Careers

Position Summary

Reporting to the Deputy Executive Director of Operations, the Finance & Operations Manager ensures the financial health, operational efficiency, and compliance of NAMD. This role manages finance, grants, payroll, and audit readiness, while also overseeing office operations, contracts, technology systems, and vendor relationships. The Manager plays a pivotal role in strengthening organizational systems, supervising operations staff and building cross-functional partnerships to ensure that finance and operations fully support NAMD’s mission and strategic goals.

About NAMD

NAMD is a nonpartisan, nonprofit, professional association representing leaders of state Medicaid agencies and Children’s Health Insurance Programs (CHIP) across the country. Members from the 56 states and territories drive major innovations in health care while overseeing Medicaid and CHIP, two of the nation’s most vital health care programs serving millions of beneficiaries.

Key Responsibilities

The Senior Manager of Finance & Operations will serve as a key member of NAMD’s operations team. Specific responsibilities include:

Finance & Accounting

• Manage day-to-day accounting, including accounts payable/receivable, reconciliations, cash management, and monthly/annual close, in partnership with staff and outsourced accountants.
• Develop accurate and timely financial reports and dashboards for the Board of Directors, funders, and internal leadership.
• Draw financial analyses to support decision-making and resource allocation.
• Collaborate with leadership to develop and monitor program, event, and annual budgets.
• Strengthen internal controls, policies, and procedures to ensure financial compliance and efficiency.
• Lead audit preparation, serving as the main point of contact with external auditors.
• Track organizational subscriptions, licenses, and renewals for inclusion in the budget.

Grants Management 

• Oversee financial management of restricted funds, ensuring compliance with grant terms and alignment with strategic priorities.
• Prepare and submit grant financial reports and maintain audit-ready documentation.
• Partner with operations and database staff to improve integration between grant-tracking and financial systems.

Human Resources & Benefits Management 

• Oversee payroll administration, ensuring accuracy, timeliness, and compliance with labor, benefits, and tax requirements.
• Manage employee benefits and the annual open enrollment process with support from NAMD’s external HR and accounting partners.
• Maintain complete and compliant payroll records.
• Support HR processes, including onboarding, timekeeping, and annual staff evaluation cycles.
• Recommend and implement HR process improvements, including annual staff evaluation process, to better align with organizational needs.

Operations & Contract Management 

• Supervise the Operations & Database Associate, providing guidance and oversight for CRM management, annual member dues collection, hiring/onboarding, and general member support.
• Manage vendor and consultant contracts, including outsourced technology and HR partners, ensuring deliverables meet organizational needs.
• Oversee office operations and technology systems (HubSpot, Paylocity, Asana, SharePoint, etc.), promoting effective and consistent use across the team.
• Maintain and update organizational policies, SOPs, and operations manuals.
• Monitor operational risks, anticipate needs, and implement process improvements to increase efficiency.

Cross-Functional Support 

• Serve as a bridge between finance, operations, and program teams to align resources with strategic goals.
• Partner with leadership on special projects, organizational initiatives, and process design.
• Support staff onboarding, training, and knowledge management to strengthen team effectiveness.
• Foster a culture of accountability, collaboration, and continuous improvement across finance and operations.
• Carry out other duties assigned.

Minimum Qualifications 

• 6–8 years of progressively responsible nonprofit or association experience in finance and operations.
• Strong knowledge of GAAP and nonprofit accounting standards.
• Demonstrated ability to develop and manage budgets, financial reports, and compliance systems.
• Experience with grant management and reporting, including federal funding requirements.
• Proficiency with QuickBooks Online, Excel, Microsoft Office Suite, budgeting platforms and cloud-based collaboration tools.
• Ability to manage multiple projects and priorities in a hybrid work environment.
• Strong project management, organizational, and communication skills.
• Supervisory experience, with ability to manage staff and external vendors/consultants.
• Familiarity with Medicaid policy or association management is a plus.
• Excellent written and verbal communication skills, with the ability to engage diverse stakeholders.
• Familiarity with the Medicaid program and/or experience working within an association or policy-focused organization.
• Supervisory experience is a plus, particularly in managing both staff and contractors.

General Applicant Information 

This position is based in Washington, DC with a minimum of two-days in-person availability per week required.

The salary range for this position is $105,000 – $120,000. NAMD offers a comprehensive, competitive benefits package designed to support the needs of NAMD employees, including:

• Retirement with employer match and discretionary contribution
• Medical, dental and vision insurance
• Life insurance, short-term disability, and long-term disability insurance
• Monthly cellular reimbursement
• Annual stipend for professional development
• Generous vacation and leave policy
• Flexible Telework policy with 2 days in office/3 days remote per week

To apply, please complete and submit this form along with your resume and a cover letter outlining your qualifications and interest in joining NAMD.

If you have any questions, please contact humanresources@medicaiddirectors.org. No phone inquiries, please.

About this Job

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Louisiana Department of Health is seeking an experienced and strategic Medicaid Chief Financial Officer (CFO) to lead the financial operations of the Medicaid division. The ideal candidate will possess deep knowledge of Medicaid regulations, reimbursement models, and healthcare finance, ensuring compliance while driving financial sustainability and growth. This role requires close collaboration with executive management, state legislators, and stakeholders to provide accurate financial reporting and forward-looking financial modeling related to Medicaid program changes at both the state and federal levels.

For more information and how to apply, click here.

Job Description

This position plans, directs and administers the revenue, accounting and budget operations of the Medical Care Programs through the Office of Finance.

With regard to revenue and accounting, the position directly supervises an Accountant Manager II in the Statewide claiming, reconciliation and distribution of Title XIX (Medicaid) and Title XXI (SCHIP) federal funds, which exceed $5 billion annually. The position directs the implementation of automated and manual accounting systems, operating within generally accepted accounting principles and agency accounting operations, and directs the fiscal year end close out of the Medical Care Programs. This position also supervises Division staff in preparing and/or reviewing Medicaid Administrative Cost Allocation Plans for a number of State agencies, with attention to cost accounting methodologies.

Under the direction of this position, fiscal staff prepares both standard and special statistical reports for use by management and control agencies. The position indirectly supervises an Accountant Advanced in evaluating and resolving major problems and modifying system financial reports, and in providing ad hoc reports. The position reviews and responds to State and federal audit reports and develops corrective action plans, where required.

With regard to the budget function, this position directly supervises two Accountant Manager IIs in the preparation of the annual administrative and provider reimbursement budgets for the Medical Care Programs, and in the quarterly projection of expenditures. The total budgets equal approximately $16 billion and include General, Federal, Special and Reimbursable fund sources. The major provider reimbursement budgets are Medicaid, SCHIP, and the Behavioral Health Program. The administrative budgets are in six separate programs: Executive Direction; Office of Enterprise Technology – Medicaid; Office of Health Services; Office of Finance; Major I.T. Development; and Office of Eligibility. The annual budget and quarterly projections require the integration of statistical data on Program enrollment, actual and projected expenditures and reimbursement rates, and actual and projected recovery of Federal, Special and Reimbursable funds, and communication between divisions.

For more information and to apply, click here.

Job Description

The primary purpose of the Director, Office of Medical Benefits Management Administration (OMBM) is to direct the operation of the Maryland Medical Assistance Program’s managed care, behavioral health, acute care and primary care services. This involves overseeing three Deputy Directors (Acute Care, Behavioral Health and Managed Care) and includes eleven divisions: HealthChoice Quality Assurance; HealthChoice Provider Network Management; Community Liaison and Care Coordination; HealthChoice Complaint Resolution; Hospital Services; Dental, Clinics and Labs; Professional Services Policy; Children’s Services; Healthy Kids/EPSDT; Behavioral Health; and the Medicaid Recovery Hospital Claims Audit Contractor (RAC). There are approximately one hundred employees in the Office of Medical Benefits Management.

Responsibilities include design, development, oversight and management of HealthChoice and acute care policy, as well as managing the implementation of professional quality and medical necessity reviews of health services. Responsibilities also include directing the monitoring and oversight of nine Managed Care Organizations (MCO) contracts and regulations, the Department’s RAC contract, REM contract, Dental Administrative Services Organization (DASO) contract, and grants to all Local Health Departments for coordination of care services. The Director oversees procurement functions related to the enrollment of MCOs, implementation of dental services, external quality review organization and quality vendors, behavioral health administrative services organization (BHASO), and the RAC. Additionally, this position is responsible for the management of preauthorization of services, the EPSDT program, quality assurance for HealthChoice, ongoing program evaluation, program specific complaint resolution for providers and recipients, appeals for specific programs, and resolution of legislative audit/ internal provider audit issues.

For more information and to apply, click here.

Job Description

The main purpose of this position is to supervise and manage the Office of Eligibility Services (OES) within the Health Care Financing & Medicaid Administration, helping to ensure that Marylanders receive efficient and accurate eligibility services.  This role is responsible for overseeing the eligibility operations, systems, regulation and policy, and staff for Medicaid, Maryland Children’s Health Insurance Program (MCHP), and other Medical Assistance Programs.

This position directs the implementation and continuous improvement of eligibility operations, including policy development, system functionality, and eligibility caseworker training programs. This work crosses the Maryland Health Benefits Exchange, Department of Human Services, and local health departments. The Director is also responsible for maintaining strong operational performance standards that ensure eligibility and frontline staff effectively support Marylanders as they enroll in and renew coverage.

Key operational responsibilities include overseeing the development, implementation, and maintenance of eligibility operations, regulations, and policies under the Code of Maryland Regulations (COMAR). This role also involves leading the design and delivery of statewide eligibility training and technical assistance programs for eligibility case workers across the Maryland Department of Health, local health departments, the Department of Human Services, and the Maryland Health Benefit Exchange. Additional responsibilities include ensuring the accuracy, integrity, and operational functionality of the master eligibility file and supporting the Medicare Part B Buy-In program. The position also manages the issuance of Medical Assistance identification cards and related customer service processes, oversees eligibility determinations for specialized programs such as Home and Community-Based Services (HCBS) waivers, and implements operational improvements that enhance efficiency, accuracy, and member satisfaction.

Functional leadership responsibilities include supervising and developing OES staff to strengthen operational execution and service excellence, as well as serving as a liaison with state and federal partners to coordinate eligibility operations and resolve recipient issues. The role also includes providing legislative testimony and supporting executive decision-making through operational data and analysis. Additionally, the position collaborates with CMS and internal technical groups, including the Medical Assistance Advisory Committee and the MCO rate setting workgroup to align eligibility operations with broader program goals.

For more information and to apply, click here.

Job Description

This position serves as the sole Deputy Director of the Office of Medicaid Provider Services (OMPS). The Deputy Director plans, directs, supervises, and evaluates operations of five sub-directorates that support the Maryland Medicaid Provider Community. This includes quality oversight of the following areas:

1. Provider Enrollment Program: a) Provider Enrollment Contract Implementation and Monitoring b) Provider Enrollment Administrative Services c) Moderate Risk Provider Site Visits d) Medicaid Provider Training Unit

2. Provider Policy, Compliance & Clinical Quality Improvement Program: a) Provider Policy Development & Implementation (includes State regulations, Federal State Plan, sub-regulatory transmittals and billing manuals) b) Provider Compliance Program, including Excluded Provider Tracking and Monitoring, as well as Federal Audit Oversight c) Federal Interoperability Program d) Provider Exclusions e) Hospital & Family Planning Presumptive Eligibility Program f) Telehealth Program g) Long Term Care Provider Resolution Unit h) Other related health information exchange projects

3. Professional Provider Relations Program, Institutional Provider Relations Program, Check Tracing & Division of Claims Services: a) Professional Services Call Center b) Professional Services Claims Resolution c) Institutional Services Call Center d) Institutional Services Claims Resolution e) Claims Processing f) Adjustments g) Claims Mailroom/batching h) MCO Capitation

As needed, the Office of Medicaid Provider Services Director may request this position be readily available for high priority projects, which include coordinating and implementing cross cutting projects (projects that require the planning and coordination with the Chief Portfolio Officer, MDThink, Office of Enterprise Technology (OET), The Office of Medicaid Finance (OOF), the Office of Eligibility Services (OES), the Office of Medical Benefits Management (OMBM), the Office of Pharmacy Services (OPS), the Office of Long Term Services & Supports (OLTSS), and the Office of Innovation, Research & Development (IRD) as well as sister agencies.

For more information and to apply, click here.

WHAT WE’RE LOOKING FOR:

An ideal candidate for the Deputy of Community Supports will be professional and organized. Collaborative and analytical with strong public speaking and managerial abilities. Preferred requirements: Five years of supervisory experience in Medicaid Managed Care programs and/ or Benefit coverage in Medicaid or other similar programs where skills are translatable; Master’s degree or other higher educational or professional degree or six years of work experience in health care, Medicaid, public health, health care administration, or other related field.

WHAT YOU’LL BE DOING:

• Provide executive leadership to ensure successful procurement, implementation, and monitoring of large Managed Care contracts.
• Provide executive leadership to ensure accurate, successful design or enhancement of Medicaid coverage and reimbursement policy, including program and payment innovation.
• Manage relationships with health plan leadership to ensure effective delivery of Managed Care programs.
• Work closely with executive and fiscal leaders to develop comprehensive biennium budget and monitor budget accounts associated with all benefits and delivery systems.
• Partner with Nevada Health Authority Director’s Office in stakeholder engagement efforts to ensure member and provider input is incorporated in all phases of Medicaid Managed Care and benefits program development and management.
• Partner with expert vendors to ensure that national best practices and learnings are applied within Nevada.
• Serve as Nevada Medicaid Acting Administrator when Administrator is unavailable.

For more information and how to apply, click here.

WHAT WE’RE LOOKING FOR:

An ideal candidate for the Deputy of Community Supports will be a strong leader of crucial programs within Nevada Medicaid, and will bring an innovative approach towards the future development of home- and community-based services and care coordination across the state.

WHAT YOU’LL BE DOING:

• Provide leadership and direction over several complex, comprehensive, statewide coverage programs under the Community Supports branch of the Division with a broad scope of responsibility and decision-making authority. These programs include: Long term services and supports, including home- and community-based service (HCBS) waiver programs, Non-Emergency Medicaid transportation services, Care coordination programs, including engagement with community partners to connect fee for service recipients to care (e.g., welfare services, carceral facilities, behavioral health programs) and Medicaid District Offices.
• Define and execute a strategy for improving the delivery, sustainability and availability of long-term services and supports for the Medicaid populations served by HCBS waiver programs and seniors and people with disabilities covered by Medicaid fee for service
• Serve as primary liaison with the Centers for Medicare and Medicaid Services regarding HCBS waiver authorities and policies, including waiver documentation, federal standards, terms, conditions, and compliance.
• Collaborate with governmental agency partners to effectuate Community Supports program goals, including state, county, and tribal agencies across Nevada.
• Manage the care coordination services provided by District Offices and in partnership with community stakeholders.
• Serve as Nevada Medicaid Acting Administrator when Administrator is out-of-office or unavailable.

For more information and how to apply, click here.

WHAT WE’RE LOOKING FOR:

Under the direction of the Nevada Health Authority Senior Clinical & Pharmacy Officer and the Nevada Medicaid Administrator, the Medicaid Pharmacist provides leadership and oversight of the Nevada Medicaid pharmacy benefit. The ideal candidate is a bold, forward-thinking leader that excels in shaping and executing strategy, driving results, and leading a team collaboratively.

WHAT YOU’LL BE DOING:

The Medicaid Pharmacist improves beneficiary health outcomes by identifying benefit inefficiencies, addressing health disparities, recommending evidence-based policy changes, and enhancing quality and access to care—especially within the pharmacy benefit. Some key responsibilities include:

• Develop and implement strategic plans for pharmacy services that align with the organization’s goals and the needs of the Medicaid population. Provide leadership and direction for all pharmacy operations, including managing a team and ensuring professional development.
• Ensure full compliance with all federal and state regulations and monitor and analyze pharmacy utilization data to identify trends, potential fraud and abuse, and areas for quality improvement.
• Analyze and interpret clinical and financial data to support formulary decisions and program effectiveness.
• Build and maintain relationships with key stakeholders, including state Medicaid agencies, pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and other departments within the organization.
• Negotiate and manage contracts with PBMs and other pharmacy vendors.
• Provide clinical guidance and support to various internal departments that require clinical pharmacist intervention.

For more information and how to apply, click here.

Job Description

The Director of the Division of Integrated Healthcare (DIH) is a high-level executive leader within the Utah Department of Health and Human Services, Utah’s largest executive branch agency. The Director is responsible for ensuring the Department’s overall results and strategic priorities are achieved through directing the strategic and operational integration of Utah’s Medicaid and CHIP programs, the state’s substance use and mental health (SUMH) services, and the Utah State Hospital. This position is directly responsible for a multi-billion-dollar budget and a complex array of services that provide critical healthcare to hundreds of thousands of Utahns and the direct care of hundreds of patients at the state hospital. The successful candidate will navigate the intersection of Medicaid policy and state-level behavioral health initiatives, while leading over 1,000 employees of DIH. This role requires a dynamic, experienced professional with a deep understanding of healthcare finance, policy, and public administration.

Key Responsibilities:

• Executive Leadership and Strategic Vision: Support the Department of Health and Human Services’ strategic priorities through use of data to achieve outcomes leveraged through the development and implementation of a strategic vision that aligns fiscal goals with public health outcomes in the state’s Medicaid program, the Office of Substance Use and Mental Health (SUMH) and the Utah State Hospital.

• Fiscal and Programmatic Oversight: Coordinate with the department’s Division of Finance and Administration to manage and oversee the administration of all federal and state funds for DIH programs, ensuring fiscal integrity, compliance, and effective use of resources. Coordinate with the Department of Workforce Services on Medicaid and CHIP eligibility policy and determinations.

• Policy and Legislative Guidance: Serve as the primary liaison with federal agencies, including the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) for DIH programs. Guide the development of legislative proposals, provide expert testimony, and ensure program policies comply with all federal and state laws.

• Stakeholder Engagement and Collaboration: Interface with a wide range of stakeholders, including the Governor’s Office, state legislature, local government partners, health care providers, community advocacy groups, and recipients of the services. Foster collaborative relationships to advance an integrated health care system.

• Innovation and System Improvement: Drive innovative initiatives that promote integrated care, improve health outcomes, and enhance service delivery for vulnerable populations. This includes implementing value-based payment models and expanding access to critical behavioral health services.

• Team and Workforce Leadership: Exhibit strong leadership skills to create a collaborative, outcome-focused culture that is focused on the balance of establishing high expectations of excellence and human-centered leadership through the recruitment, mentorship and leadership of a diverse and dedicated team of professionals across the division.

For more information and to apply, click here.

Job Description

The Utah Department of Health and Human Services (DHHS) Division of Finance and Administration (DFA) seeks a Senior Accountant to oversee the financial management of the Division of Integrated Healthcare (DIH) which includes the state’s Medicaid and CHIP programs. This is a significant DHHS/DFA position that provides the financial leadership for the multi-billion dollar program area. The successful candidate will lead a team responsible for complex accounting functions, forecasting, financial reporting, and compliance with federal and state regulations.

This DHHS Senior Accountant position is a critical part of DHHS/DFA fiscal leadership. The position is responsible for the budget and expenditures of the DIH and must maintain internal controls to ensure payments meet federal and state laws, regulations, administrative rules, and policies. The incumbent should ensure accurate reports of expenditures and budgets are kept and provided to management on a regular basis. This position coordinates with others within DHHS/DFA and may provide supervision and oversight to other areas.

Preference may be given to those with a bachelor’s degree or higher in a business or financial related field, years of relevant work and senior management experience, or for a current CPA license.

**Incomplete applications may not be considered.** Only those selected for an interview will be contacted.

Why work for the Utah Department of Health and Human Services? In addition to the rich benefits the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee

• UTA Eco Pass, at a discounted monthly rate

• Teleworking opportunities with a minimum of two in-office days per week.

• On-site day care center at the Cannon Health Building with First Steps Day Care – contact for rates and availability, 801-538-6996

For more information and to apply, click here.

About the Agency

The Virginia Department of Medical Assistance Services (DMAS) administers health care programs that serve over 1.9 million Virginians, with an annual budget of $24 billion. Guided by our mission to improve the health and well-being of Virginians through access to high-quality health care coverage and services, DMAS plays a vital role in the Commonwealth’s health and human services system.

Our team values service, collaboration, trust, problem-solving, and adaptability. At DMAS, we encourage you to come as you are and become who you want to be.

About the Role

The Chief Financial Officer (CFO) is a key member of the agency’s Executive Leadership Team and serves as the Commonwealth’s fiscal leader for Virginia Medicaid. This role provides strategic, operational, and fiscal oversight of all financial functions, ensuring the effective stewardship of state and federal funds that support health care services across Virginia.

The CFO directs a broad portfolio of functions — including budgeting, forecasting, rate setting, procurement, contract management, and fiscal policy — where finance, policy, and strategy converge.

This position collaborates regularly with high-level stakeholders, including the Governor’s Office, Secretary of Health and Human Resources, Department of Planning & Budget, General Assembly, federal agencies, and Managed Care Organizations, to ensure financial integrity and alignment with the Commonwealth’s health priorities.

For more information and to apply, click here.

Description

Who We Are: It all starts with purpose.

We are a purpose-driven nonprofit with a dynamic staff culture.

With a meaningful purpose, motivated staff, and excellent benefits, working here will definitely have you smiling! The ADA’s headquarters is located just steps from Chicago’s Magnificent Mile and close to public transportation. With more than 400 colleagues, the ADA Staff are some of the most talented people in the Chicago, Washington D.C., and Maryland area.

We were named a Top Workplace by the Chicago Tribune in 2019 and 2021! Come join our team!

Job Responsibilities:

The Senior Manager Public Programs and Quality role will help plan, implement, and evaluate tools, or activities, policies, and products that touch upon access to care or Medicaid dental benefits. This individual would lead any subgroups of relative Councils dedicated to public programs or access to care and identify strategic actions to advance Medicaid dental benefits. These activities include but are not limited to ADA policy analysis, quantitative and qualitative data analysis, providing technical assistance to internal and external oral health stakeholders, and supporting community oral health advocacy. This position will lead the Dental Quality Alliance (DQA) Measure Development and Maintenance Committee (MDMC) to conceptualize, test and develop evidence-based quality measures. The position with oversee the DQA’s consultants, author and review scientific test reports.

For more information and to apply, click here.