Careers

Main Purpose of Job

This recruitment is for three positions within the Maryland Department of Health (MDH).

The main purpose of the positions is to assist the MDH Budget Management Officer (BMO) Director and Deputy Director with discharging BMO responsibilities around budget development, budget monitoring, and day-to-day confirmation of funding availability for the department’s $23 billion annual budget.

Each position operates within BMO. Collectively, they provide budget oversight for Medicaid programs, the Maryland Children’s Health Program, the Behavioral Health Administration, and the Developmental Disabilities Administration. These positions work closely with program staff and BMO leadership to develop service projections that inform statewide budget and programmatic decision-making by MDH leadership, the Department of Budget and Management, the Governor’s Office, and the Maryland General Assembly.

The positions are eligible for Hybrid Telework.

For more information and how to apply, click here.

Main Purpose of Job

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 how to apply, click here.

Job Description:

The Nebraska Department of Health and Human Services (DHHS) is seeking an experienced physician leader to serve as Medical Director for the Division of Medicaid and Long-Term Care (MLTC). As Nebraska Medicaid’s senior physician leader, the Medical Director provides strategic leadership and oversight of the clinical and medical management functions of a statewide Medicaid payer, supporting healthcare coverage and services delivered through managed care, fee-for-service, waiver, and other delivery models.

This role requires a physician leader who understands healthcare from both the clinical and payer perspective. The Medical Director provides oversight and direction across medical policy, utilization management, quality, pharmacy, credentialing, population health, and other clinical functions, balancing evidence-based care, member access, quality outcomes, regulatory requirements, and responsible stewardship of Medicaid resources.

The Medical Director serves as the principal physician advisor to MLTC leadership and works closely with Nebraska’s Medicaid managed care organizations, providers, CMS, and other partners to evaluate healthcare utilization and outcomes, establish clinical policy and strategy, improve quality and access, and support the long-term sustainability of Nebraska’s Medicaid program.

The position also provides physician leadership for Medicaid-related initiatives within Nebraska’s Rural Health Transformation Program (RHTP), helping connect broader healthcare transformation efforts with Medicaid payment, quality, access, and delivery-system strategies.

As a member of the MLTC Executive Leadership Team, the Medical Director serves as a trusted advisor to agency leadership and helps shape clinical and healthcare policy affecting Nebraska Medicaid members statewide.

For more information and how to apply, click here.

The State of New Hampshire, Department of Health and Human Services, Division of Medicaid Services has a full-time vacancy for Deputy Medicaid Director.

SUMMARY:

Leads the development and administration of the strategy, goals, and objectives of the Division of Medicaid Services (DMS) in close coordination with the Medicaid Director. Authorizes and directs senior-level policy development, evaluation, and administration; program operations; and the implementation of DMS policies and procedures. Translates Medicaid program strategy to Department goals and operations. Leverages expertise on national trends and best practices in Medicaid policy strategy and execution to enhance the DMS strategic plan, identifying and evaluating alternatives for enhancing program and business operations, and leading the Director level staff to achieve through an effective team of professionals for the DMS Division objectives and assists the DMS Director in the support of DHHS Divisions with Medicaid related initiatives. Acts as Medicaid Director in the absence of the Director.

For further information please contact Henry Lipman, Director of Medicaid ,Henry.D.Lipman@DHHS.NH.GOV, 603-271-9434.

For full list of responsibilities and details on how to apply, click here.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS). As a Social Science Research Analyst, GS-0101-13, you will develop and use surveys, market research, and statistical methodologies and techniques to conduct studies of assigned HHS programs.

Duties

• Develop and conduct program and policy analyses to identify and understand the needs and preferences of HHS health and human services programs and the populations they serve.
• Utilize appropriate market research and statistical techniques to identify ways to improve services to these programs. Conducts analyses of the quality and performance of HHS health and human services programs.
• Direct and coordinate the planning, design, development, and implementation of major health care research projects related to Medicaid and CHIP.
• Design and oversee analytic strategies to support implementation and ongoing monitoring of the new requirements.
• Evaluate program outcomes, assess state compliance, and identify policy implications, ensuring findings are integrated into oversight and technical assistance activities.

For more information and how to apply, click here.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS)As a Health Insurance Specialist, GS-0107-13, you will serve as a technical expert in the development and implementation of Medicaid, CHIP, and the Basic Health Plans.

Duties

• Identify and propose modifications Medicaid, CHIP, and Basic Health Plans policies and regulations to reflect changes in the industry program objectives.
• Conduct analysis of policy issues and topics by researching background information and the intended impact to make effective Medicaid, CHIP, and Basic Health Plans policy recommendations.
• Evaluate the impact of new or revised changes to legislation before the Congress pertaining to federal health care program.
• Research all program issues and develop the appropriate response that includes regulations and policy issuances.
• Analyze internal policies, processes, and procedures to assure increased efficiency to resolve problems and improve internal operations.

For more information and how to apply, click here.

Summary

Department of Health & Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services, Center for Medicaid and Children’s Health Insurance Programs (CHIP), Managed Care Group (MCG).As a Health Insurance Specialist, GS-0107-13, serves as an expert in the development, evaluation, implementation, and oversight of Medicaid Managed Care Policy, operations, program integrity, FWA activities within the Group’s areas of responsibility.

Duties

• Developing and evaluating Medicaid Managed Care policies by researching statutory requirements, program history, and policy options to support effective program administration and beneficiary services.
• Analyzing proposed legislation, regulations, and policy initiatives to determine impacts on Medicaid Managed Care programs and recommending changes to improve program effectiveness and operations.
• Reviewing state reports, compliance documentation, and managed care policies to assess adherence to federal requirements and verify completion of corrective and enforcement actions.
• Conducting analytical studies of Medicaid policies, procedures, guidance, business processes, and systems to identify operational problems and recommend improvements in efficiency and effectiveness.
• Preparing briefing materials, reports, issue papers, and program guidance and communicating Medicaid Managed Care policies, requirements, and operational issues to internal and external stakeholders.
• Coordinating Medicaid program assignments and projects with internal staff, states, contractors, and health care organizations to resolve issues, develop solutions, and support division priorities.

For more information and how to apply, click here.