Administration/Staffing Sample Clauses
The Administration/Staffing clause outlines the responsibilities and requirements related to the personnel and administrative support necessary for fulfilling the contract. It typically specifies the qualifications, roles, and number of staff members the contractor must provide, as well as any obligations regarding background checks, training, or supervision. This clause ensures that the project is adequately staffed with competent personnel, thereby supporting the successful execution of contractual obligations and minimizing risks associated with understaffing or unqualified workers.
Administration/Staffing. The Contractor shall directly or indirectly provide staffing of qualified individuals for the necessary functions and positions in a sufficient number to adequately provide for the Contractor’s operational responsibilities and to support enrollment or projected enrollment. Responsibility for the functions or staff positions may be combined or divided among departments, individuals, or Subcontractors unless otherwise specified. . The Contractor’s Executive Team members are considered key personnel capable and responsible for oversight of all Contractor operations for the Kentucky account and shall have the below minimum responsibilities. All key personnel shall be dedicated full-time to this Contract and shall be available to meet at the Department’s requested location within twenty-four (24) hours’ notice from the Department. Should the Contractor designate additional key personnel to serve as part of its Executive Team, such individuals are subject to all requirements in this Contract specific to key personnel unless otherwise approved in writing by the Department. The Contractor shall staff the following Executive Team members or equivalents:
A. A Chief Executive Officer (CEO), Chief Operating Officer (COO), or equivalent who shall be a full-time administrator with clear authority over the general administration and implementation of the requirements detailed in the Contract.
B. A Chief Financial Officer who shall oversee the budget and accounting systems implemented by the Contractor.
Administration/Staffing. The Contractor shall provide the functions and positions that shall be staffed by a sufficient number of qualified individuals to adequately provide for the Contractor’s enrollment or projected enrollment. Responsibility for the functions or staff positions may be combined or divided among departments, individuals, or subcontractors unless otherwise specified. For the purposes of this Contract, the Contractor’s Executive Management shall consist of the Executive Director, Finance Director, Medical Director, Pharmacy Director, Dental Director, Behavioral Health Director, Compliance Director and Quality Improvement Director; shall be based in Kentucky; and shall be capable and responsible for oversight of all operations of the Contractor. The Contractor’s staff shall have the following minimum responsibilities:
A. A Medical Director, who shall be a physician licensed to practice in Kentucky. The Medical Director shall be actively involved in all major health programs of the Contractor. The Medical director shall also be responsible for treatment policies, protocols, Quality Improvement activities and Utilization Management decisions and devote sufficient time to ensuring timely medical decisions. The Medical Director shall also be available for after-hours consultation, if needed.
B. A Dental Director licensed to practice dentistry in Kentucky. The Dental Director shall be actively involved in all oral health programs of the Contractor and devote sufficient time to ensuring timely oral health decisions. The Dental Director shall also be available for after-hours consultation, if needed.
C. A Finance Officer, who shall oversee the budget and accounting systems implemented by the Contractor.
D. A Member Services function, which coordinates all communications with Members and acts as an advocate for Members. This function shall include sufficient Member Services staff to respond in a timely manner to Members seeking prompt resolution of problems or inquiries.
E. A Provider Services function, which coordinates all communications with Contractor Providers and Subcontractors. This function shall include sufficient Provider Services staff to respond in a timely manner to Providers seeking prompt resolution of problems or inquiries.
F. A Quality Improvement Director, who shall be responsible for the operation of the Contractor’s Quality Improvement Program and any subcontractors of the Contractor.
G. A Behavioral Health Director, who shall be a behavioral health pra...
Administration/Staffing. The Contractor shall submit to the Department within ten (10) days any changes to the Contractor’s Executive Management positions or other mandatory positions required under this Contract, and whenever requested by the Department, a current organizational chart depicting all staff functions, including but not limited to mandatory staff functions, the number of employees serving each function, and a description of the qualifications of each individual with key management responsibility for any mandatory function specified in Section 9.2 “Administration/Staffing.” Contractor agrees that its administrative costs shall not exceed ten percent (10%) of the total Medicaid managed care contract cost. Administrative costs are those costs consistent with DOI annual financial filings that are included in the line for “GAO” which is generally referred to as General, Administrative, and Overhead expenses.
Administration/Staffing. The Contractor shall provide the following functions that shall be staffed by a sufficient number of qualified persons to adequately provide for the member enrollment and services provided. Responsibility for these functions or staff positions may be provided by, combined with or split among Contractor’s departments, people or Subcontractors and carry such titles as Contractor designates and provides to the Department. The Executive Management shall be capable and responsible for the oversight of the entire operation.
▇. ▇▇ Executive Director who is to act as liaison to the Department for all issues that relate to the Contract between the Department and the Contractor. The Executive Director shall act as the primary contact and will be authorized to represent the Contractor regarding inquiries pertaining to the contract, will be available during normal business hours, and will have decision-making authority in regard to urgent situations that arise. The Executive Director will be responsible for follow-up on contract inquiries initiated by the Department.
B. A Compliance Director whose responsibilities shall be to ensure financial and programmatic accountability, transparency and integrity. The Compliance Director shall maintain current knowledge of Federal and State legislation, legislative initiatives, and regulations relating to Contractor and oversee the Contractor’s compliance with the laws and Contract requirements of the Department. The Compliance Director shall also serve as the primary contact for and facilitate communications between Contractor leadership and the Department relating to Contract compliance issues. The Compliance Director shall also oversee Contractor implementation of and evaluate any actions required to correct a deficiency or address noncompliance with Contract requirements as identified by the Department.
C. A Medical Director who shall be a Kentucky-licensed physician. The Medical Director shall be actively involved in all major clinical programs and Quality Improvement components. The Medical Director shall devote sufficient time to ensure timely medical decisions, including after-hours consultation as needed.
Administration/Staffing. The Contractor shall submit to the Department any material changes to the Contractor’s organization, and whenever requested by the Department, a current organizational chart depicting all staff functions, including but not limited to mandatory staff functions, the number of employees serving each function, and a description of the qualifications of each individual with key management responsibility for any mandatory function specified in Section 10.
Administration/Staffing. 10.5.1 The Contract will appoint a Project Manager. The Project Manager will function as the Contractor’s authorized point of contact with the DoD PCO and SPM. The Project Manager must be available to respond promptly and fully to all contract requirements. The Project Manager’s responsibilities will include, but are not limited to: providing administrative, supervisory, and direction to project personnel; monitoring work performance for accuracy, timeliness, efficiency, and adherence to contract requirements; coordinating the resolution of contract problems, the implementation and completion of problem escalation procedures and ensuring reports are submitted on-time and accurately. The Project Manager will meet monthly with the PCO and SPM for the first 6 months of the contract. The PCO may continue meetings with the Project Manager as necessary. The Project Manager must be an employee of the prime Contractor and must be authorized to make binding decisions on behalf of the prime Contractor and all subcontractors. The Project Manager may not be reassigned during the contract period without 60 day prior written notice and the PCO’s consent. The Project Manager must have a minimum of five (5) years demonstrated experience with increased levels of responsibility. The Project Manager should have experience managing large scale projects involving all titles of your software and government procurement practices. Additionally, the Project Manager must have demonstrated effective oral and written communication skills.