Chief Medical Officer (North Carolina Medicaid)
Location:   Raleigh, NC

The Division of Medical Assistance (DMA) manages health care services for the most vulnerable North Carolina residents.  With a budget of nearly $14 billion, DMA serves about 2 million low-income parents, children, seniors, and people with disabilities through the NC Medicaid and NC Health Choice for Children programs. 

The North Carolina Division of Medical Assistance is seeking a Chief Medical Officer (CMO). This position functions as a key member of the Division Executive Team, providing input into policy decisions and medical leadership to all Medicaid sections and initiatives, with the goal of promoting the delivery of high quality services within a sustainable budget.  The position will also have management responsibilities.  The CMO will interact on a regular basis with Pre-Paid Health Plans (PHP) and Local Management Entities/Managed Care Organizations (LME/MCO) medical directors and clinical and non-clinical staff in other state agencies including the Division of Public Health, Division of Mental Health, Intellectual & Developmental Disabilities, and Substance Abuse, and others as needed. Other key responsibilities include analysis of proposed legislation and testimony at legislative committee meetings, input on state-related payment reform, leadership on Social Determinants, and serving as a liaison to the healthcare provider community.

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

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Business Process Analyst 2 (Announcement #32812)
Location: Carson City, Nevada 

The Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP/Medicaid), Information Services-Business Process Management Unit, has a vacancy for a Business Process Analyst II, in Carson City. The incumbent must be able to perceive and define cause and effect relationships in business processes and automated systems; and work with computer programming staff in analyzing information, problems, or practices to identify relevant concerns patterns, tendencies and formulates logical conclusions. A program is defined as any social welfare or health insurance program. This position is the technical bridge between program staff and Medicaid’s fiscal agent and Medicaid Management Information Systems (MMIS) operation vendor(s). This position is pivotal in the change management process to ensure Division staff understands how to best achieve their program goals in the information system(s). 

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.

Social Services Program Specialist 3 (Announcement #32712)
Location: Carson City, Nevada

This position is responsible for the supervision of the behavioral health unit which develops, implements, and maintains the behavioral health coverage policies for Nevada Medicaid and Nevada Check Up. The incumbent will be required to research/analyze federal/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 and will be required to perform complex analysis and provide recommendations on both financial and clinical trends, analysis and interpretation of multiple data analytics measures. 

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.

Health Care Coordinator 1 – Underfill for Health Care Coordinator 2 (Announcement #32773)
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/Medicaid) 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 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.

Health Care Coordinator 2 (Announcement #32772)
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/Medicaid) 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 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.

 

The Missouri Department of Social Services (DSS) is seeking a MO HealthNet Finance Director as part of the senior leadership team. This position offers the unique opportunity to be an integral part of developing and sustaining innovative financial systems to support the state’s Medicaid program for low-income Missourians.
This position is responsible for MO HealthNet Budget forecasting, development and expenditure control and financial reporting; institutional reimbursement; rate setting; financial services and payment models.

The successful candidate will be a hands-on leader capable of building and leading a team of dedicated financial staff. This position, located in Jefferson City, Missouri, reports to the department’s Chief Financial Officer and takes daily direction from the MO HealthNet Division Director. For additional information about our department, visit http://dss.mo.gov/

Full posting: MHD Finance Director Career Announcement 10.27.17

 

Under the direction of the HHS Deputy Executive Commissioner for Medical and Social Services, the Associate Commissioner for Medicaid and CHIP Services provides senior-level leadership and oversight to the State Medicaid Program, the Children’s Health Insurance Plan and other operations within the Medicaid and CHIP Services department within the Health and Human Services Commission. The Associate Commissioner for Medicaid and CHIP Services is the senior advisor to the Executive Commissioner, the Chief Deputy, and to the Deputy for Medical and Social Services on the Medicaid program and the Children’s Health Insurance Plan (CHIP). Consistent with the Health and Human Services system mission, vision, values and strategic priorities, the Associate Commissioner for Medicaid and CHIP Services establishes and maintains strategic goals, administrative rules, policies/procedures, and performance measures that structure, govern and measure performance of the department’s operations. The Associate Commissioner for Medicaid and CHIP Services is responsible for development and management of an operational budget, a staffing and human resources management plan, and a stakeholder communication plan for the department. The Associate Commissioner for Medicaid and CHIP Services directly supervises all operations within the department including Managed Care and Contract Services; Screening, Case Management and Waiver Services; Provider and Claims Services and Supports; Policy and Data; Quality and Program Improvement; Medicaid and CHIP Medical Directors; and Cross-Agency/Division Coordination. Work involves serving as primary liaison to the Legislature and Governor’s Office to ensure that the financial, legislative, and administrative needs of the state’s Medicaid and CHIP programs are articulated effectively within the legislative process; conferring with the Executive Commissioner, Chief Deputy and Deputy to determine HHS policy and legislative priorities. The Associate Commissioner for Medicaid and CHIP Services maintains effective working relationships with other governmental and private agencies concerned with health services, represents HHSC at public hearings and meetings with consumer and industry representatives, and provides information and advice with respect to matters falling within the purview of the Medicaid and CHIP department. The Associate Commissioner for Medicaid and CHIP Services works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

Full posting and application.

 

The Nebraska Department of Health and Human Services (DHHS) has an exciting opportunity for a Policy an Communications Deputy Director to join our team within the Division of Developmental Disabilities. The Deputy Director will be responsible for overall policy formulation for the Division. Successful candidates will have policy development experience, strong interpersonal skills, and share in our mission of “helping people live better lives.”

Policy and Communications Deputy Director.

 

The New Hampshire Department of Health and Human Services is now recruiting for an experienced, highly motivated and energetic individual to join the Department’s executive leadership team as the Director of the Division of Medicaid Services to lead and manage the Division’s programs and services, including Medicaid Policy, Clinical Operations, Dental Services, and Managed Care.  This is a unique opportunity for an individual who desires to have a big impact in a small state. 

The Department of Health and Human Services is New Hampshire’s single state Medicaid agency.   The Department is an integrated agency that, in addition to the Office of Medicaid Services, includes the Divisions of Public Health, Behavioral Health, Human Services, Client Services and Quality Assurance and Improvement.   Working with the Department’s executive leadership, this position will oversee and manage a Medicaid program with an annual budget exceeding $1 billion that covers over 190,000 children and adults.

This position reports to the Commissioner of the Department with additional reporting responsibilities to the Associate Commissioner for Population Health.  The Director also represents Medicaid to key stakeholders, including the Governor’s office and state legislature, the Centers for Medicare and Medicaid Services, provider communities and managed care plans, and other stakeholders and advocacy groups.

The chosen candidate will be responsible for administering the state’s Medicaid program, overseeing the implementation of the Office’s delivery system reform programs, including development and implementation of alternative payment models, overseeing current and potential future Section 1115 Medicaid waivers, managing the state’s managed care program, and managing the Department’s Medicaid staff.   The state’s managed care program will be re-procured in 2018 and will incorporate for the first time certain long term services and supports. 

The Director will also be responsible for working with the Associate Commissioner for Population Health, the Commissioner and the senior leadership in developing and operationalizing the Department’s population health and quality assurance strategies.

Candidates must have experience interpreting complex federal and state law; creating and implementing strategic operational plans for a large and multi-faceted organization; proactively and accurately identifying issues while seeking resolutions to meet immediate needs and positioning the agency for future requirements, and finally, the leadership role in negotiation, design and execution of multi-million dollar service contracts emphasizing quality, economic efficiency, performance and outcome measurement.   The Director must have excellent communication skills and a proven track record of managing staff. 

If you are interested in joining our team and have a desire to fulfill our mission of “helping people achieve health and independence,” please submit a cover letter and resume to Kelly Cote, Commissioner’s Office.  For more information about the New Hampshire Department of Health and Human Services and the Division of Medicaid, please visit our website, http://www.dhhs.nh.gov/.

Qualifications / Requirements

Qualified candidates must have a graduate degree in law, public policy, public administration, health administration, health policy, or similar disciplines; a minimum of 7 years of progressively responsible experience in health and/or government administration, health care, public policy and/or public administration that has included Medicaid policy and regulation and Medicaid finance.   Experience with developing, managing or administering Medicaid managed care programs is strongly preferred.  

Qualified candidates must also have a deep commitment to the mission of the department and must be motivated to work with other executive leadership in implementing population based programs across the department for the benefit of the citizens of New Hampshire.

This position is an unclassified Senior Executive Service position with a salary set by the New Hampshire legislature.   The state’s benefit package is very competitive.   The salary range, depending upon experience is currently $86,725.60 to $115,224.72. 

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
Social Services Chief 3  (Announcement 32539)
Location: Carson City, Nevada

The LTSS Chief leads the Medicaid LTSS programs including the Medicaid State Plan and Waiver home and community based support services and institutional long-term care. This Chief works closely with and coordinates resources and activities with other DHCFP staff, sister, state and local government agencies as well as advocacy groups, service providers and service recipients to transition the programs into an integrated service and quality system. Programmatic responsibilities include interpretation of program regulations and requirements; quality assurance; development and implementation of automated systems; preparation and distribution of program policies, procedures, standards and guidelines; entering into contracts with service providers. This position will establish, monitor and report data regarding program participation and quality assurance activities and is responsible for implementing improvements based on the program needs and data reviewed. ****** The MCQ Chief directs and oversees the MCQ unit activities, providing supervision to professional personnel and support staff providing social services. The Chief manages the development, negotiation and monitoring of major contracts with service providers, ensuring compliance with contract agreements; directs the development and implementation of State Plans and Waivers, managed care contracts, policies, procedures and support systems to receive federal funding and ensure program administration in accordance with goals and regulations. The incumbent develops quality improvement systems for monitoring quality healthcare delivery systems. Extensive community work is required, including interaction with a variety of stakeholders including service providers, medical professionals and facility administrators, agency managers, government officials, community groups, lawmakers, and professional advisory groups.

To see full Class Specifications visit: http://hr.nv.gov/Resources/ClassSpecs/Class_Specifications-12_0/

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.

 

Medicaid Director (Public Service Executive)

Iowa Department of Human Services seeks a professional to lead the Iowa Medicaid Enterprise (IME).  IME is a health care payor that provides comprehensive health care benefits to over 600,000 Iowans annually and has annual expenditures in excess of $ 5.6 billion.  This key critical position serves on the Department’s executive management team.

The Medicaid Director is the primary architect of the strategy that establishes IME’s goals for optimal health outcomes and financial performance. This position defines program objectives and performance measures to ensure goals are attained.  The role requires a superior knowledge of the insurance industry’s healthcare payment systems and CMS regulations, in order to integrate federal mandates into compliant state policy. This pivotal role provides vision and direction for IME staffs and contractors to implement strategies focused on effective delivery results.  The Director must be an effective communicator to craft initiative messages and continually collaborate with a broad and diverse group of stakeholders inclusive of consumers, provider associations, legislators and CMS.

This role is responsible for the integration and performance of the Managed Care Organizations (MCOs) who serve the majority of Iowans in the Medicaid hawk-i and Iowa Health and Wellness Programs. MCOs service approximately 600,000 Iowans with a total budget of approximately $4B. In addition, the Director must continue to meet or exceed performance expectations of the traditional fee-for-service Medicaid programs, while leading aggressive program integrity activities and continually identifying and sourcing redundancies of support systems.

This high profile position sponsors Medicaid initiatives and leads federal waiver(s) and state negotiations for program implementation which includes:  provide member and provider support services, provider claims payment, program integrity actions, implementation of quality physical health care and long term supports and services to ensure members receive quality and integrated services, provision of quality services and program improvement activities, delivery of stated health, behavioral health and long term care outcomes, effective management within a capitated rate, proactive and fair processes for addressing member and provider issues.

This high profile position is located at the state Capitol complex in Des Moines, IA.  Des Moines provides a safe, clean environment with affordable housing, great restaurants, shopping and an international airport.  Please visit:

Candidates must have experience interpreting complex federal and state law; creating and implementing strategic operational plans for a large and multi-faceted organization; proactively and accurately identifying issues while seeking resolutions to meet immediate needs and positioning the agency for future requirements, and finally, the leadership role in negotiation, design and execution of multi-million dollar service contracts emphasizing ‘best practice’ and cost containment.

Minimally, candidates applying for this ‘At-Will’ position must possess seven (7) years of progressively responsible positions within the healthcare, public administration/public policy, finance/accounting or insurance fields. Experience with managed care is preferred. Successful candidate will enjoy a generous benefit package.

Salary commensurate w/experience
$ 94,181 – $ 147,035

For consideration forward resume/vita highlighting experience to:
shase@dhs.state.ia.us

AA/EEO

 

AGENCY DESCRIPTION:

The Georgia Department of Community Health (DCH) is one of Georgia’s four health agencies serving the state’s growing population of almost 10 million people. DCH serves as the lead agency for Medicaid and oversees the State Health Benefit Plan (SHBP), Healthcare Facility Regulation and Health Information Technology in Georgia for one in four Georgians.  Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state’s most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s four program divisions. DCH employees are based in Atlanta, Cordele and across the state.

DCH is currently seeking a qualified Assistant Chief, of Performance Quality and Outcomes with the Medicaid Division. 

JOB SUMMARY: 

Plans, develops and directs the Medicaid Quality Improvement functions. Provides leadership necessary to achieve national best practice performance levels in quality improvement.  Ensures that the quality of healthcare services rendered by contracted managed care plans meets or exceeds professionally recognized community standards.  Oversees a diverse range of support, operational, and programmatic activities for the Department of Community Health.  Recommends and implements policies and procedures.  Provides leadership to subordinate managers and staff.  Interfaces with a diverse range of clinical and administrative professionals, resolves sometimes-complex policy and service issues within the group and directs data analytic and reporting activities.  Ensures compliance with state, federal, and accreditation requirements. 

SALARY:

Annual Salary: $75,508.41 – $107,869.16

Pay Grade: Q ((The position may be filled at a higher level based on experience)

Current Georgia state government employees will be subject to SPB rule provisions to salary. 

Click here to Apply

 

The Health Care Authority is seeking a seasoned finance professional with ten plus years of executive leadership experience, especially with regard to managing multiple programs, mentoring and coaching,  dealing with ambiguity, and providing vision and strategic leadership in a public environment. 

The ideal candidate for this important position will also have prior experience in health care finance at a local, regional or national level, and will be adept at cultivating strong stakeholder relations. Desired personal characteristics include strong communication skills, high emotional intelligence, and the ability to work with diverse stakeholder groups and authorizing environments. 

For more information and to apply, please follow the link below:
Chief Financial Officer $120,000 -$150,000 Annually.

 

Health Care Coordinator 2 – Nurse (Announcement #32401)
This position is within the Long Term Support Services (LTSS) Unit of the Division of Health Care Financing and Policy(DHCFP) and is located in Carson City. LTSS supports individuals who need ongoing care due to age, physical or intellectual disability or chronic illness. Incumbent will oversee compliance with Nursing Facilities and Intermediate Care Facilities for the individual with Intellectual Disabilities, and oversee the Medical Behaviorally Complex Care Program. Functions include developing and updating Medicaid policy based on best practices and federal and state statutes, performing trend analysis on specific programs, and ensuring federal compliance. This position will require clinical analysis to monitor quality outcomes and trends of Nursing Facility data, frequent contact with service providers, advisory groups, and recipients including the participation in community and public relations activities to assist with budgetary recommendations, program needs and outreach. The incumbent must be able to work independently and become extremely knowledgeable in all areas of Medicaid.  *** THIS RECRUITMENT MAY CLOSE AT ANY TIME BASED ON THE AMOUNT OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE. *** 

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

Accountant 1 (Announcement #32420)
This position is located in the Fiscal Services Unit of the Division of Health Care Financing and Policy (DHCFP) in Carson City. The incumbent will be responsible for projecting, monitoring, reviewing, and reporting Medicaid related expenditures. Regular duties will include preparing annual and quarterly federal budgets and reporting actual expenditures for Medicaid related grants. Additional duties will include preparing draw requests for federal grants and related journal entries, reconciling grant activity and processing quarterly cost allocations. This position also interacts with Centers for Medicare & Medicaid Services (CMS) representatives to ensure reporting processes meet current grant requirements and guidelines. The DHCFP works in partnership with CMS to assist in providing quality medical care for eligible individuals and families with low incomes and limited resources. Services are provided through a combination of traditional fee-for-service provider networks and managed care. Travel up to 25% of the time may be required. Audit experience is preferred, but not required. 

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

 

The Oregon Health Authority is looking for a passionate leader who is eager to influence and advance health system transformation in Oregon, to join our innovative team as the State Medicaid Director.  

This key position is a catalyst in building strong collaborative relationships with public health, behavioral and oral health champions throughout the state. The State Medicaid Director provides overall leadership and direction for strategic program development, health policy and program implementations for the Oregon Health Plan, with an enrollment of over one million individuals.  

We invite you to view additional details about this opportunity in our electronic brochure. 

Please contact Diana Garibay directly via email or by phone 503-840-8090 for additional information.

 

 

Management Analyst 3  (Announcement  32298)
Location: Carson City, Nevada

As a member of Division of Health Care Financing and Policy’s (DHCFP/Medicaid’s) Operational Analytics Team, the incumbent will provide data retrieval, reporting, and analytic services to internal customers and external partners and stakeholders; log activity in the department-wide request tracking system; provide fiscal, budgetary, and reporting services for the Health Care Guidance program, a primary care case management initiative; assist with providing data and analyses to the DHCFP’s External Quality Review Organization (EQRO) vendor and the DHCFP’s contracted actuary; assist the team with routine and ad hoc medical claims and demographic reporting and monitoring; develop and maintain dashboards for compliance monitoring; and with necessary training, assume a role as one of the Unit’s Data Warehouse and Decision Support System subject matter experts; and develop and distribute complex queries and reports and train staff in their use for the Unit and the Division.

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.

 

 

DEPARTMENT OF MEDICAL ASSISTANCE SERVICES EMPLOYMENT OPPORTUNITY

This Agency is charged with ensuring proper MEDICAID services to qualified recipients.  Please visit our website and the Commonwealth of Virginia’s website referenced below for additional information and qualifications.

SENIOR PROGRAMS ADVISOR, ELIGIBILITY
Role Title: Program Administration Manager III
Position #:01060
Pay Band 6 Level I Hiring Range $57,342 – $90,000

Closing Date: September 18, 2017

Unique opportunity to provide support to upper level management by developing a new and comprehensive approach to assessing and improving the process and accuracy of determining eligibility for Department of Medical Assistance Services programs. This position will report to the Agency Chief Deputy and will work with a team of agency staff, other state and local staff, and stakeholders/advocates to develop and implement a Quality Measurement program for Medicaid/CHIP eligibility.  Responsibilities will include defining performance standards, developing metrics, collecting data and tracking measures, identifying trends and issues, and developing recommendations and corrective actions to ensure that the eligibility determination process is in compliance with all federal and state regulations and provides a high quality consumer experience. Qualified applicants must have considerable knowledge of large complex governmental organizations, how they are administered and how they intersect at the state and local levels. The position also requires considerable knowledge of human services delivery systems, performance management techniques, qualitative and quantitative data analysis, and philosophies and approaches associated with continuous quality improvement and customer focused service delivery.  Requires experience analyzing complex issues, making recommendations to leadership, preparing decision briefs and presentations, and implementing new policies and procedures.  Must have proven ability to manage complex projects and multiple priorities, set goals, develop multi-level work plans and strategies, and monitor progress to complete time sensitive assignments with minimal direction.  Must have demonstrated ability to lead others with diverse interests and to build collaborative relationships with various stakeholders/advocates, state and local agency staff, and high-level decision makers to achieve consensus and results. Experience with performance/quality metrics is strongly preferred. Experience developing new and complex initiatives involving a broad range of stakeholders is also preferred. Knowledge of eligibility processing for Medicaid/CHIP and/or human service programs would be advantageous.  Graduation from an accredited college or university with major course work in health, business or public administration, public policy, or relevant field preferred; master’s degree in relevant field preferred.

ONLINE STATE APPLICATION REQUIRED
Resumes will not substitute for state applications.  DMAS will only accept online applications submitted through the RMS by 11:59 p.m. on the referenced closing date.  Faxed, emailed, or hand delivered applications or resumes will not be accepted and resumes will not substitute for a complete state application.  Applications must include complete work history, including periods of unemployment if applicable.  Consideration for an interview is based solely on the information within the application.

Receptionist: 804-786-5408, TDD 800-343-0634
Web Sites for Vacancy Listings
RMS: https://virginiajobs.peopleadmin.com/
DMAShttp://www.dmas.virginia.gov/Content_pgs/ab-emp.aspx

Applicants who require accommodation to apply for Agency openings should contact the DMAS receptionist for assistance.
EEO/AA/ADA

 

The Wisconsin Department of Health Services, Division of Medicaid Services (DMS) is currently recruiting to fill an Associate Director of Operations (Health Services Associate Manager) position in the Bureau of Milwaukee Enrollment Services (MilES). This important executive leadership position offers competitive pay and a top-rate benefits package.

Under general supervision of the Director of MilES, the Milwaukee Enrollment Services (MilES) Associate Bureau Director is responsible for directing, coordinating, planning, monitoring and evaluating the operational activities of MilES staff and the functions required to meet all operational and programmatic priorities, goals, and objectives within this high volume call center and case management environment. Under the direction of the Bureau Director, this includes the areas of general operations, human resources, IT, and administrative support as well as providing expertise and coordination of policy development and implementation, management, and other services required for the effective and efficient management of the Bureau. The MilES Associate Director is also responsible for fostering positive community relationships within the greater Milwaukee area and working with community partners.

To see full posting click here.

 

The Washington State Health Care Authority (HCA) is seeking an entrepreneurial leader with knowledge and expertise of the health care market and landscape to foster the vision of a Healthier Washington.

The Chief Policy Officer will ensure infusion of Healthier Washington functions into the business of the agency, sustainability of innovation, and positioning to leverage market opportunities for the benefit of the two million Washington lives insured by HCA.

For more information, follow the link below:

Chief Policy Officer $115,000 – $150,000 Annually.
HCA Chief Policy Officer Recruitment Announcement.

 

The Fiscal Research Division (FRD) seeks dynamic individuals with strong analytical skills who excel under pressure. FRD analysts are non-partisan and service as the primary budget and finance staff to the North Carolina General Assembly’s 170 members as well as its funding and policy committees.

For this position, preference will be given to applicants who have extensive training, experience, and familiarity with healthcare, managed care, Medicaid/Medicare, social services, public health, and/or mental health programs at either the state or local level.  See full posting for details below.

Fiscal Analyst I – Medicaid

 

We are conducting an executive search for a dynamic Chief Information Officer (CIO) with exceptional managerial skills to lead the IT function of the Department of Health and Mental Hygiene (DHMH) for the State of Maryland. This high-profile position is empowered to provide technology vision and leadership in the development and implementation of vital initiatives in support of the Department’s mission. This position is strategic as well as tactical in aligning IT business objectives with the entire department and delivering change management.

See full posting here.

 

The State of Nevada Division of Health Care Financing and Policy is seeking qualified candidates for the position of:
IT Professional 4 – Information Security Officer/Manager IT Operations (Announcement Recr. #31693)
Location: Carson City, Nevada

This position is located in the Information Services section of the Division of Healthcare Financing (DHCFP / Medicaid) and Policy in the Department of Health and Human Services located in Carson City. This position serves as the Manager of the IT Operations team and the Division Information Security Officer (ISO) with direct supervisory responsibility of four IT Professional III positions, in addition to indirect supervisory responsibility for two IT Tech VI (one of which is located in Las Vegas) positions and one IT Tech V position. The incumbent will report directly to the Chief of Information Services. The incumbent will be subject to occasional callback and evenings and weekends work. *** THIS RECRUITMENT MAY CLOSE AT ANY TIME BASED ON THE AMOUNT OF APPLICATIONS RECEIVED. QUALIFIED APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE. ***

 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.

 

 

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The Nebraska Division of Medicaid & Long Term Care is seeking a Director of the Division. The position is responsible for charting the agency’s path through the dynamic health industry landscape. Works directly with the Governor and the Chief Executive Officer of the Department of Health and Human Services to set policy for the division that optimizes service delivery, patient experience, and fiscal stewardship.

Full announcement and application here.

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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.

 

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.

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 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.

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