Maine DHHS Office of Child & Family Services (OCFS) Medical Director Opportunity:  The Maine Office of Child & Family Services (OCFS) is looking to identify a new Medical Director and is eager to identify qualified physicians, nurse practitioners, or physician assistants who are interested in applying for the position.

The OCFS Medical Director is responsible for providing clinical leadership, strategic policy direction, technical assistance, and clinical support for OCFS program and staff, and supports OCFS goals and objectives established in coordination with the OCFS Director and the Commissioner’s Office of DHHS. The Medical Director supports development and implementation of policy that aims to improve health outcomes for Maine children and families by improving both their experience of care and population health outcomes. The Medical Director will provide consultation and technical assistance to OCFS staff and community-based providers; participate in relevant advisory groups; and when needed, interact with state legislature and legislative committees at the direction of OCFS leadership.  The position is expected to be 0.8-1.0 FTE and is based in Augusta.

Qualified applicants are encouraged to contact Dr Lisa Letourneau at lisa.letourneau@maine.gov with any questions, along with your resume.

Complete job description here.

Medicaid Eligibility Division Deputy Director – Reporting to the Chief Operating Officer, the Medicaid Eligibility Division Deputy Director is responsible for management and oversight of the Medicaid Eligibility Division which is comprised of the Eligibility Field Operations (EFO) and Eligibility Program Operations (EPO) sections. The EFO and EPO sections are responsible for the management, operations, oversight, and support of the Medicaid regional offices, Medicaid Customer Service Unit, Medicaid eligibility policy and procedures, training, Application Centers, outreach and outstation program, Payment Error Rate Measurement, Post Eligibility Review, eligibility reporting, and compliance with federal/state regulations and authorities that govern the administration of the Medicaid Program.

We are seeking an experienced and innovative Medicaid Executive with deep operational experience and demonstrated success with change management and process improvement. Those best suited for this role will have experience managing large teams and creating a results-oriented environment of personal pride and accountability.

Full posing here.

Chief Operating Officer – Reporting to the Medicaid Director, the Chief Operating Officer is responsible for ensuring Medicaid agency functions are optimized and aligned to deliver on the Department’s strategic goals and tactical objectives, ensuring compliance with Federal and State laws, rules and regulations, and stewardship of public resources while providing access to the highest quality of service and care to Louisiana Medicaid enrollees.
We are seeking an experienced Managed Care Executive with strong people skills and in-depth knowledge of Medicaid, including its critical issues and major challenges. The ideal candidate will have the demonstrated ability to build relationships with key internal partners to ensure optimal coordination and exceptional service delivery.

Full posting here.

The Division of Health Care Financing and Policy (DHCFP) is seeking qualified applicants for the position of Deputy Administrator for Fiscal Services of the Division. This is a full-time, exempt, unclassified position.

The mission of DHCFP is to purchase and provide quality health care services to low-income Nevadans in the most efficient manner; promote equal access to health care at an affordable cost to the taxpayers of Nevada; restrain the growth of health care costs; and review Medicaid and other state health care programs to maximize potential federal revenue.

THE POSITION: Under the general direction of the Division Administrator, this position is responsible for providing leadership and oversight of the Division’s fiscal operations and oversees the Division’s fiscal strategy and performance. The Deputy Administrator will directly supervise two Administrative Services Officers and an Actuarial Economist. Units administratively housed within the Fiscal Services section include: supplemental reimbursement, recoupment and recovery, contracts management, fiscal program monitoring, rate analysis, federal reporting, accounting, and budget.

Responsibilities include serving as a representative of the Division and a liaison with a variety of organizations, groups, and individuals, and preparing and presenting testimony on Medicaid and related health care bills to the legislature. The incumbent may present issues at public hearings, provide information to the media, serve on boards and commissions to represent Medicaid issues, coordinate Medicaid with other programs, meet with health care providers and organizations to obtain their recommendations and resolve issues pertaining to the program, and be an active defendant in legal actions concerning Medicaid.

Full posting and application here.

As a Financial Auditor, you will be part of the Oregon Health Authority (OHA) Fiscal and Operations Division and the Office of Program Integrity Audit Unit. The mission of the unit is to assure program integrity of the Medicaid program.

In this role, you will perform large and complex compliance and financial audits of organizations, businesses, and private and public providers participating in Medicaid programs. The audit function is designed to deter medical program fraud and abuse, and to monitor and ensure provider compliance with Federal, State, and Agency rules and regulations.

What’s in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Auditor, don’t delay, apply today!

Full description and application here.

The Idaho Department of Health and Welfare, Division of Medicaid is currently recruiting for a Programs Bureau Chief for Care Management. This position will direct the work of Bureau employees and provide oversight of complex contracts, programs and related functions in support of Idaho’s managed care delivery system and related care management functions. We are seeking a proven leader with strong interpersonal, communication and problem-solving skills.

This is an opportunity for a self-directed professional to provide strategic leadership in overseeing planning, procurement, implementation, operations and evaluation of multiple programs. The ideal candidate will have experience in managed healthcare, public procurement, vendor management, quality management and compliance. We are seeking an individual who is adept at cultivating strong stakeholder relationships, managing program performance and outcomes and addressing issues that are complex, diverse, and cross multiple subject areas.

Closes October 8. Full position description and application here.

The role of this position is to establish and build the political and professional relationships and national visibility needed to beneficially impact Minnesota’s Medicaid policies and funding at the national level, represent Medicaid as an authority and give Medicaid/federal perspective to executive staff issues and decisions, highlight and give political insight and strategic guidance to executive staff, regarding health care-related politics and agendas at the national level, and ensure-that Medicaid and other federal policies are recognized in state policy and planning decisions.

Full description and application here.

Integrated Systems – The Department of Health Care Services (DHCS) is seeking a highly skilled, exceptionally motivated individual to lead as the Assistant Deputy Director (ADD) – Integrated Systems (IS), Health Care Delivery Systems (HCDS). If you are interested in working with a team who is dedicated to preserve and improve the overall health and well-being of all Californians, this Department and job opportunity are for you.

Under the directors of the Deputy Director, HCDS, the ADD-IS, HCDS,  assists in overseeing the planning, implementation, coordination, evaluation, and management of the Department’s HCDS services, programs, and policies associated with the Integrated Systems of Care Division (ISCD). In addition to serving as a member of the DHCS Executive Management Team, the ADD-IS, HCDS, provides direction to ISCD, which oversees numerous Medicaid waivers and specialty programs for children and adults. The ADD-IS, HCDS, serves as ADD to the Deputy Director, HCDS, on all issues associated with the responsibility of specialized ISCD programs and services, and may work directly with the California Health and Human Services Agency, legislative representatives, other state, local, and federal representatives, members of the public, and the media.

Full posting and application here.

Managed Care – The Department of Health Care Services (DHCS) is seeking a highly skilled, exceptionally motivated individual to lead as the Assistant Deputy Director (ADD) – Managed Care (MC), Health Care Delivery Systems (HCDS). If you are interested in working with a team who is dedicated to preserve and improve the overall health and well-being of all Californians, this Department and job opportunity are for you.

Under the administrative direction of the Deputy Director, HCDS, the ADD-MC, HCDS, assists in overseeing the planning, implementation, coordination, evaluation, and management of the Department’s HCDS services, programs, and policies associated with California’s Medi-Cal Managed Care Plans (MCPs) and the managed care delivery system. In addition to serving as a member of the DHCS Executive Management Team, the ADD-MC, HCDS, provides direction to two divisions, Managed Care Operations Division (MCOD), and Managed Care Quality and Monitoring Division (MCQMD), which provide contract management and monitoring, and oversight to the MCPs. The ADD-MC, HCDS, serves as ADD to the Deputy Director, HCDS, on all issues associated with the responsibility of the MCPs and the managed care delivery system, and may work directly with the California Health and Human Services Agency, legislative representatives, other state, local, and federal representatives, members of the public, and the media.

Full posting and application here.

Chief Medical Officer

University of Massachusetts Medical School, Commonwealth Medicine (UMMS, CWM) seeks a skilled, creative and forward-thinking physician executive to serve as its next Chief Medical Officer (CMO) to the Massachusetts Medicaid program and to the Office of Clinical Affairs. This is a unique opportunity to join one of the most innovative Medicaid programs in the U.S. The CMO serves as the Medical Director for MassHealth (MH) and Executive Physician Leader of the Office of Clinical Affairs (OCA), exercising medical, clinical, and strategic oversight of all the healthcare services MH provides to its members.

The CMO serves on the executive leadership team of MH, under the direction of Assistant Secretary of MassHealth and Medicaid Director, Daniel Tsai. This position has accountability for medical policy/medical review, appeals, quality, clinical development of medical cost reduction initiatives, and serving as the spokesperson for MH on clinical aspects. This individual ensures the development and implementation of clinical policies, standards, and practices consistent with sound medical practice that affects the MH members as well as the provider and advocacy communities. In this role, she/he is responsible for building consensus with the Associate Medical Directors, the Medical Director Working Group, and the Drug Utilization Review Board. The MH CMO/Director of OCA has a dual reporting relationship to the Medicaid Director and the CWM Managing Director, Clinical Delivery Solutions, and receives salary and benefits from the University of Massachusetts Medical School.

As an employee of UMMS, CWM, the next leader will have the opportunity to participate in the academic and research activities of UMMS and will be eligible for a faculty appointment in either Departments of Population & Quantitative Health Sciences, and/or Family Medicine and Community Health. As a faculty member, the CMO will be supported and encouraged to undertake research projects that promote health and well-being to vulnerable populations.

Candidates requirements include: M.D. or D.O. with Board Certification required, and a current Massachusetts license or eligible to attain one within six months; graduate degree in Public Health, Policy, Administration, or Management is desired; proven leadership in the healthcare field, recently as CMO and/or Medical Director, including budgetary, quality and medical management, and supervisory experience, preferably at a health plan, ACO, or provider organization; seven years’ clinical experience serving diverse and/or low-income, vulnerable populations.

Please direct nominations and inquiries to WittKieffer Senior Partners, Kimberly A. Smith and Thomas P. Quinn, through the office of Sue LeGrand, slegrand@wittkieffer.com, 314-718-4603.

Maine Medicaid Medical Director Opportunity:  Maine’s Medicaid program, the Office of MaineCare Services (OMS), is looking to identify a new Medical Director and is eager to identify qualified physicians, nurse practitioners, or physician assistants who are interested in applying for the position.

Maine’s Medicaid office, the Office of MaineCare Services, is seeking qualified candidates for the position of MaineCare Medical Director.  The Medical Director is responsible for providing clinical leadership and policy direction and oversight to the MaineCare program and staff and supports MaineCare goals and objectives established in coordination with the MaineCare Director and the Commissioner’s Office of Department of Health & Human Services (DHHS). The Medical Director supports development and implementation of policy that aims to improve health outcomes for Medicaid beneficiaries by improving population health outcomes and member experience and promotes the cost-effective use of resources. The Medical Director directly communicates with healthcare providers in the state, participates in relevant advisory groups, and when needed, interacts with state legislature and legislative committees at the direction of MaineCare leadership.  The position is expected to be 0.8-1.0 FTE and is based in Augusta.

Qualified applicants are encouraged to contact Dr Lisa Letourneau at lisa.letourneau@maine.gov with questions, along with their resume.

Full posting here.

The Director of Policy leads and oversees the strategic design, maintenance, and evolution of policies detailing MaineCare’s covered services and programs and the attainment of the proper state and federal authorities necessary for approval and implementation of these policies. The position also ensures that the work of the Policy Division supports MaineCare goals and objectives established in coordination with the MaineCare Director and the Commissioner’s Office of DHHS. Duties include directing and overseeing assigned programs; analyzing and evaluating policies, programs and procedures; ensuring legislative and budgetary rulemaking is accomplished within established timeframes; and ensuring timely State Plan Amendment and waiver review and submission. Direct reports to this position include the State Plan Amendments Manager, the Waiver Services Manager, the Policy Development Manager, and the MaineCare Legislative Liaison. Key priorities for this position will include:

  • Ensuring the OSM policies are well-grounded in evidence and well-positioned to serve an expanded Medicaid population
  • Continuing the evolution of MaineCare’s focus on value-based care

Full posting and application here.

Title: Iowa Medicaid Enterprise – Bureau Chief
Located: Des Moines
Hours: 8:00 AM – 4:30 PM (core hours)

TO APPLY: send cover letter and resume to AHorn@dhs.state.ia.us

Effective January 1, 2016, the majority of Medicaid members eligible for Medicaid, Hawki, and Iowa Health and Wellness programs, were enrolled in a risk based managed care delivery system established with MCOs. The MCO contracts total more than $5 billion for the establishment of a health plan provider network (s) consisting of traditional Medicaid providers, behavioral care providers, nursing and ICF/ID facilities and home and community based service providers.

The Bureau Chief of Managed Care is directly responsible for assuring the effective oversight of the Managed Care Organizations (MCOs). Key areas of oversight include the provision of quality services and program improvement activities, member and provider support services, working closely with the actuary to develop MCO and PAHP appropriate rates, including PACE, IA Health Link, and Dental Wellness. Reviews all pay for performance and incentive calculations, contract amendment development and/or review, annual quality strategy for MCOs and PAHPs, annual health plan reporting and additional initiatives. Develops and implements policies and procedures to assure consistent, accurate, and timely monitoring, analysis of all aspects of each MCOs work required per contract. The Bureau Chief will effectively and efficiently manage the Encounter Data and Data Analytics teams, and directly supervises and deploys a total of 14 staff in the Bureau whose primary duties include MCO oversight and contractual compliance.

This critical leadership role is a member of the Medicaid strategic leadership team. This role requires active participation in decisions with significant impact on the agency and will represent the IME in meetings with Legislators, Administrative Rules Committee, the Council on Human Services, Medical Assistance Advisory Council, providers, provider associations, advocates, agencies and other stakeholders who are involved in shaping and changing Medicaid policy. The Bureau Chief collaborates with IME leadership to continually identify organizational process improvement solutions required to achieve corporate outcomes.

The successful candidate with have proven experience with healthcare reimbursement activities and will have actively participated in strategic planning within a complex organization. Preference will be given to those candidates with relevant Medicaid or managed care experience.

The State of Connecticut Department of Social Services is recruiting a Social Services Director of Rate Setting and Certificate of Need (CON), which is a leadership position within the management team of DSS’s Division of Health Services (DHS), located at 55 Farmington Avenue, Hartford, CT 06105.
Salary: $105,623 – $144,021/year

Job Description:
This position is critical to the mission, reform agenda and operations of the Department of Social Service and Division of Health Services, in its administration of Medicaid, the Children’s Health Insurance Program, the major Money Follows the Person federal grant, and particularly in-care delivery and value-based payment reforms.

See full job description and application Social Services Director of Rate Setting Cert of Need.docx.

Position: Chief Medical Director, Division of Medicaid and Long-Term Care

The Nebraska Division of Medicaid and Long-Term Care is seeking a motivated and energetic individual to serve as its senior clinical and quality leader. This division has an annual budget of over $2.5 billion and is responsible for the provision of health coverage to nearly 240,000 Nebraskans through Medicaid and the Children’s Health Insurance Program. Reporting to the Governor appointed Director of Medicaid & Long-Term Care; the medical director will direct clinical staff, provide clinical decision-making for the program, and play a leading role in developing and leading the program’s new population health and analytics strategy focused on the Quadruple Aim. He or she will be expected to work with the Medicaid managed care organizations (MCOs) and oversee the medical management of the division to improve the patient experience of care, the provider experience, the health of populations served, and to reduce the per capita cost of care.  The division has partnered with Nebraska Health Information Initiative (NEHII), a nonprofit health information exchange, to connect all Medicaid and long-term care providers to the HIE and develop an analytics tool focused on quality and performance improvement.  The new Medical Director for the division will work closely with NEHII to leverage it’s network, and enhance it’s analytic capabilities.  NEHII, a non profit, is the state designated health information exchange, state prescription drug monitoring program (PDMP) administrator, and a data analytics company designed to share clinical administrative data among providers Nebraska and neighboring states; it’s purpose is to achieve health care transformation through community betterment collaboration while protecting the security and privacy of medical information. 

ORGANIZATION:
The Department of Health and Human Services (DHHS) team contributes to the lives and health of Nebraskans every day; its mission – “Helping people live better lives” – provides the motivation to make a difference. Some DHHS programs impact all Nebraskans, such as educating and protecting residents through public health activities like ensuring clean and safe drinking water and licensing and certifying all health care professionals; DHHS also touches the state’s most vulnerable citizens with services that assist the elderly, low-income residents, the disabled, abused and neglected children, and vulnerable adults.  DHHS is Nebraska’s largest state agency and is responsible for nearly one-third of state government, in terms of teammates and budget. It is comprised of five divisions, seven facilities, and eight operational areas. The five division directors, who are appointed by the governor and confirmed by the legislature, report to the chief executive officer; these divisions are: Behavioral Health, Children and Family Services, Developmental Disabilities, Medicaid and Long-Term Care, and Public Health. 

The Division of Medicaid and Long-Term Care (MLTC) is the largest division within DHHS, representing 71% of its overall budget and encompassing Medicaid and the Children’s Health Insurance Program, Home and Community Services for Aging and Persons with Disabilities, and the State Unit on Aging. Medicaid funds for healthcare services are available to eligible elderly, persons with disabilities, low-income pregnant women, and children and their parents, covering more than one in every 10 Nebraskans. MLTC administers non-institutional home and community-based waivers for the aged, adults and children with disabilities, and infants and toddlers with special needs, and is responsible for Medicaid eligibility determination, policy, provider enrollment, rate setting and reimbursement activities, claims processing, and program integrity activities.  Medicaid in Nebraska is delivered through managed care in the Heritage Health program. Nebraska Medicaid contracts with three managed care organizations (MCOs):  Nebraska Total Care, United Healthcare Community Plan, and WellCare of Nebraska.

COMMUNITY:
Lincoln is the capital of Nebraska and the county seat of Lancaster County; with a population of approximately 284,750, it is the second-most populous city in Nebraska. It is the economic and cultural anchor of a substantially larger metropolitan area in the southeastern part of the state called the Lincoln Metropolitan and Lincoln-Beatrice Combined Statistical Areas, home to approximately 353,120 residents.  As the city is the seat of government for the state of Nebraska, the state and federal government are major employers; the University of Nebraska, founded in 1867, is the city’s third-largest employer, with other primary employers falling within the service and manufacturing industries, including a growing high-tech sector – the region makes up part of what is known as the greater Midwest Silicon Prairie.  Lincoln has been ranked fourth on Forbes’ list of “Best Places for Business and Careers,” first among NerdWallet’s “Best Cities for Job Seekers,” and second on SmartAsset’s list of “Cities with the Best Work/Life Balance.” The city has also been named among the top 10 best places to retire by U.S. News & World Report.

EXPRESSION OF INTEREST AND CONTACT:

Derek Castaneda (Managing Partner), and Joe Johnston (Principal) of Quick Leonard Kieffer will interview prospective candidates. Interested and qualified candidates may contact Quick Leonard Kieffer at 555 West Jackson Boulevard, 2nd Floor, Chicago, IL 60661; phone (312) 876-9800; or e-mail dcastaneda@qlksearch.com or jjohnston@qlksearch.com.

View the full details of this job opportunity and apply now through the Quick Leonard Kieffer site.

The Idaho Department of Health and Welfare, Division of Medicaid has an exciting career opportunity for a dynamic forward-thinking, innovative professional with strong communication skills who can excel under pressure as a Deputy Administrator. This individual will report to the Division Administrator and will have primary oversight of new and emerging programs; federal and state policy work, including State Plan Amendments, waivers, rules, legislation and project management.

We are seeking a self-directed leader versed in managing multiple programs, dealing with ambiguity, and providing vision and strategic leadership in a public environment. The ideal candidate will be adept at cultivating strong stakeholder relations and managing programs that are complex, diverse, and cross assorted subject areas.

The Division of Medicaid manages healthcare services ensuring comprehensive care is accessible to the most vulnerable residents of our state, promoting an outcome-based, efficient health and human services delivery system. We serve over 300,000 children, low-income families, seniors, and people with disabilities through several Medicaid programs.  

We offer a competitive benefits package which includes excellent medical, dental and vision insurance; generous vacation and sick leave accrual beginning as soon as you start; ten paid holidays a year; participation in one of the nation’s best state retirement systems; multiple savings plans and optional 401K; life insurance; wellness programs; ongoing training opportunities; and more.

Full posting here.

The Department of Health Care Services (DHCS) is looking for a highly skilled, exceptionally motivated individual to lead as the Chief, Medi-Cal Behavioral Health Division (MCBHD). If you are interested in working with a team who is dedicated to preserve and improve the overall health and well-being of all Californians, this Department and job opportunity are for you.

Under the direction of the Chief Deputy Director, Health Care Programs, the Chief, MCBHD, serves as the central point for policy development and interpretation for Medi-Cal mental health services and substance use disorder (SUD) services for DHCS. Specifically, the Chief, MCBHD, is responsible for planning, organizing, supervising, policy formulation, and non-fiscal program operations for all Medi-Cal community mental health services and Medi-Cal community SUD services; administration of the Specialty Mental Health Services 1915(b) waiver and the Drug Medi-Cal Organized Delivery Systems component of the 1115 Waiver; oversight and implementation of all Medi-Cal State Plan services related to specialty mental health and SUD services; development of any amendments to the State Plan or waivers related to policy decisions in Medi-Cal funded mental health and SUD services; assuring DHCS compliance with its responsibilities under federal and state law for Medi-Cal mental health and substance use disorder services; and oversight and contract management of county Mental Health Plans, Organized Delivery System Waiver organizations, and county SUD state plan programs. The Chief, MCBHD ,will also be responsible for working collaboratively with the Deputy Director of Behavioral Health Services as well as the Chief, Behavior Health Financing Division, given their respective roles in the policy and financing of behavioral health services.

Full description and application here.

This Director of Program Finance position (K0221730) develops and manages the Division’s budget which includes narrative, projecting costs and revenues, new fee components, enhancements, decrements, appeals and amendments. Scope includes all Medicaid items for the division (Title XIX, Title XXI, Working Healthy and other grant and waiver programs), the State Employee Health Plan, as well as the State Self Insurance Fund. Communicates directly with KDHE’s Office of the Secretary, Chief Financial Officer and Division of Budget Analyst through various means to assist them in understanding allocations requested and revisions. Continually reviews program and caseload expenditures and applies changes made to current budget to identify current or potential problems, funding shortfalls or inconsistencies between expenditures and budget amounts.

Job Responsibilities may include but are not limited to the following:
Provides leadership to the Program Finance and Informatics group staff to achieve DHCF program goals. Develops and supervises staff to collect, cultivate and share program and health care data and information with KDHE staff and other State agencies, policymakers and external stakeholders to support efficient program operations. Safeguards personally identifiable, confidential and/or legally protected health care information. Disseminates data and information at the appropriate level of detail and identification to those, inside and outside the Agency, who would benefit from the information or who can contribute to the health of the state or improvement of DHCF programs.

For the full job description please click here.

TennCare’s Medical Office is at the forefront of leading innovation and building clinical care models to support TennCare’s mission. The Division of Quality Improvement falls under the direction of the Chief Medical Office. Operationally, the Quality Improvement Division works closely with several TennCare divisions to lead development and execution of a comprehensive quality strategy. Additionally the Quality Improvement team plays a strategic role in TennCare initiatives focused on improving clinical care and outcomes for TennCare members, including primary care transformation and population health. Externally, the Quality Improvement Division works closely with TennCare’s contracted organizations and other state agencies to provide improvement of quality performance and data reporting for TennCare members. The Quality Improvement Data Analytics Director will be a key leader on the Quality Improvement (QI) Team reporting to the Chief Quality Officer.

Full posting and application can be found: Quality Improvement Data Analytics Director Executive Service Job Post, FINAL, 05.07

UNCLASSIFIED SUPPLEMENTAL JOB DESCRIPTION
Title: Deputy Medicaid Director Position Number: 9U404
Letter Grade: GG Date of Last Amendment: 2/12/19

SCOPE OF WORK: Administers 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. Includes establishing goals and objectives in support of the DMS strategic plan, identifying and evaluating alternatives for enhancing program and business operations, and leading an effective team of professional staff to achieve DMS objectives. Acts as Medicaid Director in the absence of the Director

REPORTS TO: Director, Division of Medicaid Services

DIRECT REPORTS: 9U390, Provider Relations Manager; 40324, Administrator IV – Medicaid Benefits Management; 30278, Administrator IV – Pharmacy Services; 9U421, Dental Director

ACCOUNTABILITIES:

• In coordination with the Medicaid Director, ensures that DMS strategy and operations align with the goals and objectives of the Division and Department, including monitoring and evaluating operational activities for compliance with regulatory mandates, efficient and effective allocation of Division resources, and the achievement of evidence-based, measurable outcomes. Continuously looks toward opportunities for generating alignment and integration across the Department and Division.
• Assists the Medicaid Director regarding DMS operations with a focus on the Medicaid Care Management Program, Federal Waivers for the Medicaid Program, the State Plan and amendments, and State and Federal level rule-making.
• Manages assigned day-to-day Division operations in the areas of program operations, services, contracts, financial management, and budget. Oversees the development and implementation of strategies to improve business and program operations. Authorizes internal operational policies and procedures and reviews recommendations for enhancements.
• Independently administers assigned program objectives and directs staff activities to accomplish desired results.
• Assists DMS Director with planning and developing legislative strategy and activities, drafts legislation, and presents testimony at legislative hearings.
• Administers and coordinates policy and program efforts with other DHHS sections/units to ensure agency compliance with federal and state regulations by ensuring coordination and maintenance of NH administrative rules and State Plan Amendments that deal with Medicaid benefits.
• Provides direct supervision and professional development guidance to subordinate managers and staff. Evaluates work performance, assesses training needs, and assures timely performance evaluations are conducted.
• Analyzes, interprets, and integrates program, regulatory, financial and outcome data, and metrics to inform planning efforts and decision making. Prepares reports and communicates findings and recommendations to the Director.
• Acts as the official representative of the Department and Division. Meets with government officials, medical professionals, and others to explain and develop DMS policy and operating positions. Provides information and guidance to state agencies, the legislature, Governor’s Office and the general public regarding agency activities and responsibilities. Presents testimony at legislative and regulatory hearings to provide information and speak in support of agency goals.
• Frequently interfaces with federal and state agencies, community partners, and constituents including the Centers for Medicare and Medicaid Services. Troubleshoots and resolves received/referred issues from DMS stakeholders and beneficiaries.
• Acts as Medicaid Director in the absence of the Director.

EDUCATION and EXPERIENCE:
Experience and Education
Master’s degree from a recognized college or university with a major study in public administration, health policy, finance, public health, public policy, law or a related field of study, and eight years of work experience in public administration, policy administration, business, management or a related field.
OR
Bachelor’s degree from a recognized college or university with a major study in public administration, health policy, finance, public health, public policy, law or a related field of study, and nine years of work experience in public administration, policy administration, business, management or a related field.

LICENSE/CERTIFICATION: Valid driver’s license and/or access to transportation for travel as required by the position duties.

SPECIAL REQUIREMENTS: Requires specialized knowledge of Medicaid, state government, strategic planning and agency administration. Must be able to work under minimal supervision with extensive latitude for the use of initiative and independent judgment. Knowledge of local, state, and federal laws and regulations specifically knowledge of CMS regulations and processes for state plan, institutional and waiver programs. Knowledge of the principles and practices of public administration and management or health management and finance. Demonstrated ability to direct and organize program activities; to establish program goals and objectives that support the strategic plan; to identify problems, evaluate alternatives and implement effective solutions; to develop and evaluate policies and procedures; to direct the development of agency policies and procedures; to prepare concise reports; to make presentations and testify at hearings; and to plan, assign, and/or supervise the work of others.

PREFERRED QUALIFICATIONS: Preference will be given to candidates with public administration, public health, law or health care policy background who have worked within a State and/or Federal medical assistance program.

DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. Any employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification.

You may apply on-line at the following link:
https://das.nh.gov/jobsearch/

or Applications may be mailed to:

Department of Health & Human Services
Human Resources
129 Pleasant Street
Concord NH 03301