Credentialing And Contract Specialist (management Analyst I)

Job Announcement

An enriching opportunity to support the important work of the Infant & Toddler Connection (ITC) program of the Inclusive Support Services Division. Under direct supervision, the credentialing and contract specialist is a vital member of the ITC operations team responsible for revenue maximization through ensuring proper Medicaid and commercial insurance credentialing for providers both internal to the county and contracted and assisting the operations manager in organizing, pursuing, and maintaining insurance contracts, supporting collections, and managing the contract for the independent billing company. In addition, this position will manage the cultural liaison and language support program and contracts which provide valuable services to families and maximizes distribution of interpretation funds.

To learn more about our agency, and the great work we do on behalf of Fairfax County, visit Neighborhood and Community Services .

Note: The assigned functional areas of the position are contract management and/or data management.

Illustrative Duties

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position description.)

• Conducts professional-level work in functions or activities, such as financial, budgetary, procurement, contract administration, human resources, training, information technology, and similar functions;
• Assists with a variety of technical and professional work related to monitoring and reporting on departmental business processes, activities, and outcomes;
• Performs designated segments of projects or programs with well-defined objectives, including activities such as data collection, synthesis of data gathered to support analysis, and documentation of findings and recommendations;
• Performs data collection activities in support of existing studies, projects or programs, including conducting research; participating in interviews; administering customer, organizational or employee surveys; assisting in the facilitation of focus groups; participating in work group collaboration; and mapping or charting of workflow processes;
• Assists with measuring and analyzing indicators of performance, quality, quantity and efficiency of services;
• Compiles and provides business information to management;
• Maintains index or log of standard forms for gathering information from a variety of audiences;
• Formats data sets and performs qualitative and descriptive statistical analysis to aggregate and assimilate data for displaying potential patterns and trends;
• Assists in implementing business improvements, such as changes to policies, work practices, processes and procedures;
• Contributes to position papers, evaluation reports and presentations.

Required Knowledge Skills and Abilities

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list).

• Basic knowledge of mission, goals and objectives of the organizational unit, program or activities to which incumbent is assigned;
• Knowledge of the principles, practices and techniques governing management, organization, operations and programmatic services;
• Knowledge of the principles, practices, and techniques relating to the functional area of business operation (e.g. personnel, budgeting and financial management, contract administration and management);
• Ability to identify possible solutions for solving business problems;
• Ability to perform a variety of fact-finding techniques (e.g., interview, case analysis, observation, research, benchmarking) to gather information in support of programs, projects, studies, assessments and evaluations;
• Ability to aggregate and assimilate data to identify major patterns, trends and themes regarding organizational and program effectiveness and efficiency;
• Ability to communicate effectively orally and in writing;
• Ability to use word processing and presentation software to prepare documents, and to use spreadsheet and statistical analysis software packages to store, manipulate, analyze and present data;
• Ability to train, lead, and/or supervise paraprofessional staff.

Employment Standards

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following: Graduation from an accredited four-year college or university with a bachelor's degree in the field related to the assigned functional area.

BRIDGE CLASS EMPLOYMENT STANDARDS:
Four years of increasingly complex technical experience in the assigned functional area, comparable to experience at the Admin Assistant IV, or higher, level. This class can serve as a bridge class enabling individuals who do not meet the educational or professional experience standards listed above to qualify for this class by possessing four years of increasingly complex technical experience in the assigned functional area, comparable to experience at the Admin Assistant IV, or higher, level. The purpose of this bridge class is to promote upward mobility within the Fairfax County workforce. However persons qualifying for this class on the basis of their technical experience may not substitute this technical experience for education, or for professional experience, in order to qualify for other employment opportunities.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check and a Child Protective Services Registry check to the satisfaction of the employer.

Additional Work Schedule Requirements: Flexibility for occasional evening, weekend, or alternate site work.

PREFERRED QUALIFICATIONS:

• Ability to write clearly and concisely and communicate professionally with families, insurance companies, management, contractors, and staff.
• Knowledge of Virginia Medicaid, Early Intervention Services, Part C of IDEA.
• Experience in recruiting, training, and monitoring of independent contractors.
• Experience utilizing CAQH Practice Management and facilitation of credentialing applications with commercial insurance carriers.
• Intermediate level expertise with Microsoft Office 365 and MS Excel.

PHYSICAL REQUIREMENTS:
Work is generally sedentary in nature. However, incumbent may be required to do some walking, standing, bending, and carrying items up to 25 pounds. Ability to operate keyboard-driven equipment. Ability to communicate verbally and in writing. Sufficiently mobile to attend meetings at various locations and make presentations to county staff and community. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.

The population of Fairfax County is very diverse where 39.8% of residents speak a language other than English at home (Spanish, Asian/Pacific Islander, Indo-European, and others) and we encourage candidates bilingual in English and a foreign language to apply to this opportunity

Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. DHREmployment@fairfaxcounty.gov EEO/AA/TTY.

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