Administrative and Clinical Monitor

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Brief Job Description:

Under the direction of the Quality Management Branch (QMB) Manager, performs highly advanced quality assurance reviews (both offsite and onsite), and technical assistance work requiring knowledge in the administrative, clinical, and management of the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC). Work involves providing quality assurance monitoring of administrative, clinical, operations, management practices, and internal controls, and providing technical assistance to internal and external customers administering the WIC program to ensure compliance with federal and state regulations, as well as state WIC policies, regulations, and contract provisions. Evaluates agencies’ compliance with appropriate federal and state laws, policies, procedures and operations for functionality and adherence to federal and state protocols. Identifies best practices and recommends process improvement. Conducts entrance and exit conferences and discusses review findings and best practices with WIC Local Agency executive level leadership staff during reviews. Meets timelines as set forth by federal and state guidelines. Writes, monitors, and approves corrective action plans as part of the review process. Produces high-quality reviews. Provides technical assistance referrals to subject matter experts regarding WIC management and operations. Recommends process and tool improvements to the management team. Works under general direction with extensive latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

(35%) Performs highly advanced quality assurance reviews (both offsite and onsite), and technical assistance work requiring knowledge in the administrative, clinical, and management of the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC). Work involves providing quality assurance monitoring of administrative, clinical, operations, management practices, and internal controls, and providing technical assistance to internal and external customers administering the WIC program to ensure compliance with federal and state regulations, as well as state WIC policies, regulations, and contract provisions. Evaluates Local Agencies compliance with appropriate federal and state laws and policies, procedures and operations for functionality and adherence. Researches and collects data about the agency to prepare for reviews. Conducts entrance and exit conferences with Local Agencies to discuss the review results. Prepares written reports supporting compliance, noncompliance, observations, recommendations, technical assistance, and best practices. Advises WIC agency program management on issues and makes recommendations for required actions, including accelerated reviews or program termination.

(25%) Meets timelines as set forth by federal and state guidelines. Produces high-quality reviews. Provides technical assistance and/or referrals to subject matter experts regarding WIC administrative, clinical and management operations.

(15%) Recommends process and tool improvements to the management team. Develops, evaluates, and revises WIC Program administrative and clinical monitoring forms as needed based on changing federal and state regulations. Analyzes USDA regulations and program policy and data to make recommendations for revisions as needed. Gathers input from stakeholders and makes recommendations as necessary. Determines program administrative and clinical issues and offers resolution consultation.

(10%) Provides training and/or mentors quality assurance administrative and clinical monitoring staff, as assigned. Assists in the development of quality assurance administrative and clinical monitoring training materials and/or job aids to achieve competency. Prepares travel documents timely.

(5%) Participates on programmatic cross-functional teams to coordinate oversight and improvement of the administrative and clinical monitoring process. Ensures agency compliance with state and federal laws and regulations and provides consultation to state and agency management to identify and provide input on long-range planning and program improvement.

(5%) Assists in planning, developing, promoting, conducting, and evaluating quality assurance and quality improvement presentations for customers. Assists in designing and preparing curricula and course outlines as well as evaluative techniques and provides technical assistance and training.

(5%) Perform other duties as assigned including but not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or locations.

Knowledge, Skills, and Abilities (KSAs):

Knowledge of quality assurance, compliance, audit, or quality improvement methodologies

Ability to analyze complex information and develop plans to address identified issues

Skill in writing and editing formal reports and/or correspondence

Ability to establish and maintain effective working relationships and work in a collaborative team environment

Knowledge of federal and state regulations, grant and contract administration
Knowledge of manual and computerized accounting systems
Skill in exercising discretion and using sound independent judgment
Skill in interpreting and applying federal regulations, guidelines, state policies and procedures
Skill in the use of Microsoft Office Suite
Skill in adhering to timelines
Skill in critical thinking
Strong leadership, conflict resolution and interpersonal skills
Ability to complete projects as assigned
Ability to communicate effectively, both orally and in writing
Ability to understand and manage group dynamics
Ability to perform numerical analysis
Ability to analyze, evaluate and summarize financial and/or management operations for accuracy and conformance to procedures, rules and regulations
Ability to communicate findings and recommendations effectively

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

• Experience with WIC or other federal and state programs, quality assurance/compliance/audit preferred.

Additional Information:

Telework position.

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Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form