Key Staff Positions Sample Clauses

Key Staff Positions. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1 of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: Contract Liaison/Medicaid Administrator, Chief Financial Officer, Medical Director, Medical Management (Utilization Review/Care Management) Director, Quality Director, Member Services Director, Claims Payment Director, Provider Relations Director, and Information Technology Director. The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen (14) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen (14) days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the Department’s Medical Director or Contract Administrator within three business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. The MCO must provide BMS with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions: Chief Executive Officer/Chief Operating Officer (CEO/COO)* Chief Financial Officer* *The CEO/COO and CFO positions are not required to be Medicaid-only positions. The MCO must notify BMS in writing of changes in key staff positions when individuals either leave or fill these key positions within ten (10) calendar days of any change. The MCO must also provide an updated organizational chart within ten (10) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the BMS’ Medical Director or Contract Administrator within three (3) business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: Contract Liaison/Medicaid Administrator, Socially Necessary Services/Wraparound Services Liaison, Chief Financial Officer, Medical Director, Medical Management (Utilization Review/Care Management) Director, Quality Director, Member Services Director, Claims Payment Director, Provider Relations Director, Program Integrity Lead, Information Technology Director, and Community Engagement Specialist. The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen (14) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen (14) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the Department’s Medical Director or Contract Administrator within three (3) business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state law requirements for experience, licensure, and other ownership requirements. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: • Contract Liaison/Medicaid Administrator, • Chief Executive Officer (CEO), • Chief Financial Officer (CFO), • Medical Director, • Medical Management (Utilization Review) Director, • Care Management Director, • Behavioral Health Medical Director, • Dental Director, • Social Services Director, • SNS Liaison, • Quality Director, • Enrollee Services Director, • Claims Payment Director, • Network Development Director, • Provider Relations Director, • Program Integrity Lead, • Information Technology Director, • Community Engagement Director, and • Medicaid Enrollee Advocate. The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen (14) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen (14) calendar days of request. All key staff or his or her designee must respond to requests of the Department within three (3) business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. All key staff must report solely to the West Virginia MHT Chief Executive Officer (CEO)/Chief Operating Officer (COO) unless otherwise approved by BMS. The MCO must provide BMS with an organizational chart depicting the key staff positions in the Medicaid and WVCHIP line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions: Chief Executive Officer/Chief Operating Officer (CEO/COO)* Chief Financial Officer* *The CEO/COO and CFO positions are not required to be Medicaid-only positions. The MCO must notify BMS in writing of changes in key staff positions when individuals either leave or fill these key positions within ten (10) calendar days of any change. The MCO must also provide an updated organizational chart within ten (10) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the BMS’ Medical Director or Contract Administrator within three (3) business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. The MCO must provide BMS with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions: *The CEO/COO and CFO positions are not required to Medicaid-only positions. The MCO must notify BMS in writing of changes in key staff positions when individuals either leave or fill these key positions within ten (10) calendar days of any change. The MCO must also provide an updated organizational chart within ten (10) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the BMS’ Medical Director or Contract Administrator within three (3) business days.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. Where indicated in the below table, key staff must report solely to the West Virginia MHT Chief Executive Officer (CEO)/Chief Operating Officer (COO) or West Virginia MHT Vice President/Senior Vice President unless otherwise approved by BMS. The MCO must provide BMS with an organizational chart depicting the key staff positions in the Medicaid and WVCHIP line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the key staff positions identified below. For any BMS-approved deviations from the requirements for key staff, the MCO must submit supporting information with its organizational chart for the approval, including a description of the deviation, date of approval, and name of BMS approver. The deviation must be indicated in bold on the organizational chart. The below key staff report may report organizationally within the MCO’s overall corporate structure. The below key staff must report solely to the West Virginia MHT Chief Executive Officer (CEO)/ Chief Operating Officer (COO) or West Virginia MHT Vice President/Senior Vice President unless otherwise approved by BMS. Chief Financial Officer (CFO)* Mountain Health Trust (MHT) Member Advocate Contract Liaison/Mountain Health Trust (MHT) Administrator Health Equity Director *The CEO/COO and CFO or West Virginia MHT Vice President/Senior Vice President positions are not required to be Medicaid-only positions. ** The Compliance Officer shall report directly to an Executive Compliance Officer at the corporate level of the organization and indirectly to the CEO/COO. The MCO must notify BMS in writing of changes in key staff positions when individuals either leave key positions or are filled within ten (10) calendar days of any change. The MCO must include with the written notice a transition plan (e.g., actions to be taken, estimated timeframes for hiring a replacement, etc.), and provide BMS with updates every thirty (30) days or at an agreed upon frequency until the position is filled. Hiring or replacement of key staff must conform to Contract requirements. The MCO must also provide an updated organizational chart within ten (10) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the BMS’ Medical Director or Contract ...

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state law requirements for experience, licensure, and other ownership requirements. Where indicated in the below table, key staff must report solely to the West Virginia MHP Chief Executive Officer (CEO)/Chief Operating Officer (COO) or West Virginia MHP Vice President/Senior Vice President and all key staff must be dedicated full-time to supporting the West Virginia MHP contract unless otherwise approved by BMS. The MCO must receive approval from the Department to share positions across the MHT and MHP contracts. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the key staff positions for functions identified below. For any BMS-approved deviations from the requirements for key staff, the MCO must submit supporting information with its organizational chart for the approval, including a description of the deviation, date of approval, and name of BMS approver. The deviation must be indicated in bold on the organizational chart. The below key staff report may report organizationally within the MCO’s overall corporate structure. The below key staff must report solely to the West Virginia MHP Chief Executive Officer (CEO)/ Chief Operating Officer (COO) or West Virginia MHP Vice President/Senior Vice President unless otherwise approved by BMS. Medical Management (Utilization Review) Director Enrollee Services Director Health Equity Director Provider Relations Director The MCO must notify the Department in writing of changes in key staff positions when individuals either leave key positions or are filled within ten (10) calendar days of any change. The MCO must include with the written notice a transition plan (e.g., actions to be taken, estimated timeframes for hiring a replacement, etc.), and provide BMS with updates every thirty

Key Staff Positions. At a minimum, the following key staff positions are required to be filled at all times: 1. Administrator/CEO/COO (hereinafter referred to as “CEO”), who is located in Arkansas, oversees the entire operation of the PASSE, and has the authority to direct, implement and prioritize work, regardless of where performed to ensure compliance with Agreement requirements, and oversees all staff performing functions related to this Agreement; 2. Chief Financial Officer/CFO (hereinafter referred to “CFO”) who is located in Arkansas, is available to fulfill the responsibilities of the position and to oversee the budget, accounting systems, and financial reporting implemented by the PASSE; 3. Care Coordination Manager, who is located in Arkansas, is responsible for overseeing all Care Coordinators and ensuring that all aspects of Care Coordination Services are being fulfilled; 4. IT/IS (Information Technology/Information Systems) Manager who is responsible for all information systems management, including coordination of the technical aspects of application infrastructure, server and storage needs, reliability and survivability of all date and data exchange elements including Business Continuity/Disaster Recovery activities; and 5. Compliance Officer is responsible for overseeing the activities of the Medical/Quality Management Committee and ensuring compliance with state and federal law. An individual staff member is limited to occupying a maximum of two (2) of the Key Staff positions listed above, unless prior approval is obtained by DHS. The PASSE must submit its functional organizational chart to DHS. Thirty (30) days from the start of operations, the PASSE must report to DHS on the status of hiring Key Staff. DHS, in its discretion, may allow the PASSE additional time to finalize hiring Key Staff.

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state law requirements for experience, licensure, and other ownership requirements. All key staff must report solely to the West Virginia MHP Chief Executive Officer (CEO) and be dedicated full-time to supporting the West Virginia MHP contract unless otherwise approved by BMS. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: Medical Management (Utilization Review) Director Claims Payment Director The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within ten (10) calendar days of any change. The MCO must also provide an updated organizational chart within ten (10) calendar days of request. All key staff or his or her designee must respond to requests of the Department within three (3) business days.