements, and monitors corrective actions and/or sanctions. Investigates and validates individual, community and department staff complaints relating to contract performance. Interprets and clarifies standards, policies and procedures to improve program operation and performance. Reviews contractor billings and resolves billing rejections, problems, and/or issues.
This position handles relatively complex contract applications and assist with projects. This position provides information and technical assistance to contract staff. Identifies training needs, assists with development of training materials and may provide guidance to contract or department staff to enhance performance, correct non-compliance issues, provide consistency and improve quality of services to individuals.
This position will carry out special assignments as required by the unit manager. May be assigned additional duties.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Must also perform other duties as assigned and necessary.

EJF1
Identifies the need for service providers and takes appropriate action(s). Participates in work groups to make recommendations to change contract-related documents. Monitors legal and regulatory requirements pertaining to contracting. Handles routine reporting activities and special projects/tasks internal/external to the unit as assigned. Provides orientation and technical assistance on program rules and policies to contractors, stakeholders, internal HHSC staff and community.
(Percentage of Time Spent on Tasks = 10%)

EJF2
Prepares and maintains contract documents in accordance with policy and procedures. Assists with developing contract administration policies and procedures. Initiates, develops, negotiates, processes and manages contracts, renewals and amendments for community care services programs. Uploads required documents to HHSC contracts repository system.
(Percentage of Time Spent on Tasks = 10%)

EJF3
Completes all required pre-monitoring activities. Completes contractor screening criteria prior to formal monitoring to verify the legal entity's business information and status. Reviews contractor history that includes reviewing the contractor’s HHSC licensure status, regulatory compliance history, previous fiscal year expenditures and Adverse Action Review Committee (AARC) activity since the previous monitoring to assess the contractor’s performance as applicable to the contract type. Prepares applicable program and fiscal compliance monitoring tools, Monitoring Workbook and Individual Work Papers (IWP) by entering information that is readily available, such as legal entity name, contract numbers, review dates, review periods, payment information, etc. Prepares common forms that include entrance and exit conference forms. Pulls electronic visit verification (EVV) visit logs and units of service tables and reviews for missing data. Sends inquiries to EVV Vendor or EVV Operations about missing data or missing reports. Reviews COGNOS billing/payment report. Completes and sends the notice of Scheduled Contract and Fiscal Compliance Monitoring at least 20 days before the monitor review following notification protocol. Selects the monitoring sample. Determines the review period. Ensures the sample is sent to the contractor two business days before the monitor review. Schedules monitor reviews within the established timeframes.
(Percentage of Time Spent on Tasks = 20%)

EJF4
Monitors contractor performance to ensure compliance with State and Federal regulations by conducting contract compliance on or off site. Plans and conducts investigations resulting from allegations made about contractors. Monitors contract performance by examining billings, and eligibility determinations for compliance with terms of contract and policies and recommends actions or sanctions of contracts and tracks them through completion.
(Percentage of Time Spent on Tasks = 50%)

EJF5
Provides guidance regarding contract administration, policies, and procedures to contractors, stakeholders, internal HHSC staff and community. Assists other team members. Must also perform other duties as assigned and necessary.
(Percentage of Time Spent on Tasks = 10%)
Knowledge Skills Abilities:
List the knowledge, skills, and abilities critical to performance in this position:

Journey level knowledge of contracting and procurement regulations, of negotiating contracts, of developing contracts, of business administration and accounting principles and practices, and of policies and procedures of contract management. Knowledge of contract enrollment and maintenance procedures, regulations and policies. Knowledge of local, state, and federal laws and regulations regarding contract enrollment, maintenance and administration. Knowledge of community care services programs, policies, rules and regulations.

Skill in managing multiple priorities and projects and meeting tight deadlines. Skill in communicating effectively both verbally and in writing. Skill in formulating written communication for various audiences. Skill in the use of a computer and applicable software.

Ability to evaluate contracts and recommend continuation or termination of contracts, or adverse actions; to evaluate fiscal data for reasonableness, necessity, and conformity with contract requirements. Ability to interpret policies, procedures, and regulations regarding contract enrollment. Ability to gather, assemble, correlate, and analyze facts. Ability to organize workload and set priorities. Ability to problem solve and mediate. Ability to write and edit contract requirements and specifications and to negotiate features of a contract. Ability to effectively communicate orally and in writing. Ability to provide guidance to others. Ability to work in a team environment.


  • Wichita Falls, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Title: Contract Specialist IIJob Summary:The Texas Department of Aging & Disability Services seeks a highly qualified Contract Specialist II to join our team. As a Contract Specialist II, you will be responsible for performing complex contract management work, including contract enrollment, maintenance, and monitoring. You will work under general...

  • Contract Specialist

    6 days ago


    idaho falls, United States Sigma Science, Inc. Full time

    Where You Will Work:Sigma Science, Inc. (Sigma) is a New Mexico-based, small business that provides comprehensive engineering and technology services to federal and commercial clients. We solve our client’s most demanding challenges by hiring best-in-class leaders and employees, and partnering with trusted companies, industry leaders, and universities....

  • Contract Specialist

    6 days ago


    Idaho Falls, United States Sigma Science, Inc. Full time

    Where You Will Work:Sigma Science, Inc. (Sigma) is a New Mexico-based, small business that provides comprehensive engineering and technology services to federal and commercial clients. We solve our client’s most demanding challenges by hiring best-in-class leaders and employees, and partnering with trusted companies, industry leaders, and universities....

  • Contract Specialist

    5 days ago


    Idaho Falls, United States Sigma Science, Inc. Full time

    Where You Will Work:Sigma Science, Inc. (Sigma) is a New Mexico-based, small business that provides comprehensive engineering and technology services to federal and commercial clients. We solve our client’s most demanding challenges by hiring best-in-class leaders and employees, and partnering with trusted companies, industry leaders, and universities....


  • Wichita Falls, Texas, United States Elevance Health Full time

    Job Summary:We are seeking a Medical Management Specialist II to join our team at Elevance Health. This role will provide non-clinical support to medical management operations, handling complex file reviews and inquiries from members and providers.Key Responsibilities:Gather clinical information regarding cases and determine the appropriate area to refer or...


  • Wichita Falls, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Title: Medical Records Clerk IIJob Summary:We are seeking a highly organized and detail-oriented Medical Records Clerk II to join our team at the Texas Department of Aging & Disability Services. As a Medical Records Clerk II, you will be responsible for collecting, maintaining, and making available timely, accurate, and complete healthcare information....


  • Sioux Falls, United States Avera Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our...


  • Wichita, Kansas, United States ADT Full time

    Job SummaryAs a Commercial Contract Specialist at ADT, you will be responsible for verifying, researching, and reviewing commercial contracts, POs, and addendums for accuracy and completeness. You will also maintain customer information, including cancellations, billing adjustments, inspection schedules, refunds, and more.Key ResponsibilitiesVerify...


  • Sioux Falls, United States Avera Health Full time

    The Admissions Specialist II is responsible for registering patients in a timely and accurate manner while performing all necessary procedures to establish accounts and medical record numbers. The Admissions Specialist II verifies insurance coverage Specialist, Admissions, Healthcare, Patient


  • Sioux Falls, United States Avera Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our...


  • Sioux Falls, United States Avera Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our...


  • Sioux Falls, United States Avera Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our...


  • Wichita, Kansas, United States LanceSoft Full time

    Job Summary:As a Customer Service Support Specialist II at LanceSoft, you will play a critical role in providing exceptional support to our customers. Your primary responsibility will be to conduct technical and administrative activities to ensure seamless service operations and delivery.Key Responsibilities: Process incoming orders, inquiries, and requests...


  • Wichita Falls, Texas, United States HexaQuEST Health, Inc. Full time

    Job Title: Intensive Care Specialist - NightsJob Summary: We are seeking an experienced Intensive Care Specialist to join our team at HexaQuEST Health, Inc.Responsibilities:- Provide high-quality patient care in a Level II Trauma Center- Collaborate with the healthcare team to develop and implement patient care plans- Utilize EPIC charting system and basic...


  • Wichita Falls, Texas, United States Bluepipes Full time

    We are seeking a skilled Diagnostic Imaging Specialist to join our team for a 13-week contract in Wichita, KS. As a valued member of our team, you will have the opportunity to work with a variety of imaging modalities and collaborate with a talented group of healthcare professionals.Job Summary: We are looking for a highly motivated and experienced...


  • Sioux Falls, South Dakota, United States Avera Full time

    Award-Winning Healthcare OpportunityAvera is seeking a skilled Admissions Specialist II to join our team. As a key member of our healthcare team, you will be responsible for registering patients in a timely and accurate manner, verifying insurance coverage, and collecting patient co-payments and deductibles.Key Responsibilities:Register patients in a timely...


  • Idaho Falls, Idaho, United States Idaho National Laboratory Full time

    Job Title: Construction Contract SpecialistIdaho National Laboratory (INL) is seeking a highly skilled Construction Contract Specialist to join our team. As a key member of our Business Management group, you will play a critical role in supporting the acquisition of construction and other specialized services for our functional programs.Key...


  • Sioux Falls, South Dakota, United States Avera Full time

    Award-Winning Healthcare OpportunityAvera, a renowned healthcare organization, is seeking an Admissions Specialist II to join their team. As a key member of the multidisciplinary team, you will be responsible for registering patients in a timely and accurate manner, establishing accounts, and verifying insurance coverage. Your expertise in billing,...


  • Falls Church, Virginia, United States BCF Solutions Full time

    Job Summary: We are seeking a highly skilled Contract Specialist Data Analyst to support the Defense Health Agency (DHA) in Falls Church, VA. The successful candidate will be responsible for analyzing and evaluating contracts, providing technical advice and recommendations, and maintaining suspense lists for contract administration activities.Key...


  • Sioux Falls, United States Avera Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our...