Careers

Overview The National Association of Medicaid Directors (NAMD) seeks a Senior Policy Analyst to support and advance the association’s federal policy strategy. This individual will play a critical role in analyzing and communicating federal legislative and regulatory developments affecting Medicaid and the Children’s Health Insurance Program (CHIP), while helping to elevate the perspectives of state Medicaid leaders in federal policymaking.

The ideal candidate will bring strong policy analysis and communication skills, the ability to manage multiple priorities, and a commitment to advancing Medicaid’s role in promoting access to care across the country.

Read the full job posting 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.

About this Role:

DHCS is seeking an experienced candidate with experience leading health care clinical quality and health equity improvement activities to fill the role of Chief, Quality and Health Equity Division (QHED), Quality and Population Health Management (QPHM).The Chief, QHED, leads the Department’s health care clinical quality and health equity initiatives, evaluations, assurance, and improvement efforts.

The Chief, QHED, is responsible for the development and implementation of policies and processes as they relate to clinical quality and health equity improvement and assurance (compliance/monitoring) activities. Activities include providing federally required oversight, from a clinical quality and health equity perspective, across DHCS’s health care delivery systems and programs such as managed care, behavioral health, fee-for-service, and others. The Chief, QHED, also plays a key leadership role in designing, implementing, and monitoring Value-Based Payment programs, which are designed to reward health care providers for the quality of care they deliver, for the state’s Medi-Cal program.

To learn more and apply, click here.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

• Provides daily administrative and technical guidance to subordinate staff to insure the effective operation of the unit.
• Insures compliance with all federal, state and agency rules, regulations, policies and procedures concerning fiscal activities, contracts administration, Personnel/Merit system policies and budgets.
• Analyzes and evaluates all administrative functions and activities, develops new systems and procedures as deemed appropriate.
• Provides top management with all required reports, briefings, projections, forecasts, fiscal analysis, and applicable recommendation for any remedial action necessary.
• Coordinates short and long term planning for the administrative unit to ensure the ability to maintain cost effective, efficient operations.
• Provides effective implementation of administrative/fiscal statewide systems, such as FSF, to insure compliance with State goals and priorities.
• Represents the department on various statewide committees and task forces and with meetings/negotiations with contractors, vendors and members of the general public.

To learn more and apply, click here.

As a division of the Iowa Department of Health and Human Services (HHS), Iowa Medicaid insures more than 700,000 Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Department’s Director, who serves on Governor Reynolds’ Cabinet, Iowa’s State Medicaid Director is a key member of the Iowa HHS Executive Team, responsible for the direct oversight of all managed care operations, program policy, major IT system enhancements, and data governance.  As a member of the executive team, the Medicaid Director establishes and builds connection points to other core program functions within Iowa HHS, including child welfare, public health, community behavioral health, and integrated eligibility.

In year two of a significant agency consolidation, Iowa HHS is a lifespan services agency and the State’s largest in both budget and number of employees. This new system design positions Medicaid in a cornerstone role beyond its foundational capacity as a major insurer in the state, to drive key population health outcomes and significant impacts to rural healthcare access, maternal health, and behavioral health system design. Iowa Medicaid is leading significant transformational efforts, including the launch of a redesigned home and community-based services waiver structure, and a co-designed model to launch CCBHCs.

As with any leadership role, Iowa HHS seeks a self-driven, tenured executive who thrives while contributing to a fast paced and high-functioning team. Iowa’s Medicaid Director must have demonstrated experience in healthcare, Medicaid program operations, and operational planning, as well as a deep understanding of cost and caseload trends.

To learn more and apply, click here.

Job Description

Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list.

The Iowa Department of Health and Human Services (HHS), Division of Compliance, Bureau of Legal is seeking an Attorney to join our team!

The Iowa Department of Health and Human Services (HHS) is seeking an experienced Medicaid Attorney to join its legal team. This position plays a critical role in ensuring Iowa Medicaid’s compliance with state and federal law and supports the administration of one of Iowa’s largest and most impactful programs.

The ideal candidate will have strong administrative law experience, a deep understanding of the Medicaid program, and the ability to provide timely, strategic legal counsel in a fast-paced policy environment. Key responsibilities include:

• Drafting proposed agency decisions as needed pursuant to the agency’s uniform rules of procedure
• Conducting legal research and assisting HHS teams and programs with legal analysis and articulation of legal risks and mitigation practices
• Advising on questions of law, administrative regulations, opinions of the courts, Attorney General opinions, and federal guidance
• Issue spotting, outlining relevant facts, and identifying and analyzing applicable state and federal law and regulation, as well as other Iowa agency policy.

This position works closely with the HHS government relations team and HHS division policy teams on the development and review of HHS agency legislation, other proposed legislation, and proposed administrative rules.

To learn more and apply, click here.

The Office of Aging and Disability Services (OADS)

The Office of Aging and Disability Services (OADS) supports Maine’s older and disabled adults by providing Adult Protective, Brain Injury, Other Related Conditions, Intellectual and Developmental Disability, Long Term Care, and Aging and Community services to the people of Maine. OADS coordinates the programs and benefits to assure they operate consistent with the state and federal policies and the Maine Department of Health and Human Services’ goals.

Mission: We promote the highest level of independence, health, and safety for older adults and adults with disabilities throughout Maine.

Responsibilities of Director

The Director is responsible for promoting the mission of the Office of Aging and Disability Services, a major program office within Maine DHHS. In this role, the Director contributes to, articulates, and implements the aging and disability policy priorities of the Commissioner and Governor. The Director communicates those priorities internally at OADS, throughout DHHS, to other departments of state government, and to external constituencies including the Legislature.

To read full job posting, click here.

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as a Chief Medical Officer. The selected competitive candidate will provide exceptional delivery of services to the agency’s Office of Chief Medical Officer. The Chief Medical Officer (CMO) functions as a key member of the Executive Team, providing clinical leadership and management in support of the Agency’s mission. Advances key initiatives to achieve the quadruple aim of improving patient and provider experiences, improve population health, and reduce healthcare costs.

Job responsibilities will include but are not limited to:

The CMO will also have management responsibilities, such as leading the Medical Support and Pharmacy Teams. The CMO will lead the development and implementation of clinical policies, standards, and practices consistent with sound medical practice that affects the members as well as the provider and advocacy communities. As part of the agency Executive Leadership Team, the CMO will work closely with the Governor’s office, Office of the Secretary of Health and Human Resources and other key agencies’ leadership. The CMO will serve as Chairperson of the Virginia Medicaid pharmacy and therapeutics committee and advises the Director on the maintenance of the formularies and preferred drug lists. The CMO will interact on a regular basis with Managed Care Organizations (MCO) medical directors and will provide medical oversight across all the MCOs. The CMO will work closely with clinical, non-clinical, technical teams within the agency and other state agencies.

Other key responsibilities include analysis of proposed legislation and testimony at legislative committee meetings, leadership on Social Determinants, and serving as a liaison to the healthcare provider community. The CMO represents the agency at the national and state level on task forces, to national membership associations, and is expected to be part of statewide coalitions and planning efforts directed at developing and improving Medicaid program. A Graduate from an accredited medical school and residency program. Training in Family Medicine, Pediatrics, or Internal Medicine preferred.

The incumbent must maintain a current medical license to practice in the Commonwealth of Virginia, be Board Certified, or be eligible for Board Certification in an appropriate area of medicine. Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.orgThe Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Extensive knowledge/experience of clinical practice, with extensive experience in healthcare leadership. Extensive knowledge/experience with managed care delivery systems and assessments of quality through metrics. Extensive experience with developing medical policy recommendations, based on comprehensive research and analysis. Extensive experience of systems/programs/computer software, to include Microsoft Suites. Extensive knowledge/experience with Medicaid (Medicaid and CHIP federal and state laws, regulations and policies), managed care or public health systems. Extensive experience with meeting deadlines and managing multiple priorities/initiatives. Extensive experience with effectively communicate and collaborate with internal and external stakeholders regarding rational for specific policy, program, and clinical recommendations, as well as development of medical policy recommendation. Extensive experience with managing and leading teams/units. Extensive experience/knowledge of state legislative process as a lead professional state agency representative. A Graduate from an accredited medical school and residency program. Training in Family Medicine, Pediatrics, or Internal Medicine preferred. The incumbent must maintain a current medical license to practice in the Commonwealth of Virginia, be Board Certified, or be eligible for Board Certification in an appropriate area of medicine.

Additional Considerations

Competitive candidates should meet these additional considerations: Extensive years of clinical experience or several years of clinical practice serving Medicaid beneficiaries, preferably in a managed care environment. Considerable training in Family Medicine, Pediatrics, or Internal Medicine. Considerable knowledge of value-based purchasing, delivery system reform, and care coordination models. Considerable experience evaluating new or modified codes such as the Healthcare Common Procedure Coding System (HCPCS). Extensive experience with leadership skills necessary to analyze and articulate complex policy concepts, envision change, and promote creative and innovative approaches.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program. The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking. This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references. This position requires the submission of a Statement of Economic Interest (financial disclosure). If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date. Applications and/or resumes should include relevant work history which indicates your qualifications for this position. The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce. In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth’s Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name: DMAS Talent Acquisition

Phone: (804)-225-4407

Email: askhcdtalentacq@dmas.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer

For further information, please click here.

Position Overview

The Ohio Colleges of Medicine Government Resource Center (GRC) seeks a dynamic and experienced leader to serve as our next Director of Research and Analytics. The Director of Research and Analytics leads a large team with thirty staff under their direct supervision, maintaining a portfolio of 15 state and federal research grants. In addition, the organization includes twenty-five principal investigators who look to the Director of Research and Analytics for mentorship. The Director of Research and Analytics should be an accomplished senior academic researcher who has strong experience interacting with state health and human services agencies. This role requires executive level performance with regard to managing, mentoring, and leading multiple research agendas while providing a high level of service to executive-level health and human services state agency leadership.

To learn more and apply, click here.