COMMUNITY HEALTH BUSINESS SERVICES MANAGER

CLASS CHARACTERISTICS

Under general direction, to plan, organize, direct and oversee administrative and business systems, budgeting, financial planning, procurement, and performance monitoring and reporting for the Community Health Division; to prepare and administer annual budgets and grants; to plan, oversee and coordinate other financial and administrative functions for the division; and to do other work as required.

DISTINGUISHING CHARACTERISTICS

The Community Health System Division within the Department of Human Services offers comprehensive health care services to residents of the County. Programs include public health (population services), primary care services, and behavioral health and developmental disability services. The Division provides public health services such as community health field nursing, emergency medical services, health prevention and education, medical examiner, family planning, nutrition education, vital records, inspection/licensing of restaurants and monitoring communicable diseases; a full range of primary care clinic services and mental health and developmental disability services including civil commitment and crisis response.

The Business Services Manager is responsible for the development and administration of business and administrative systems for the Community Health Division in accordance with federal, state and local regulations governing health care operating and financing practices. The position has managerial responsibility for the division's operating and capital budgets as well as for Mental Health Organization (MHO) functions for all five counties within the Clackamas MHO. The position also oversees the provision of division-wide administrative service functions.

The Business Services Manager has responsibility for all business and administrative functions of the Division. This position differs from the Health Care Services Manager which has responsibility for coordinating administrative and business and/or contract and compliance activities within the Community Health Division, but does not have division-wide responsibility for comprehensive financial, business and administrative operations. It also differs from the Administrative Services Manager classification series that provides administrative management support, but does not have specialized health care service responsibilities.

TYPICAL TASKS

Duties may include but are not limited to the following:

Plans, organizes and oversees financial and administrative functions, budgeting, financial reporting and analysis, rate analysis and revenue generation, coordination of legal issues, health information management, personnel administration, payroll, purchasing, billing and contract/grant administration; integrates and coordinates business and administrative operations with clinical services; resolves conflicts and establishes priorities to meet clinical, billing and accounting standards.
Manages the development of annual and supplemental budgets; ensures division budget proposals are balanced and conform with division and department goals; directs the forecasting of additional funds needed for staffing, equipment, materials and supplies; administers approved budget; manages the preparation of financial projections for department operation and capital funds; evaluates and reports on established performance measures; prepares materials and analysis for presentation to Department Director, County Administrator, Budget Committees and Board of County Commissioners; coordinates fiscal operations with County Finance; monitors revenues and expenditures; prepares and recommends fee schedules; prepares and/or coordinates preparation of grant proposals and administers grant funds.
Administers state financial assistance agreements; ensures performance standards and special reporting requirements are developed, monitored and met; develops, negotiates and administers agency sub-contracts for professional, medical, ancillary, psychiatric and psychological services, residential, acute inpatient and other general contracted services in accordance with County policy and practice; ensures contract compliance and assures resolution of contract violations; monitors fiscal performance and reporting requirements.
Directs long and short range financial planning activities related to business development for health care operations; provides analysis and advice on legislative issues; reviews and researches proposed laws, regulations and rules affecting division operations; analyzes impact on division programs, and recommends strategies to respond; develops comprehensive business management services for a continuum of care for public health, primary care, mental health, addictions, and developmental disability services; in consultation with the Community Health Director authorizes decisions to pursue grants and assures appropriate systems are in place to manage new funds, ensures activities are consistent with division operations and strategies.
Develops and implements division policies and procedures; coordinates the administrative aspects of program planning, implementation, monitoring and evaluation across assigned units; participates in policy and program decisions with other members of Senior Management team; interprets and implements division, department and County codes and ordinances; develops and recommends new and revised administrative rules, variance requests, policies, procedures, goals and priorities; represents division at department, County and State meetings; provides complex management support and consultation to, or as requested by, the Division Director.
Hires and directs supervisory, professional, technical and clerical staff to provide quality service to County residents and County staff; prepares performance evaluations; recommends and administers progressive discipline; conducts and/or facilitates staff training and development programs; promotes cooperative team efforts among staff and with other County departments.
Develops, reviews and oversees implementation and maintenance of Medicaid billing policies and procedures in Federally Qualified Health Center (FQHC) programs; ensures compliance with all rules governing FQHC finance and operations; monitors billing rates and revenue generation.
Manages and oversees the Mental Health Organization (MHO) functions for all five counties within the Clackamas MHO; provides direction and leadership to Oregon Health Plan Operations Manager; reviews and approves procedures, rules and/or manuals to assist service providers to accurately and appropriately capture and bill for Medicaid services; ensures legal and program compliance with the MHO contract, BBA and Medicaid Program Policy; responds to problems with service delivery and negotiates plans for resolution; represents the MHO at state policy forums.

REQUIRED KNOWLEDGE AND SKILLS

Thorough knowledge of: Principles and practices of public administration, including procurement and management information systems; generally accepted accounting principles, fiscal operations and budgeting processes; principles, practices and techniques of financial analysis, forecasting and fee setting; statistical research methods and techniques; project management and internal control principles and practices; principles and techniques of budget, contract and grant preparation and administration; participative management theories; principles of personnel administration and supervision.

Working knowledge of: Federal and State regulations relating to Federally Qualified Health Centers (FQHC), Mental Health services and various grant funding sources; Oregon Administrative Rules and Oregon Revised Statutes as they apply to accessing of services delivered by the Division; principles and practices of managed care; health care financing and administration principles; office equipment, including personal computers and software programs.

Skill to: Communicate effectively, both orally and in writing; organize and present facts in a clear, concise and logical manner; establish and maintain effective working relationships with community partners and stakeholders, elected officials, government agencies, County employees and the public; interpret and apply provisions of federal, state and local legislation, rules and regulations affecting the administration of division policies and programs; administer and control the distribution of funds according to approved budget or grant; compile and analyze data and develop recommendations; design, develop and implement systems and procedures for efficient department or division operations; direct staff in continuous efforts to improve quality, productivity and effectiveness; incorporate team participation in decision making.

OTHER REQUIREMENTS

Must successfully pass a criminal history check which may include national or state fingerprint records check.

Driving is required for County business on a regular basis or to accomplish work. Incumbents must possess a valid driver's license, and possess and maintain an acceptable driving record throughout the course of employment.

MINIMU RECRUITING STANDARDS

Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.