Common use of Key Staff Positions Clause in Contracts

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: Key Staff Chief Executive Officer/Chief Operating Officer (CEO/COO)* Chief Financial Officer* Compliance Officer Contract Liaison/MHT Administrator Medical Director Medical Management Director Care Management Director Behavioral Health Medical Director Quality Director Member Services Director Claims Payment Director Network Development Director Provider Relations Director Program Integrity Lead Information Technology Director Community Engagement Director Encounter Data Integrity Manager MHT Member Advocate Dental Director *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. 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: Key Staff Chief Executive Officer/Chief Operating Officer (CEO/COO)* Chief Financial Officer* Compliance Officer Contract Liaison/MHT Administrator Medical Director Medical Management Director Care Management Director Behavioral Health Medical Director Quality Director Member Services Director Claims Payment Director Key Staff Network Development Director Provider Relations Director Program Integrity Lead Information Technology Director Community Engagement Director Encounter Data Integrity Manager MHT Member Advocate Dental Director Health Equity Director *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: Key Staff Chief Executive Officer/Chief Operating Officer (CEO/COO)* Chief Financial Officer* Compliance Officer Contract Liaison/MHT Administrator Medical Director Medical Management Director Care Management Director Behavioral Health Medical Director Quality Director Member Services Director Claims Payment Director Network Development Director Provider Relations Director Program Integrity Lead Information Technology Director Community Engagement Director Encounter Data Integrity Manager MHT Member Advocate Dental Director *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.