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.

Job Summary

The Deputy Secretary over Programs and Medicaid Director serves as a key member of the DHS executive leadership team, providing strategic oversight and direction for all DHS programs while directly administering Arkansas’s Medicaid program. This position is responsible for ensuring that DHS programs and services are delivered effectively, efficiently, and in alignment with federal and state laws, funding requirements, and the agency’s mission to protect vulnerable Arkansans and strengthen families. The Deputy Secretary/Medicaid Director leads policy development, program operations, stakeholder engagement, and interagency collaboration to maintain access to quality healthcare, long-term services and supports, and social service programs across the state.

The Department of Human Services is a place for people passionate about serving others and changing lives for the better. We care for Arkansans of all ages and ensure places like childcare centers and nursing homes are safe. We are the safety net for the most vulnerable Arkansans. Whether you answer the phones, take applications, protect children, or help care for residents or patients at one of our facilities, you make a difference by working at DHS. Plus, working for the State has great perks, including a pension, maternity leave, paid state holidays, and much more. At DHS, we take care of our employees so you can help care for others.

For more information and to apply, click here.

Job Summary

The Medicaid Fiscal Officer is a critical role within the Arkansas Department of Human Services, responsible for overseeing the financial operations of the state’s Medicaid program. This position ensures that Medicaid funds are used efficiently, effectively, and in compliance with both state and federal regulations. The Medicaid Fiscal Officer will manage budgeting, financial reporting, cost analysis, and audits for Medicaid programs, as well as collaborate with other state agencies to ensure the successful administration of Medicaid services. This individual must possess strong fiscal management skills, deep knowledge of Medicaid operations, and the ability to navigate complex financial systems in a state government environment.

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.

Posting Details

Interviews are anticipated to be conducted within two weeks of closing date.

This job posting may be used to fill multiple vacancies.

Our Vision

• Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Our Mission

• We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

• Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
• Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
• Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
• Build the best team in state government by supporting employees’ continuous growth and wellness.

Why does the job exist?

The Senior Manager, Economics will:

• Lead all financial functions for the Medical Assistance Division (MAD);
• Manage a $11 Billion annual budget and oversee planning, forecasting, federal reporting, and fiscal operations;
• Provide strategic counsel to Medicaid leadership, represents the Division in high-stakes negotiations, and steers the financial integrity of New Mexico’s Medicaid program;
• Guide major policy initiatives and stewarding public funds with precision and purpose.

For more information and to apply, click here.

Who we are and what we do:

TennCare is Tennessee’s managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). TennCare’s mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview:

Under supervision of the Director of CHOICES and Dual Eligible Operations and Initiatives, an employee in this position will lead contract management, data analytics, and oversight activities for the Program of All-Inclusive Care for the Elderly (PACE) and Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs). This role includes managing program oversight and reviews including federal compliance, audits, and strategic initiatives to improve care coordination, quality and program efficiencies for dual eligible populations. The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid. An interdisciplinary team of health professionals delivers coordinated care, enabling participants to remain in their communities rather than enter institutional care. D-SNPs, including Fully Integrated Dual Eligible (FIDE) SNPs, are designed to improve care quality and coordination for Full Benefit Dual Eligible (FBDE) individuals. These programs promote person-centered care planning and service delivery in the most integrated and cost-effective settings.

For more information and 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.