The DC Department of Health Care Finance is seeking a Supervisory Policy Analyst who will serve as the Associate Director for the Division of Regulations and Policy Management within the Health Care Policy and Research Administration at DC’s Medicaid agency, the DC Department of Health Care Finance.  We are seeking an attorney with Medicaid work experience who has some background in rulemaking (and ideally State Plan work) and some supervisory experience.  This person will supervise a team of 5 to manage our SPA and rule work.  More information on the positon can be found here: http://careers.dc.gov/ts2__JobDetails?jobId=a0K1600000kCi1bEAC&tSource=   

 

The South Carolina Department of Health and Human Services is seeking qualified candidates for the position of Director of Program Integrity and Surveillance Utilization Review System (SUR) programs. The program director will oversee the management of provider and beneficiary investigations and reviews to identify areas of misuse, fraud, abuse, and incorrect payments. The program director will also develop policies and procedures to guide program operations and ensure coordination between Program Integrity and other divisions within the agency. This position will be responsible for all managerial administrative functions for the program, including budgeting, drafting contracts when needed, ensuring appropriate training for staff and coordinating the agency’s response(s) to Program Integrity audits conducted by federal agencies such as the Centers for Medicare and Medicaid Services (CMS) and state agencies such as the Office of the State Auditor (OSA).  

Qualified candidates must have a bachelor’s degree and  five (5) years of management experience with Medicaid, Medicare, and/or other health care payers, and  five (5) years of direct Program Integrity and/or Healthcare Special Investigative Units management experience. Must have and maintain a valid driver’s license. 

For more information and to apply, please visit: jobs.sc.gov.

 

DIRECTOR OF ELIGIBILITY AND ENROLLMENT
Role Title: General Administration Manager III
Position: #00128
Pay Band 7, Hiring Range: $72,731 –$125,000

Closing Date: June 5, 2017

Exciting opportunity to provide executive leadership and direction for the Division of Eligibility and Enrollment Services within the state Medicaid agency. This position directs all operations, programs, policy, and staff within the division, including oversight of Eligibility Policy, Eligibility Operations and Performance Management. This position also serves as the Commonwealth’s Children’s Health Insurance Program (CHIP) Director with primary responsibility for oversight of the FAMIS and FAMIS Moms programs. Qualified applicants must have considerable knowledge of the Medicaid and CHIP programs, including the history, policies, regulations, major initiatives, and the populations served. We are seeking a strong manager with recent experience directing the work of professional employees, developing high performing teams, setting goals, and managing resources to achieve results. The successful candidate must have the ability to communicate orally and in writing and to serve as an effective spokesperson for the agency as well as have a history of successful experience working collaboratively with diverse stakeholders toward the achievement of shared goals. Experience utilizing data to formulate proposals, revise procedures, evaluate programs, measure performance, and improve outcomes is also necessary. Preferred qualifications include: knowledge of Medicaid/CHIP eligibility policies and related IT systems; the budgetary, contract management and regulatory processes of Virginia state government; and experience with the legislative process at the state or federal level. An advanced degree in a relevant field is preferred. This position is subject to a criminal history background check. Pursuant to Sections 2.2-3115 and 2.22-3115 of the Code of Virginia, this position has been designated to file a Statement of Economic Interests Form at the time of employment and semi-annually thereafter.

To apply, follow the link below:

https://jobs.agencies.virginia.gov/applicants/jsp/shared/position/JobDetails_css.jsp?postingId=1175978

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Health Care Coordinator 2 – Nurse (Announcement Recr. #31427)
Location: Carson City, Nevada

This position is located in Carson City, NV. This position is responsible for the development, implementation, management and evaluation of the medical coverage policies and procedures for the Pediatric Impatient Hospital and Dental Programs. The incumbent will be required to research/analyze federal and state regulations and other best practices. The incumbent will be required to work with contractors, providers and other stakeholders to perform education and outreach on policies and procedures. The position is required to manage tasks in an independent manner.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

 Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Health Care Coordinator 2 (Announcement 31434)
Location: Las Vegas, Nevada

This position is located in the Las Vegas Medicaid District Office within the Division of Health Care Financing and Policy. Incumbent will perform Person Centered Planning and Case Management activities to comply with Centers for Medicare/Medicaid; and State of Nevada Home and Community Based Services (HCBS) regulations. This position monitors quality outcomes and trends of HCBS and will have frequent contact with service providers, advisory groups, and recipients. This position will also be responsible for the development and implementation of policy and procedures to maintain continuous quality improvement. The incumbent must be able to work independently and become extremely knowledgeable in all areas of Medicaid. 

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees. 

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

 Click  here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Health Care Coordinator 2  (Announcement 31384)
Location: Las Vegas, Nevada 

The Health Care Coordinator II serves within the Division of Health Care Financing and Policy of the Department of Health and Human Services. The incumbent of this position’s duties will fall primarily under the Facility Outreach and Community Integration Services (FOCIS)/Money Follows the Person (MFP) Unit located at the Las Vegas Medicaid District Office. FOCIS is a program created by the State of Nevada in response to the Federal Olmstead Decision. This mandate requires that individuals residing in nursing facilities, hospitals, or rehabilitation centers, be given the opportunity to explore resources as an alternative to living within an institution. MFP is a grant awarded to the State, which provides qualified individuals, residing in long term care settings, resources to assist them in moving out of Institutions into their own homes or community based settings. MFP’s goals are to rebalance Nevada’s resources to provide the opportunity for every Medicaid nursing facility resident to live in their own home in the community. Health Care Coordinators, within the unit, perform professional work related to Medicaid program operations which includes research, assessment, and care plan development in compliance with program policies and regulations. Health Care Coordinators are out in the field, meeting with recipients or within travel up to 50%. DHCFP provides a supportive and team based atmosphere that encourages flexibility and creative collaboration. It is our goal to proved quality health care services to low-income Nevadans in the most efficient, equitable, and cost containing manner possible. To be a part of this progressive and innovative team, apply today!

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click  here  for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:  Social Services Program Specialist 2  (Announcement 31152)
Location: Carson City, Nevada

This position is for the State Department of Health and Human Services (DHHS), under the Division of Health Care Financing and Policy (DHCFP) in Policy Development and Program Management (PDPM), Pharmacy Services, located in Carson City, NV. There is estimated travel at 25%. The ability to use Microsoft and Outlook is required. The incumbent will be monitoring DHCFP’s lock-in-program, auditing dispensing practitioners, coordinating with behavioral health on treatment and pharmaceutical services, and participating in the Pharmacy & Therapeutics Committee and Drug Use Review Board quarterly meetings. The incumbent will be required to work with contracted staff, providers, other state agencies, and stakeholders to educate and outreach on policies and procedures.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

Montana Department of Public Health and Human Services (DPHHS)
Compensation from $92,123.20 to $138,174.40

Full-Time

The mission of the Department of Public Health and Human Services (DPHHS) is to provide and protect the health, well-being and self-reliance of all Montanans. DPHHS operations are organized into three broad functional areas (branches) under the Office of the Director; Operations Services, Economic Security Services, and Medicaid and Health Services. The head of each branch leads and directs operations and coordinates objectives and outcomes with the two other branches and with the needs and requirements of other state and federal agencies.

This position is the Medicaid and Health Services Branch Manager.  The position is responsible for medical, rehabilitative, and mental health service programs by overseeing the following Department Divisions:  Developmental Services Division, Health Resources Division, Senior and Long Term Care Division, and Addictive and Mental Disorders Division.  Included are six institutional treatment and long term care facilities:  Montana Chemical Dependency Center, Montana Developmental Center, Montana Mental Health Nursing Care Center, Montana State Hospital, and two Montana Veterans’ Homes.  The position also oversees the Medicaid Payment System support program.  The position directly supervises four division administrators and two Medicaid managers, and indirectly supervises approximately 1400 FTE.

For more information and to apply, go to the following link http://statecareers.mt.gov/ to view requisition 17140623.

 

 

The Georgia Department of Community Health (DCH) is currently seeking an Assistant Chief for the Medicaid, Member Services and Policy Unit. 

Job Summary:

Medical Assistance Plans functions as a division within the Department of Community Health.  It receives 15 percent of the state’s budget to ensure vital healthcare coverage to approximately 1 in 5 Georgians, serving almost 2 million beneficiaries.  This position directs the eligibility policy functions of for Medicaid and works closely with the Division of Family and Children’s Services (DFCS) who renders eligibility determinations for the State of Georgia.  This position helps DCH achieve its mission by aligning eligibility policy with agency goals, promoting inter-divisional and inter-agency collaboration, and ensuring compliance with state and federal laws and regulations.

Oversees a diverse range of support, operational, and programmatic activities for a department, agency or facility. Recommends and implements policies and procedures. Provides leadership to subordinate managers and staff.

Full posting can be found here.

 

 

The State of South Dakota is looking for a passionate expert to bring your Medicaid expertise to help us shape healthcare for our citizens. Use your combined knowledge of the State Medicaid program with a desire to serve the most vulnerable populations with quality healthcare programs. Your success innovating and leading states’ programs that optimize processes to enable agency success and performance will be important. We need a progressive leader that helps us think, lead and deliver with outcomes in mind. You can be the difference for the people of South Dakota.

See full posting here.

 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Health Care Coordinator 2-Nurse  (Announcement 30861)
Location: Carson City, Nevada

Health Care Coordinator 2 Nurse

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here https://nvapps.state.nv.us/NEATS/Recruiting/ViewAnnouncement.aep?recruitmentId=30861 for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Health Care Coordinator 1 (Announcement 30860)
Location: Carson City, Nevada

This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located in the Care Coordination Unit at the Las Vegas District Office. This position requires less than 10% of time travelling within the Las Vegas District Office catchment area. Health Care Coordinator (HCC’s) evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development. Health Care Coordinators in this position use multiple databases to research recipient data, eligibility information, and computer system interface issues. This is an under fill for an HCC II level position.

 The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

 Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the positions of:

  1. Health Care Coordinator 2 – Nurse  (Announcement 30379)
    Location: Carson City, Nevada

The Health Care Coordinator will work in the Behavioral Health section of the Clinical Policy Team.  This position is responsible for overseeing the Residential Treatment Centers/Psychiatric Residential Treatment Facilities, Inpatient Psychiatric Hospitals and Targeted Case Management.  The incumbent will be required to research/analyze federal and state regulations and other best practices.  The incumbent will be required to work with contracted staff, providers, other state agencies, and stakeholders to educate and outreach on policies and procedures.  The incumbent will be responsible for working directly with providers to assist in facilitating placements when necessary.  The incumbent must have the ability to use Microsoft Office programs and the ability to travel up to 25%.  A behavioral health background is preferred.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

 Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

2. Health Care Coordinator 2 – Nurse  (Announcement 30659)
Location: Las Vegas, Nevada

 This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located at the DHCFP Las Vegas District Office.  This position requires less than fifty percent of time traveling within the Las Vegas District Office catchment area. Health Care Coordinators (HCC’s) evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 3. Health Care Coordinator 2 – Nurse  (Announcement 30399)
Location: Las Vegas, Nevada

This Position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located at the DHCFP Las Vegas District Office.  This position requires less than fifty percent of time traveling within the Las Vegas District Office catchment area.  Health Care Coordinators evaluate individuals referred to the medical service program and provide ongoing case Management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; and review programs and participate in program development.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

 Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

4. Health Care Coordinator 2  (Announcement 30292)
Location: Las Vegas, Nevada

This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located at the DHCFP Las Vegas District Office.  This position requires less than fifty percent of time traveling within the Las Vegas District Office catchment area. Health Care Coordinators evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment, screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

5. Health Care Coordinator 1  (Announcement 30637)
Location: Carson City, Nevada

This position is located within the Department of Health and Human Services in the Division of Health Care Financing and Policy and is located in the Carson City District Office. Health Care Coordinators (HCCs) provide case management for recipients in the Facility Outreach and Community Integration Services/Money Follows the Person (FOCIS/MFP), Care Coordination, Serious Occurrence Report (SOR) evaluation and follow-up, and back-up for Katie Beckett Eligibility Option.  Incumbents assess an individual’s need for Medicaid services and link them to appropriate community resources in order for them to live and/or be cared for in a community setting.  In addition, incumbents complete assessments for disabled children under 19 years old to determine if they meet a level of care to be eligible for the Katie Beckett Eligibility Option. This position requires 25% travel in the Carson City and neighboring areas.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

6. Health Care Coordinator 2  (Announcement 30638)
Location: Carson City, Nevada

This position is located within the Department of Health and Human Services in the Division of Health Care Financing and Policy and is located in the Carson City District Office. Health Care Coordinators (HCCs) provide case management for recipients in the Facility Outreach and Community Integration Services/Money Follows the Person (FOCIS/MFP), Care Coordination, Serious Occurrence Report (SOR) evaluation and follow-up, and back-up for Katie Beckett Eligibility Option. Incumbents assess an individual’s need for Medicaid services and link them to appropriate community resources in order for them to live and/or be cared for in a community setting.  In addition, incumbents complete assessments for disabled children under 19 years old to determine if they meet a level of care to be eligible for the Katie Beckett Eligibility Option. This position requires 25% travel in the Carson City and neighboring areas.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

7. Health Care Coordinator 2  (Announcement 28953)
Location: Las Vegas, Nevada

This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located in the Care Coordination Unit at the DHCFP Las Vegas District Office.  This position requires less than 10 % of time traveling within the Las Vegas District Office catchment area.  Health Care Coordinators (HCC’s) evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development.  Health Care Coordinators in this position use multiple databases to research recipient data, eligibility information, and computer system interface issues.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 8. Health Care Coordinator 2  (Announcement 30081)
Location: Las Vegas, Nevada

This position is located in the Las Vegas Medicaid District Office within the Division of Health Care Financing and Policy. Incumbent will perform Person Centered Planning and case management activities to comply with Home and Community Based Services (HCBS) regulations.  This position will monitor quality outcomes and trends of HCBS and will have frequent contact with service providers, advisory groups, and recipients.  The position will also be responsible for the development and implementation of policy and procedures to maintain continuous quality improvement.  The incumbent must be able to work independently and become extremely knowledgeable in all areas of Medicaid.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

9. Health Care Coordinator 1 – Bilingual Spanish/English  (Announcement 30400)
Location: Las Vegas, Nevada

This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located in the Care Coordination Unit at the DHCFP Las Vegas District Office. This position requires less than ten percent of time traveling within the Las Vegas District Office catchment area. This is an under-fill for the Health Care Coordinator (HCC) II. HCCs evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development. Health Care Coordinators in this position use multiple databases to research recipient data, eligibility information, and computer system interface issues. This position will assist the staff on the customer service phone lines to provide the recipient information regarding benefits and to troubleshoot complicated access to care issues.

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

 Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

10.  Health Care Coordinator 2 – Bilingual Spanish/English (Announcement 30401)
Location: Las Vegas, Nevada

 This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP) and is located in the Care Coordination Unit at the DHCFP Las Vegas District Office. This position requires less than ten percent of time traveling within the Las Vegas District Office catchment area. Health Care Coordinators (HCC’s) evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need or medical services, treatment, equipment and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development. Health Care Coordinators in this position use multiple databases to research recipient data eligibility information and computer system interface issues. This position will assist the staff on the customer service phone lines to provide the recipient information regarding benefits and to troubleshoot complicated access to care issues.

 The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; paid leave and holidays; contribution to the secure defined-benefit retirement plan (NV PERS) and additional benefits for long-term employees.

 Nevada offers affordable housing choices in high-energy city, peaceful suburban and quaint rural settings; excellent educational options for students in K-12, community colleges and universities; world-class entertainment and cultural events and unparalleled outdoor recreation opportunities.

Click here for more information on this position and to apply.

Please click the following links for information on how to apply for this position, frequently asked questions on applications and information on working for the State of Nevada.

 

 

The Arkansas Department of Human Services (DHS) is the state’s largest agency with 7,500 employees working in 86 county offices serving more than one million people. Employees work in 11 major divisions and five support offices headquartered in Little Rock to provide services to Arkansans. DHS is seeking to fill a The DHS Chief Financial Officer position in Little Rock, AR.

The Department of Human Services (DHS) Chief Financial Officer (CFO) reports to the Director’s Office and serves on the executive leadership team. The DHS CFO is responsible for overseeing all financial activities occurring within the department as well as financial policy and long-term financial planning. This position is governed by state and federal laws and agency/institution policies. This Position:

  • Serves as a member of the Office of Finance Executive Leadership team. Directs the activities of financial personnel through lower level managers and supervisors by determining overall financial goals and objectives, managing subordinate staff, including interviewing, hiring, providing training, assigning and reviewing work, evaluating the performance of immediate subordinates, and serving as performance evaluation reviewing official for lower level financial employees.
  • Contributes to the development, revision, implementation, and monitoring of administrative policies and procedures, biennial and interim budgets, and reallocation needs of agency divisions or population driven components of DHS.
  • Oversees the development, revision, implementation, and monitoring of administrative policies and procedures, biennial and interim budgets, and reallocation needs of the department.
  • Ensures accuracy of financial data through the review and creation of financial and statistical reports.
  • Serves as member of the executive leadership team.
  • Provides technical assistance, guidance, and information to internal and external contacts, legislators, vendors, and other customers by researching and interpreting federal and state laws and agency policies and procedures. Performs other duties as assigned

MINIMUM QUALIFICATIONS

The formal education equivalent of a bachelor’s degree in accounting, finance, or a related area; plus nine years of experience in the area of accounting, finance, or a related field, including six years in professional financial management capacity.

PREFERRED QUALIFICATIONS

Position Number: 6 years of experience in Human Services and/or Healthcare (Medicaid).

Position Number: 22097952
Closing date: February 21, 2016; 11:59 p.m.

APPLY ONLINE AT https://www.ark.org/arstatejobs/index.php?ina_sec_csrf=ba440d0234b624da6ddc1fc5aa8e5965&ac:show:show_job=1&agencyid=104&jobid=89877

 


The Arkansas Department of Human Services (DHS) is the state’s largest agency with 7,500 employees working in 86 county offices serving more than one million people. Employees work in 11 major divisions and five support offices headquartered in Little Rock to provide services to Arkansans. DHS is seeking to fill a The DHS Deputy Chief Financial Officer – Medical Services position in Little Rock, AR.

The DHS Deputy Chief Financial Officer – Medical Services is responsible for overseeing all financial activities occurring within assigned areas of the division, as well as financial policy and long-term financial planning for the divisional or population driven components of DHS. This Position:

  • Serves as a member of the Office of Finance Executive Leadership team.
  • Directs the activities of financial personnel through lower level managers and supervisors by determining overall financial goals and objectives, managing subordinate staff, including interviewing, hiring, providing training, assigning and reviewing work, evaluating the performance of immediate subordinates, and serving as performance evaluation reviewing official for lower level financial employees.
  • Contributes to the development, revision, implementation, and monitoring of administrative policies and procedures, biennial and interim budgets, and reallocation needs of agency divisions or population driven components of DHS.
  • Prepares and provide information to agency management, the legislative and executive branches, and others.
  • Performs other duties as assigned.

MINIMUM QUALIFICATIONS

The formal education equivalent of a bachelor’s degree in accounting, finance, or a related area; plus nine years of experience in the area of accounting, finance, or a related field, including six years in professional financial management capacity.

PREFERRED QUALIFICATIONS

Must have Medicaid programming, budgeting, and compliance experience; financial experience, and analysis; forecasting and modeling; supervisory experience, good written and verbal skills, complex computer system skills (Microsoft Excel, Word, etc.); cash flow, revenue, and expense analysis experience.

Position Number: 22098402
Closing date: February 14, 2016; 11:59 p.m.

APPLY ONLINE AT https://www.ark.org/arstatejobs/index.php?ina_sec_csrf=3292b145ee6706423446d37a13e92e41&ac:show:show_job=1&agencyid=104&jobid=87507

Check out all of our current job listings at: www.AR-DHSjobs.com (Careers > Open Positions)

 

The Arkansas Department of Human Services (DHS) is the state’s largest agency with 7,500 employees working in 86 county offices serving more than one million people. Employees work in 11 major divisions and five support offices headquartered in Little Rock to provide services to Arkansans. DHS is seeking to fill a The DHS/DDS Director of Evaluation, Planning, and Management Systems position in Little Rock, AR.

The Department of Human Services, Developmental Disabilities Services (DHS/DDS) Director of Evaluation, Planning, and Management Systems is responsible for planning and directing management systems’ operations and monitoring and evaluating human development center programs. This position is governed by state and federal laws and agency policy. This position:

Plans, coordinates, and directs the work unit’s operations to establish programs’ priorities, oversee strategic planning, and to ensure program objectives and standards are established and consistent with overall goals. Directs the activities of divisional personnel through lower level managers and supervisors by determining overall division goals and objectives and by managing subordinate staff, including interviewing, hiring, providing training, assigning and reviewing work, evaluating the performance of immediate subordinates, and serving as performance evaluation reviewing official for lower level divisional employees. Monitors and evaluates human development centers (HDC’s) to assist the centers in developing capital improvement projects/requests, reviews and analyzes HDC program compliance, and makes recommendations to improve service delivery to residents/clients. Oversees and coordinates the investigation of abuse, neglect, and complaints related to institutional services and makes recommendations based on findings. Develops and recommends staff, material, and equipment needs for the operation’s managed to contribute to the formulation and justification of budgetary requests for the section. Consults with and advises staff and administrators to exchange information and/or to explain policies, procedures, and projections, and to identify the characteristics and impact if work and service problems and formulate possible solution. Develops, monitors, and recommends new and revised statutes, rules policies, and procedures to respond to changes in operational needs, objectives, and priorities and to improve the effectiveness of the operations managed. Performs other duties as assigned.

MINIMUM QUALIFICATIONS

The formal education equivalent of a bachelor’s degree in special education, social work, rehabilitation science, management, health service administration, or a related field; plus nine years of experience in the planning, monitoring, analysis, and evaluation of human services or health care programs and operations, or a related field, including three years in a professional managerial capacity. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management.

Position number: 22099290
Closing date: February 18, 2017

APPLY ONLINE AT https://www.ark.org/arstatejobs/index.php?ina_sec_csrf=3292b145ee6706423446d37a13e92e41&ac:show:show_job=1&agencyid=104&jobid=89723

 


The Arkansas Department of Human Services (DHS) is the state’s largest agency with 7,500 employees working in 86 county offices serving more than one million people. Employees work in 11 major divisions and five support offices headquartered in Little Rock to provide services to Arkansan’s. DHS is seeking to fill a DHS/DMS Assistant Director – Fiscal in Little Rock, AR.

The Department of Human Services/Division of Medical Services (DHS/DMS) Assistant Director – Fiscal is responsible for directing the fiscal operations and activities of the Medicaid Program for the Division of Medical Services. This position is governed by state and federal laws and agency/institution policy.

Assists in directing the activities of the DMS Financial Activities Section through subordinate managers; establishes short term and long term goals and objectives to improve efficiency and accountability; monitors activities to ensure that efforts are being made to attain established goals. Directs the activities of subordinate personnel through lower level managers and supervisors by determining overall division goals and objectives and by managing subordinate staff, including interviewing, hiring, providing training, assigning and reviewing work, evaluating the performance of immediate subordinates, and serving as performance evaluation reviewing official for lower level divisional employees. Analyzes financial information concerning Medicaid program area historical trends, determines growth rates, identifies possible program changes resulting from federal and/or state initiatives, and projects financial impacts or factors in financial impacts developed by provider reimbursement. Develops projections for major program appropriations which include services for approximately 60 state categories of service; balances budgets with funding, establishes income certifications, develops justifications for budget adjustments, and tracks adjustments and reallocation of resources. Monitors and reconciles expenditures and funds based on weekly funding requests and quarterly federal fund reports. Participates in surveys, studies, and legislative hearings concerning agency financial requirements, and conducts research and analysis to prepare proposed legislation. Researches and develops various financial reports and special projects for executive staff, legislative committees, Governor’s office, federal and/or state representatives, and auditors. Performs other duties as assigned.

MINIMUM QUALIFICATIONS

The formal education equivalent of a bachelor’s degree in accounting, finance, economics, or related field; plus seven years of experience in accounting, budgeting, finance, or a related area, including four years of professional managerial experience. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management.

PREFERRED QUALIFICATIONS

Knowledge of Medicaid, prepare and interpret financial reports and statements; perform complex, and difficult analysis of a wide-range of factors, to determine budget requirements; plan and director work of others (supervisory experience); strong oral and written experience.

Position number: 22103609
Closing date: February 18, 2017; 11:59 p.m.

APPLY ONLINE AT https://www.ark.org/arstatejobs/index.php?ina_sec_csrf=3292b145ee6706423446d37a13e92e41&ac:show:show_job=1&agencyid=104&jobid=89724

Check out all of our current job listings at: www.AR-DHSjobs.com (Careers > Open Positions)

 


The Arkansas Department of Human Services (DHS) is the state’s largest agency with 7,500 employees working in 86 county offices serving more than one million people. Employees work in 11 major divisions and five support offices headquartered in Little Rock to provide services to Arkansans. DHS is seeking to fill a position of DHS/DMS Business Operations Manager in Little Rock, AR.

The DHS Division of Medical Services (DMS) Business Operations Manager is responsible for overseeing the overall operation of the business office, supply/purchasing, and the computer operations. This position:

  • Supervises a medium to large staff by interviewing and hiring, providing training opportunities, assigning and reviewing special projects, evaluating the performance of incumbents, and reviewing and approving managerial and staff recommendations and administrative actions.
  • Participates in the establishment of goals, objectives, and short and long-range planning related to the financial responsibilities of the facility. Evaluates service delivery of vendors for effectiveness and compliance with agreements. Initiates corrective actions and revisions and provides technical directions and administrative support to program personnel.
  • Works with Assistant Director and Department heads to assure compliance with federal and state financial regulations, policies, and procedures.
  • Disseminates and interprets financial policies and procedures to appropriate staff.
  • Investigates and resolves complaints related to service delivery.
  • Monitors and analyzes activities to identify spending trends, problems, and progress.
  • Identifies operating alternatives and advises on contract or grant development and special projects.
  • Provides direction to section heads by disseminating and interpreting laws, policies, and procedures related to financial operations. Performs other duties as assigned.

MINIMUM QUALIFICATIONS

The formal education equivalent of a bachelor’s degree in general business, social science, or a related field; plus six years of work experience in social service program organization and administration; including two years of experience in a supervisory capacity.

PREFERRED QUALIFICATIONS

3 years of experience with health related policies and programs, preferably Medicaid; 1 year of experience with project management; 1 year of experience with policy development; 1 year of experience with contract/budget management; 2 years of supervisory experience; Excel proficient; reporting experience with deadlines and multiple projects.

Position number: 22143352
Closing date: February 19, 2017

APPLY ONLINE AT https://www.ark.org/arstatejobs/index.php?ina_sec_csrf=038ab74c477844439ef62729bb5aaaef&ac:show:show_job=1&agencyid=104&jobid=89737

 

The Kansas Department of Health and Environment (KDHE) is seeking qualified candidates for the role of Deputy Secretary for Medicaid and Public Health. The deputy secretary will help oversee the Divisions of Public Health and Health Care Finance. This person will take a leadership role in many initiatives, like KDHE’s groundbreaking work in whole person care that includes the social determinants of health and in the development of a modular IT infrastructure for management and oversight of the Medicaid enterprise. The full posting is located here: http://admin.ks.gov/services/state-employment-center/job/job-postings?id=185542

 

Maryland Medicaid is seeking a budget direct to lead the preparation of the annual administrative and provider reimbursement budgets.

More details and application can be found here.

 

The University of Illinois seeks an Associate Director of Medicaid & Medicare Policy Coordination. this position is responsible for directing policy analysis and compliance requirements for the Office of Medicaid Innovation (OMI). This includes coordinating the policy, administrative and research needs of the Department of Healthcare and Family Services (HFS) and staying on top of changes in federal and state Medicaid and Medicare policy, legislation and rulemaking; assisting HFS in responding to federal rulemaking and advising on state rulemaking and legislation as needed; and acting as a central resource for advising University of Illinois staff regarding the federal policy and legal requirements applicable to Medicaid and Medicare.

See full posting here.

 

The Department of Vermont Health Access (DVHA) is currently recruiting for a Medicaid Medical Director to report directly to the Deputy Commissioner for the Health Services and Managed Care Unit.

This position will be responsible for clinical aspects of benefit administration and health care improvement, providing medical expertise to the health system, quality improvement and provider relations.  The MMD provides leadership and oversight for the Drug Utilization Review Board and Medicaid Pharmacy benefit in partnership with board members and the Pharmacy Director.  The MMD has the capacity to collaborate with and oversee clinical activities within Medicaid and work collaboratively across the Agency of Human Services Departments in the interest of improving clinical programs while identifying effective and efficient ways to continually improve services and focus on the Triple Aim; Improving the patient experience of care, including quality and satisfaction, Improving the health of populations, and reducing the per capita cost of health care.

Qualified candidates must possess an M.D. or a D.O. with an active Vermont medical license in good standing.  Position requires at least five (5) years of clinical experience, three (3) of which must have involved leadership and management experience in the health care industry.

This position is open until filled. All letters of interest and accompanying resume/cv should be sent to: Amy.Simons@Vermont.gov . For questions or to receive a copy of the full job description please call Amy directly at (802)241-0147.