The Missouri Department of Social Services is searching for a Director for our MO HealthNet Division. The MO HealthNet Division is the division within the Medicaid single state agency that administers Missouri’s medical assistance programs that purchase and monitor health care services for low income and vulnerable citizens of Missouri.    

Below is a full job description for the position, as well as information about Jefferson City. The deadline to apply is January 26, 2018.

MHD Division Director Career Opportunity

 

Job Description:
The mission of the  Family and Social Services Administration is to develop, finance, and compassionately administer programs to provide healthcare and other social services to Hoosiers in need in order to enable them to achieve healthy, self-sufficient and productive lives.  Our vision is to become a high performance, integrated and interdependent agency, leveraging its resources across the continuum of services we provide in order to reliably and consistently serve our customers while acting as astute stewards of the state and federal money provided to us.

The Office of Medicaid Policy and Planning functions as a division within the Family and Social Services Administration, which receives around 13 percent of the state’s budget to ensure vital healthcare coverage for approximately 1 in 5 Hoosiers.  This position is responsible for effectively administering the state’s pharmacy benefits for 1.4 million Medicaid members.  Incumbent is charged with coordinating population health strategies and integrating novel programmatic interventions that will help contain the cost of drugs and improve member health outcomes.  This position helps OMPP achieve its mission by effectively promoting population health improvements that have long-term cost containment benefits, which ensures sustainability of the program and longer, healthier lives for vulnerable Hoosiers.

Full posting here.

 

About the National Association of Medicaid Directors (NAMD)
The National Association of Medicaid Directors (NAMD) seeks a program coordinator to support the Association’s growing portfolio of programs that support state-to-state learning and problem solving among state Medicaid leaders. NAMD is a bipartisan, nonprofit organization representing leaders for state Medicaid agencies across the country. Our mission is to support Medicaid Directors in administering the program in cost-effective, efficient and visionary ways that enable the over 70 million Americans served by Medicaid to achieve their best health and to thrive in their communities. NAMD was established in 2011.

NAMD is a small association and supports Medicaid Directors by:
1. Offering programs that connect Medicaid Directors to their peers and resources for problem-solving, exchanging lessons learned, and advancing innovations; and that provide leadership training to Medicaid Directors and their teams; and that advances the profession of state Medicaid Directors;
2. Providing Medicaid policy strategy and analysis, including developing and communicating consensus positions at a national level; and fostering a strong and equal state-federal partnership; and
3. Serving as the trusted source for data and information about Medicaid Directors.

Available Position: Program Coordinator
The Program Coordinator is a junior position that will support NAMD’s growing portfolio of grant-funded programs that provide Medicaid Directors and Medicaid agency staff with opportunities for state-to-state learning and problem solving. NAMD’s programs also support the partnership between Medicaid Directors and Medicaid’s federal partners at the Centers for Medicare and Medicaid Services (CMS).

Programs are designed to be dynamic and respond to the evolving needs of Medicaid Directors and their staff. As such, they address an evolving range of operational and policy issues, such as delivery system and payment reform, behavioral health integration, Medicaid managed care, personal responsibility approaches in Medicaid, and outcomes and evaluation. We deliver these programs through a variety of modes, including topical conference calls, webinars, in-person meetings, workgroups, written resources, and information repositories. Our aim is to provide a neutral forum for sharing of effective operational strategies among states, as well as to support Medicaid Directors and CMS in addressing shared policy concerns.

The program coordinator will report to the program director for Medicaid operations and support the day-to-day activities of NAMD’s operational programs. The coordinator will be responsible for scheduling topical calls, workgroup meetings, and webinars. The individual will also develop content expertise on emerging Medicaid issues through web-based research and engaging directly with state Medicaid agency staff. The coordinator will also support NAMD’s programs by developing written materials, collecting background information and resources, crafting written summaries of calls and meetings, and supporting the development of call and meeting agendas. The individual will also be responsible for collecting data that will be used to evaluate NAMD’s operational programs and developing periodic reports to NAMD’s program funders. The program coordinator will be expected to occasionally travel to NAMD meetings.

As a small, dynamic team, the program coordinator will also support association-wide activities, including planning for NAMD’s annual Spring and Fall Conferences and developing content for NAMD’s weekly member-only newsletter.

Responsibilities
• Develop content expertise on emerging Medicaid issues through web-based research and engaging directly with state Medicaid agency staff.
• Develop concise summaries, issue briefs, and other written resources that capture key takeaways from calls, webinars and meetings.
• Collect and aggregate state-specific information and resources for dissemination to states.
• Support in-person meeting planning (i.e., developing materials, leading preparation activities, identifying potential faculty, etc.)
• Schedule topical conference calls and workgroup meetings with Medicaid Directors, senior Medicaid agency staff, and CMS.
• Keep abreast of emerging Medicaid policy issues by attending briefings, webinars, and meetings.
• Collect information to evaluate NAMD’s operational programs and develop periodic reports on program progress for NAMD’s grant funders.
• Develop written and verbal communications for NAMD’s members and external audiences on NAMD’s programs.
• Respond to member requests related to NAMD’s operational programs.
• Support the development of content for NAMD’s Spring and Fall Conferences, weekly state-only newsletter, and other association-wide efforts.

Requirements
• Bachelor’s degree in political science, public policy, public health or other related area of study.
• Minimum of 2 years of related work experience. A Master’s Degree in public policy, public health or public administration will be considered in lieu of work experience.
• A strong desire to learn about Medicaid program operations and policy issues, and a willingness to delve into a diverse array of complex topics.
• Excellent written and oral communication skills, including the ability to communicate complex ideas in concise and neutral manner.
• Intellectually curious, present, and an effective listener.
• Ability to manage multiple completing tasks and self-direct workflow.
• Ability to work in a cooperative, team-oriented environment and to network with a wide-range of stakeholders.
• Proficiency in Microsoft Word and PowerPoint. Proficiency in Microsoft Access a plus.
• Ability to occasionally travel to NAMD meetings and events.

This is a full-time position located in Washington DC. Salary is negotiable and commensurate with experience: estimated range of $50,000-$55,000. No phone calls, please.

To Apply
Send resume and cover letter to:
Tess Moore, Operations Director
National Association of Medicaid Directors
Tess.moore@medicaiddirectors.org

 

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

Under the general direction of the Division Administrator, this position will perform at a professional level, significantly impacting DHCFP programs and funding, helping develop Medicaid policies by predicting expected costs of providing care to recipients.  Major duties and responsibilities include but are not limited to:  Reviewing actuarial and statistical computations related to Managed Care Organization (MCO) capitated payments; reviewing rates for existing and proposed services; researching state and federal laws and regulations to determine the impact on programs and services; performing data analysis related to Medicaid services and expenditures; developing procedures and State Plan Amendments (SPAs) to address issues identified; developing and analyzing quality measures for new and existing programs and services; assisting in Requests for Proposals (RFPs) and related contract negotiations; calculating costs for potential program changes, budget requirements, and ad-hoc analysis.  The incumbent will represent the DHCFP by providing expert analysis and testimony at Division hearings, legislative hearings, and advisory committees. The incumbent will coordinate actuarial and statistical studies with outside consulting actuaries and industry technical staff. 

The State of Nevada is an equal opportunity employer offering generous benefits for medical, dental, vision care, life and disability insurance; contribution to the secure defined-benefit retirement plan (NV PERS), accrual of 15 days of annual and 15 days of sick leave, 11 paid holidays and no city, county, state or social security tax! Nevada boasts not only exciting 24-hour cities, but recreational opportunities for outdoor enthusiasts such as camping, boating, fishing and hiking with stunning mountain scenery and picturesque high desert splendor. 

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. 

To apply, please see instructions in this attachment. 

Please click the following links for  frequently asked questions on applications and information on working for the State of Nevada.

 

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 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

 

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.

 

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

 

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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.