CMA Quality Improvement and Billing Supervisor

Compensation Range $80,142.40 - $-Job Description Summary This position leads a Case Management Agency team with responsibility for quality assurance, staff training, and oversight of purchasing and billing functions. Supervises and develops staff to ensure quality standards are met and that purchasing, billing, and documentation practices remain accurate, compliant, and aligned with audit and regulatory standards.

Work location will primarily be in the Greeley Office, however, may travel to meeting locations throughout the state and attend national conferences.

Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday. Work may involve time away from a standard office environment. Work may occur in various community settings that are potentially hazardous and may require additional precautions, such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. After hours and on call work situations may occur on occasion to provide support to families that need services outside of normal business hours.

This position is in-person with a possibility for limited telework opportunities when needed.

Ideal candidate traits:
1. Demonstrates sound, independent judgment.
2. The ability to make and clearly communicate defensible approval decisions based on program requirements, supporting documentation, and fiscal control.
3. Collaborates and communicates effectively across all organizational levels.
4.

Experience with Long-Term Services and Supports
5. High attention to detail and accuracy in processing financial transactions and documentation-Job Description Supervision & Leadership - 30%
Directly supervise the daily activities of the staff responsible for training, quality assurance, program reimbursement and payment operations.

Monitor staff participation in program related meetings, trainings, and conferences to ensure alignment with best practices and agency expectations.

Create an environment that fosters a high level of employee engagement within the division by ensuring staff are provided adequate resources, clear expectations, and frequent communication.

Encourages integrity and excellence in case management, models and expects the case management agency team to be open and flexible to new and different approaches and responsibilities.

Ensures their team maintains current knowledge of applicable rules, regulations, and state requirements and represents the agency appropriately at required meetings and committees.

Provides coaching and assistance as needed to help staff attain and hone required skills and knowledge.

Addresses employee concerns and resolves problems in collaboration with department administration and County Human Resources.

Quality Assurance & Training Oversight - 20%
Oversee the auditing, case review, and quality monitoring activities conducted by the specialists to ensure accuracy, compliance, and timeliness of case management functions.

Review, track, and respond to documented case audit findings, ensuring follow up and continuous quality improvement across the team.

Ensure random re-reviews of quality outcomes are performed for accuracy and compliance with established standards.

Ensure the specialists provide timely, actionable feedback to staff and serves as a knowledgeable technical resource.

Oversee the specialist’s role in modeling high-quality, person centered practices and ensuring consistent standards across the team.

Monitor both the internal case review process as well as all other quality reviews that are required to be completed through State quality assurance requirements.

Billing, Purchasing, & Reimbursement Oversight - 20%
Oversees all CMA billing, reimbursement, and contract related compliance activities, ensuring accurate payments, reconciliation, and timely submission of deliverables.

Conduct supervisory review for all CMA purchases before routing for final approval.

Monitor CMA program activities with fiscal implications to ensure they meet regulatory requirements for reimbursement, and ensuring that all billing, purchasing, and supporting documentation aligns with…