York/Adams HealthChoices Management Unit
Job Title: Chief Fiscal Officer
CHIEF FISCAL OFFICER
I. Purpose of Position
The York/Adams HealthChoices Management Unit is the administrative entity created by the counties of York and
Adams to oversee the management of the Medicaid HealthChoices Behavioral Health Program. The York/Adams
HealthChoices Management Unit has direct responsibility for all management and administrative functions associated
with (1) the contract between the counties and the Commonwealth of Pennsylvania for the provision of Medicaid
covered services, and (2) the contract between the counties and the behavioral health managed care organization that
it choose as a subcontractor to administer the program to service recipients. In addition, funds that are not expended in
any given year are able to be utilized for reinvestment projects. This position is responsible for overseeing the
implementation and monitoring of all reinvestment projects and to oversee the fiscal component of this department.
2. Organizational Relationships
Reports to: Program Director
Supervises: Fiscal Monitor
Total subordinate staff: 1
Budget (if applicable): N/A
3. Principal Activities
Activity Method Result
1 Writes the Counties’ Develops the plan in conjunction Reinvestment plans are
reinvestment plant with the HCMU and stakeholders. submitted in a timely fashion and
Follows DPW guidelines for plan according to DPW established
submission. Works with providers guidelines.
to obtain needed information for
submission of project ideas.
Reviews and provides feedback on
program descriptions and budgets.
Completes analysis of these to
present to the HCMU.
2 Monitors Reinvestment Provides on-site reviews of Providers implement projects
Services projects and arranges and runs that meet the Counties’ needs
meetings with providers. Works in and adhere to contractual
conjunction with the Counties’ standards.
auditors to provide oversight.
Completes inventories of items
purchased by the HCMU. Keeps
files which document contracts,
meetings, and correspondence.
3 Updates HCMU Completes monthly reporting and The HCMU is in compliance
reinvestment reports for creates other reports as needed on with DPW monitoring
internal use and DPW use. projects and expenditures. requirements.
4 Monitors and implements Makes changes to the plan as The HCMU is able to get plan
changes to the Counties’ requested by DPW, notifies DPW approval as quickly as possible
reinvestment plants of the need for extensions, or and is in compliance with
changes to plan amounts within the procedural requirements
required timeframes and allowable surrounding changes to the plan.
5 Guides, interprets, analyses Uses information generated by the The HCMU makes sound
financial data. County and the MCO to complete decisions for the program and
reports and analysis of financial management is aware of
data. Prepares IBNR analysis and potential financial shortfalls.
reviews claim detail. Prepares
LOC and COA analysis
6 Participates in rate setting Takes a lead role with the Director Rates are developed that are
activities and Actuaries to prepare actuarially sound and based on
information for submission to completed data.
DPW. Participates in obtaining
trending information and writing
rate setting letters.
7 Participates in monthly Reviews agendas and prepares Ensures that the Counties’
meetings with the MCO. information for the meeting. concerns and needs are
Actively participates in the addressed.
discussion with the MCO and
actuary advocating for the needs
of the County.
8 Oversees the Fiscal Provides supervision through Ensures the smooth running of
Department Staff. Provides meetings and feedback on work to all fiscal services and payment of
Supervision and completes the HCMU fiscal staff. Is invoices.
evaluations. knowledgeable of staff
responsibilities and reports. Can
complete reports or pay invoices if
9 Understands the Claims Reviews claims reports, completes Ensures timely payments to
system. research on information that providers.
doesn’t make sense, and
investigates claims problems with
10 Review CRCS forms Uses information from analysis to Ensures oversight and
submitted by CCBH. and from the actuaries to provide monitoring into the budgeting
input into the annual CRCS forms. process of the MCO and for
information provided to DPW.
4. Work Assignment, Review, and Approval ~ (Who assigns work to this employee? If multiple reporting
relationships exist, so state. How are instructions provided? Who sets priorities and resolves conflict? Who
reviews and approves work in progress or work completed? )
The Director assigns, reviews, and approves the work of the employee. The employee, along with the Director, sets
the priorities of this position which includes implementing, monitoring activities and analysis.
5. Decision-Making Authority ~ (Decisions for which this employee has authority. Specify level and
frequency of review of each decision by the employee’s supervisor.)
This employee has authority to make day-to-day decisions regarding their work assignments. This position has the
authority to provide supervision to the fiscal monitor and to set priorities for completion of work in the fiscal
6. Documents and Reports ~ (Describe all formal written communication, including work products or
records of work activities, product by this employee for internal as well as external recipients.)
Reinvestment reports and annual reinvestment reports will be completed by this position. On-going progress reports
will be maintained on the status of reinvestment monitoring. Monthly IBNR analysis will be produced. Rate setting
letters will be developed annually that will be in whole or in part produced by this position. CRCS forms will be
reviewed. Other reports will be completed as determined to be necessary.
7. Human Relations ~ (Describe clients, the public, or parts of the organization other than co-workers and
immediate supervisors with whom this employee is brought into significant contact in the conduct of work-related
Department of Public Welfare
Financial Counterparts at the MCO
County Controller’s Office
Y/A County Treasurer’s Office
8. Performance Standards ~ (Describe key end-results that serve as the basis for evaluating the performance
of this employee.)
Quality of the analysis performed
Timelines of reporting to senior management
Usefulness of the reports to decision making
Employee’s interaction with internal and external contacts
Compliance with state and county requirements
Solvency of the Program
Able to recommend and implement changes identified by the County for better oversight of the program
Reinvestment reports are submitted in a timely fashion
Deadlines are met and procedures are followed in the management of reinvestment
9. Job Qualifications
Education Bachelors Degree Bachelor Degree in
Experience 5 years in a fiscal related position preferably 5 or more years in a fiscal
with administrative/leadership experience. releted with administrative
experience within the public
behavioral health System.
Specialized Skills Analytical and problem solving skills.
Ability to work and communicate
10. General - (Describe special assignments, committees, outside organizations, or any other significant
characteristics of the job not described elsewhere.)
This employee has a close working relationship with counterparts in the Counties, State, and MCO. Travel will be
required. Typical travel will be to Camp Hill, Harrisburg, and Pittsburgh. Overnight travel may be required on
Revised Thursday, November 24, 2011