Validation Services Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Lead, manage, and continuously enhance the statewide validation process for Innovation Coordination Services (ICS).

• Supervise and provide support to Validation Specialists directly.

• Ensure the accuracy, timeliness, consistency, and compliance of milestone validation reviews and value-based payment authorizations.

• Act as a subject matter expert on validation processes, DDA validation requirements, and MAPs service definitions and program expectations.

• Conduct statewide validation training sessions.

• Oversee secondary reviews and grant final approval for milestone validation decisions.

• Monitor quality assurance standards and implement strategies to enhance operational efficiency and validation results.

• Coach, mentor, assess, and manage the development and performance of Validation Specialists.

• Approve timesheets and prepare monthly, quarterly, and annual performance reports for leadership.

• Track staff productivity, performance, quality assurance, compliance, validation trends, approval rates, and performance metrics.

• Provide technical assistance and address escalated validation issues, documentation errors, and authorization challenges.

• Ensure adherence to DDA, MAPs, and CLC policies, procedures, and ethical billing practices.

• Collaborate with provider agencies, internal leadership, and stakeholders to enhance validation processes and service delivery.

• Participate in statewide meetings and strategic planning initiatives concerning validation services.

• Execute other duties as assigned.

⛳️ Requirements

• Must be at least 18 years of age.

• Proficient in reading, writing, and verbally communicating in English.

• Ability to pass a background check upon hiring.

• Valid TN driver's license required.

• Vehicle insurance is necessary.

• Bachelor’s degree from an accredited institution in Business Administration, Accounting, Healthcare Administration, Human Services, Organizational Leadership, or a related field.

• Alternatively, a Bachelor’s degree in a non-related field along with two years of experience in bookkeeping, accounting, business administration, or a relevant field.

• Or an Associate’s degree combined with two years of university experience in bookkeeping, accounting, business administration, or a related field.

• Preferred: Some familiarity with current technologies and products utilized in the industry.

• Experience with value-based payment models is a plus.

• Experience working with the Department of Disability and Aging is advantageous.

• Physical capability for regular standing, walking, lifting up to 25 lbs, and providing hands-on support.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• 401(k) plan.

• Paid time off (PTO).

• Tuition reimbursement.

• Access to an online wellness clinic.

• Reasonable accommodations are available.