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NEW MCO Organizational Chart

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<strong>NEW</strong> <strong>MCO</strong><br />

<strong>Organizational</strong> <strong>Chart</strong><br />

October 20, 2011<br />

KEY:<br />

Positions based at a particular location are designated. Other positions may be designated as:<br />

• Primary/Secondary (PS) – Such position will primarily function at a named location but will report<br />

to a second named location on a regular basis.<br />

• Negotiable – Such position could possibly function at either two or more of the agency locations<br />

and will be negotiated between supervision and the final applicant.<br />

• To Be Determined (TBD) – Such position will need to be determined by the line of supervision or<br />

by some other factor that has not yet been resolved. Every effort will be made to have the<br />

location(s) finalized prior to the position announcement.<br />

• Distributed – Such position(s) will be distributed between two or more of the agency locations;<br />

exact distribution to be determined.


Chief<br />

Executive<br />

Officer-<br />

Gastonia<br />

Clerk to the<br />

Board/Adm Asst.<br />

Gastonia<br />

Public Information<br />

Officer-Negotiable<br />

Chief Community<br />

Relations Officer—<br />

Hickory (PS)<br />

Chief Business<br />

Operations<br />

Officer--Gastonia<br />

Quality<br />

Management<br />

Director--Gastonia<br />

Medical Director--<br />

Gastonia<br />

Chief Clinical<br />

Operations Officer—<br />

Elkin (PS)<br />

Corporate<br />

Compliance Director-<br />

-Gastonia<br />

Provider Network<br />

Director--<br />

Negotiable<br />

Finance<br />

Director--TBD<br />

Physician<br />

Reviewer--<br />

Gastonia<br />

Consumer Relations<br />

Director--<br />

Negotiable<br />

System of Care<br />

Manager--<br />

Negotiable<br />

MIS Director--<br />

TBD<br />

Human<br />

Resources<br />

Director--TBD<br />

Facilities<br />

Manager--TBD<br />

I/DD Clinical<br />

Director -<br />

Negotiable<br />

MH/SA Clinical<br />

Director -<br />

Negotiable<br />

Customer Service<br />

Director--Elkin<br />

<strong>MCO</strong> Contract<br />

Manager--<br />

Negotiable<br />

Utilization<br />

Management<br />

Director--TBD


Chief Community<br />

Relations Officer-<br />

Hickory (PS)<br />

Admin Asst (1)--<br />

Hickory<br />

Provider Network<br />

Director--<br />

Negotiable<br />

Consumer<br />

Relations Director--<br />

Negotiable<br />

System of Care<br />

Manager--<br />

Negotiable<br />

<strong>MCO</strong> Contract<br />

Manager -<br />

Negotiable<br />

Provider Network<br />

Mgr (3)--<br />

Distributed<br />

Admin Support(1)--<br />

TBD<br />

System Liaison (6)--<br />

Distributed<br />

Provider Network<br />

Liaison (21)--<br />

Distributed<br />

Consumer Relations<br />

Specialist (3)--Distributed<br />

Provider Network<br />

Trainer (1)—TBD<br />

(with the PN Dir)<br />

Concern and Complaint<br />

Coordinator (2)—TBD<br />

(separate from CR Dir)<br />

Administrative<br />

Support (3)--<br />

Distributed<br />

Housing Coordinator (3)--<br />

Distributed<br />

Program Dev Coord (1)--<br />

Gastonia


Chief Business<br />

Operations Officer--<br />

Gastonia<br />

Administrative Asst<br />

(1)--Gastonia<br />

MIS Director--TBD<br />

Facilities Manager—<br />

TBD (Elkin or<br />

Gastonia)<br />

HR Director--TBD<br />

Finance Director--<br />

TBD<br />

Admin Support (1)--<br />

TBD<br />

Facilities<br />

Maintenance Tech<br />

(2)—Distributed<br />

(based on Fac Mgr)<br />

HR Specialist<br />

(3) -TBD<br />

Admin Support(1)--<br />

TBD<br />

Computer Systems<br />

Admin (1) -TBD<br />

Computer Systems<br />

Admin (1)-TBD<br />

HR Asst (1) -TBD<br />

Asst Fin Dir (1)--TBD<br />

Claims Mgr (1)--TBD<br />

Network Contract<br />

Manager (1)--TBD<br />

Comp Support Tech<br />

(2) - TBD<br />

System Analyst<br />

(5) -TBD<br />

Financial Analyst<br />

(4) -TBD<br />

Claims Analyst (8)--<br />

Distributed<br />

Admin Support (1)--<br />

TBD<br />

Network Admin<br />

(2)-TBD<br />

HIPAA Security<br />

Officer (1) -TBD<br />

Acct Tech (2) -TBD<br />

Qlty. Review Analyst<br />

(1) -TBD<br />

Network Contract<br />

Coordinator (2)—<br />

TBD<br />

Phone System Admin<br />

(1) - TBD<br />

Technical Trainer<br />

(1) -TBD<br />

Fin Services Spec (1) -<br />

TBD<br />

Help Desk Assoc<br />

(2) -TBD<br />

Webmaster<br />

(1) -TBD<br />

Database<br />

Administrator<br />

(1) TBD


Quality Management<br />

Director--Gastonia<br />

MD--Gastonia<br />

Admin Support(1)--Gastonia<br />

QM Manager (1)--<br />

Negotiable<br />

Appeals Manager (1)--<br />

Gastonia<br />

Internal Training Coord. (1)--<br />

Gastonia<br />

QM Analyst (6)—<br />

Distributed<br />

Appeals Specialist (2)--<br />

Gastonia


MD--Gastonia<br />

Chief Clinical<br />

Operations<br />

Officer—Elkin (PS)<br />

Admin Asst (1)--<br />

Elkin<br />

I/DD Clinical Dir<br />

(1)--Negotiable<br />

MH/SA Clinical Dir<br />

(1)--Negotiable<br />

Customer Svcs Dir<br />

(1)--Elkin<br />

UM Director (1)—<br />

TBD<br />

Physician<br />

Reviewer (1)--<br />

Gastonia<br />

Admin Support<br />

(1)--TBD<br />

Admin Support(1)-<br />

-TBD<br />

Admin Support<br />

(1)--Elkin<br />

Admin Support (1)<br />

TBD (same as UM<br />

Dir)<br />

I/DD Care Mgt<br />

Supervisor (5)--<br />

Distributed<br />

SIS Evaluator (4)--<br />

Distributed<br />

Trainer--TBD<br />

MH/SA Care Mgr<br />

Supervisor (3)--<br />

Distributed<br />

Access Program<br />

Coord (3) —<br />

Distributed<br />

Admin Support(2)<br />

-Distributed<br />

I/DD Care<br />

Managers (44)--<br />

Distributed<br />

MH/SA Care<br />

Managers (30)--<br />

Distributed<br />

Admin.<br />

Support(3)—<br />

Distributed<br />

I/DD Utilization<br />

Supervisor (1) -<br />

TBD<br />

MH/SA Utilization<br />

Supervisor (2) -<br />

TBD<br />

Clinicians (25)—<br />

Distributed<br />

I/DD Utilization<br />

Reviewer (12) -<br />

TBD<br />

MH/SA Utilization<br />

Reviewer (24) -<br />

TBD


Corporate Compliance Director--Gastonia<br />

Fraud/Compliance<br />

Specialist—TBD<br />

Medical Records Manager (1)-<br />

-Negotiable<br />

Internal Auditor (1)<br />

- Negotiable<br />

Medical Records Asst (3)--<br />

Distributed

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