Careers

Why Join DHCS?

The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!

About this Role:

The Chief, Managed Care Quality and Monitoring Division (MCQMD), Career Executive Assignment Level B, is responsible for leading and overseeing compliance-related activities for Medi-Cal managed care plans (MCPs). Activities include but are not limited to, developing and implementing statewide MCP policies, processes, improvement and change management efforts, as well as providing technical assistance and conducting risk analysis for audit and compliance programs related to MCPs.

Additionally, key areas that the Chief, MCQMD, has direct oversight for include timely access to care, network adequacy, and California Advancing and Innovating Medi-Cal (CalAIM) initiatives such as Medi-Cal Community Supports, which is focused on addressing equity and health-related social needs such as housing and medically tailored meals.

To learn more and apply, click here.

Posting Details

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 Medicaid Compliance Bureau Chief will:

• Establish and monitor an effective compliance program for The Medical Assistance Division (MAD);
• Oversee the contracted Medicaid Managed Care Organizations;
• Implement all necessary actions to ensure achievement of the objectives of an effective compliance, oversight and policy program, including compliance with all relevant federal and state regulations as well as the Medicaid Managed Care Contract;
• Provide leadership to maintain compliance with federal and state regulations;
• Work Medicaid Managed Care reporting and the Turquoise Care (New Mexico Medicaid Managed Care) contract;
• Identify potential areas of non-compliance and associated risks;
• Develop and implement corrective action plans to resolve problematic areas;
• Reports regularly to senior management on progress of compliance efforts;
• Coordinate with staff throughout the agency to track and follow up as federal regulations are issued and/or updated;
• Oversee staff interfacing with audits, compliance and federal partners.

To learn more and apply, click here.

Posting Details

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 Gen I / Assistant Deputy Director will:

• Provide leadership in the strategic management and operational oversight governing Medicaid services within New Mexico Health Care Authority (HCA);
• Provide direct support to Medicaid’s Senior Deputy Director to ensure that the state’s Medicaid program operates efficiently, complies with state and federal regulations, aligns with legislative and stakeholder priorities, as well as supervision and leadership of key division bureaus and sections.

To learn more and apply, click here.