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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 50358650 |
Description Activated On: 5/27/2026 12:03:21 PM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. This position serves as a program representative within the Risk Management and Regulatory Administration Units under the Division of Program Operations. The employee in this position works to strengthen statewide ODP systems related to incident and risk management, provider qualification, licensing, program compliance, participant protections, and quality improvement. The position develops and oversees operational processes, monitoring frameworks, compliance activities, and technical guidance to promote health, safety, quality, and regulatory integrity across ODP service systems. The employee collaborates with internal and external stakeholders to support consistent statewide operations, provider oversight, data driven decision-making, and continuous quality improvement. Responsibilities include policy interpretation, monitoring and enforcement, data analysis and reporting, systems implementation, technical assistance, and operational oversight of incident management, regulatory administration, provider enrollment, participant directed services, and waiver compliance. |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. Develops, implements, and oversees statewide operational activities related to incident management, risk management, provider qualification, regulatory compliance, participant safeguards, and quality improvement initiatives. Develops and operationalizes policies, procedures, standards, technical guidance, monitoring tools, dashboards, reports, and data visualization resources to support regulatory compliance, operational effectiveness, risk mitigation, and evidence-based decision-making. Conducts and oversees monitoring, compliance review, trend analysis, corrective action activities, and operational assessments to identify systemic risks, compliance concerns, unreported incidents, and opportunities for improvement. Interprets and applies federal and state requirements, including waiver requirements, licensing regulations, CMS guidance, participant-directed services requirements, EVV standards, and related operational policies and procedures. Collects, analyzes, interprets, and reports operational, incident, compliance, provider qualification, enrollment, licensing, and quality management data to support statewide initiatives and strategic planning. Develops recommendations, corrective action strategies, operational protocols, and implementation approaches based on data analysis, compliance findings, risk assessments, and identified operational needs. Coordinates and collaborates with regional offices, Administrative Entities, Supports Coordination Organizations, providers, program offices, legal staff, financial operations, system vendors, and external stakeholders regarding operational implementation, compliance oversight, systems enhancements, and policy initiatives. Participates in business process improvement initiatives, systems implementation activities, operational transitions, testing, deployment support, and cross-functional operational projects. Provides statewide training, technical assistance, consultation, and operational guidance related to incident management, provider oversight, regulatory compliance, participant safeguards, quality improvement, and operational processes. Represents the organization in meetings, workgroups, trainings, conferences, and cross-functional initiatives related to operational oversight, compliance, systems implementation, and program integrity. Performs all other duties as assigned |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. Makes independent decisions regarding interpretation and application of incident management, licensing, provider qualification, enrollment, compliance, and operational policies within established authority. Determines when provider compliance trends, systemic risks, or operational issues require corrective action, enhanced monitoring, policy clarification, or escalation to supervisory staff. Prioritizes operational initiatives, systems enhancements, and policy implementation activities based on programmatic needs and organizational objectives. Refers matters involving significant policy interpretation, elevated legal risk, operational risk, or statewide impact to supervisory or executive leadership as appropriate. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. N/A 2. N/A 3. N/A 4. N/A 5. N/A 6. N/A |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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