Identifies, evaluates, develops and implements policy changes and services funded by Medicaid or other health care programs. Consults with and provides technical assistance to providers, sponsors and state and federal officials on program policies and procedures and on specific areas of concern such as planning, maintenance and operation of facilities and licensure and certification. Develops policies and procedures for licensure and certification. Directs the section's preparation for federal, state and internal program assessments, audits and responses to audits. May perform administrative functions such as developing the administrative or operational budget, planning special work projects relating to state and federal legislation and management directives, serving as liaison with external agencies and organizations on department initiatives, specifying data user requirements of information management subsystems, directing nursing home and community-based care admission processes, and approving health care provider and recipient corrective and adverse actions taken by the agency.
Positions also supervise other professional and technical program support and secretarial staff.
Receives administrative direction from a Medical Facilities Director or Medicaid Operations Director Senior. Positions in this class are responsible for leading, directing and making decisions related to long-term service, medical facilities construction, licensure and certification programs which affect a multitude of management decisions on agency issues and programs. Valid and reliable analyses result in sound recommendations, conclusions and plans which positively impact management decisions and improve agency programs and operations. Errors can negatively impact the amount of funds received by the agency, the public's opinion of the program, the operations of medical and health care facilities, the services provided statewide by the agency and the quality and level of care rendered to recipients by health care providers. Considerable knowledge of medical facility administration and procedures.