Director Provider Network Development Jobs in Columbia, SC

Job Responsibilities Are you passionate about making a real difference in people's lives. Join our team at the Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Intellectual and Developmental Disabilities (OIDD) where we are dedicated to providing compassionate and accessible care to our community. We are seeking a Director of Quality Management who is motivated to help individuals and families navigate life's challenges and achieve long-term wellness.

If you want to use your skills to build a healthier, more resilient community, we encourage you to apply. Job Responsibilities This is a leadership position responsible for managing the OIDD Division of Quality Management, including contract compliance reviews, licensing reviews, provider enrollment/qualification, post-payment reviews, inquiries related to Quality Management for OIDD, material deficiency notices, and incident management reporting. Additionally, the role manages community operations for contracted providers across all Office programs and initiatives to ensure overall provider compliance within a quality framework.

This position: Manages OIDD's quality improvement organization (QIO) review process, including contract compliance and licensing reviews for all Home and Community-Based settings; manages the solicitation process for QIO vendors in coordination with procurement; routinely analyzes and reviews data for the OIDD provider dashboard, including trend monitoring and ad hoc reporting. Manages the state plan with the Human Services Research Institute (HSRI) regarding the National Core Indicators (NCI) In-person Interviews and manages the state's participation in the Staff Stability Workforce Surveys. Manages the Incident Management System (IMS) and reporting for all OIDD-contracted and shared providers regarding the reporting of critical incidents, allegations of abuse, neglect, and exploitation (ANE), and deaths; oversees OIDD staff who participate in these activities; develops and provides oversight for the mortality review process; reports to SC Department of Health and Human Services (DHHS) regarding incidents and findings on a regular basis; monitors and tracks data for the OIDD provider dashboard and ad hoc reporting; acts as a main point of contact for DHHS in regards to Office of Inspector General (OIG) reports and Home and Community Based Waiver Evidentiary Reports and associated follow-up.

Manages inquiries related to Quality Management for OIDD. Provides oversight for the Office's material deficiencies/corrective action plan (CAP) process in coordination with Office leadership and related program areas; provides recommendations to leadership based on Directives/Office administrative standards for providers to receive notification of material deficiencies; coordinates responses to and monitoring of provider CAPs, including ensuring the completion of CAP activities. Provides oversight for Office Community Operations, including the management of staff in the Provider Qualifications and Enrollment and Program Integrity units.

Manages and provides oversight for the development of training materials for the Learning Management System (LMS), including supervising and working with subject matter experts across the Office, and the LMS vendor to identify topics and develop training to support providers and persons supported by OIDD. Provides training to providers and other populations as needed regarding standards, directives, and reporting requirements as they relate to quality management. Performs additional duties as assigned.

This position is located at BHDD-OIDD's Central Office in Cayce, SC. The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities offers an exceptional benefits package for FTE positions that includes: 15 days annual (vacation) leave accrual per year 15 days sick leave per year 13 paid holidays Paid Parental Leave Health, Dental, Vision, Long Term Disability, and Life Insurance State Retirement Plan and Deferred Compensation Programs Minimum and Additional Requirements A Bachelor's degree and relevant program management experience. Preferred Qualifications A Master's degree in Human Services or related field and four (4) years experience in administration, quality assurance, organizational behavior/change, supervision and/or teaching; or a Bachelor's degree in a Human Services or related field and six (6) years experience in administration quality assurance, organizational behavior/change; supervision and/or teaching.

Knowledge of quality assurance and quality improvement methodologies; extensive knowledge of nationally recognized quality metrics; federal Medicaid reporting requirements; knowledge of the Office of Intellectual and Developmental Disabilities (OIDD) service delivery system, provider network, and its approach to quality assurance, quality improvement and consumer-oriented risk management activities. Ability to work cooperatively in a team and with multiple stakeholders; ability to motivate others to change and grow; ability to supervise others; ability to analyze and utilize data to demonstrate the effectiveness and efficiency of the program; ability to work with executive team and across multiple agency programs. Additional Comments About Our Agency: The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities plans, develops, coordinates, and funds services for South Carolinians with the severe, lifelong disabilities of intellectual disability and related disabilities, autism spectrum disorder, traumatic brain injury, spinal cord injury and similar disability.

EEO Statement: The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities provides affirmative action and equal opportunity in employment for all qualified persons regardless of race, color, sex--including the basis of pregnancy, childbirth, or related medical conditions, national origin, age, religion, or disability. Employment Contingency: Employment is contingent upon our receipt of the following required pre-employment screenings: medical screening - to include a drug screening; background record checks (to include fingerprinting), South Carolina Department of Social Services' Child Abuse and Neglect Central Registry screening, U.S. Department of Health and Human Services Office of Inspector General "List of Excluded Individuals/Entities" screening; South Carolina Department of Motor Vehicles Driving Record check; and a review of transcripts verifying educational credentials

We reserve the right to rescind an offer of employment in the event minimum requirements are not met to include positions that require certifications and/or licensure, your application is incomplete or inaccurate, or our review of your background uncovers information, including opinions of previous employers and references, which cause us to conclude, at our sole discretion, that you are not suited for the position. Immunization: If this position requires the applicant to work directly with consumers of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities, tuberculosis (TB) skin or blood testing must be completed prior to beginning employment. All new employees who are healthcare providers are required to provide documentation of immunity or be immunized against measles, mumps, rubella, pertussis, Varicella and Hepatitis B prior to beginning employment.

State Disaster Plan: In accordance with the State's Disaster Plan, which includes hazardous weather, employees of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities may be required to work in times of an emergency or disaster. Employee Referral: The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities supports a Referral Incentive Reward and a Retention Bonus program. You may contact Human Resource for further information.

Supplemental Questions: Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the State application to include all current and previous work history and education.A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.