Program Manager - Medicaid Contracts
The Division of Medicaid has a tremendous opportunity for forward-thinking, innovative leader to provide program management, direction, and guidance to the Medicaid Contracts Unit in the Bureau of Medical Care. We are searching for an individual with exceptional leadership abilities; critical thinking skills; communication and interpersonal skills; problem solving skills; and systems-thinking and team learning competencies who are committed to the implementation of division and department strategic initiatives.
This individual will lead a team tasked with the development, coordination, and implementation of managed care, administrative services, consultation and other types of contracts for the Division of Medicaid. This team works closely with Medicaid contractors, providers, associations, advocacy groups and legislators, as well as other Medicaid Bureaus, Health and Welfare Divisions, and the State Division of Purchasing to ensure a cohesive approach to contracted services for Medicaid participants. Further, these positions work closely with state and federal policy makers to ensure compliance with all state and federal regulations, authorities, and the department's strategic initiatives. Some telework may be available.
Benefit Information:
We offer a competitive benefits package to eligible employees which includes:
- excellent medical, dental and vision insurance-employee only coverage for PPO $65/month for medical and vision & $10.06/month for dental
- generous vacation and sick leave accrual beginning as soon as you start
- 11 paid holidays a year
- paid parental leave
- participation in PERSI - one of the Nation's best state retirement systems (the state currently contributes 11.94% of gross wages to an employee’s PERSI account)
- multiple savings plans, optional 401K, and optional 457
- basic life insurance for employee and family
- employee covered at one times annual salary
- spouse covered at $10,000
- child covered at $5,000
- wellness programs
- ongoing training opportunities
- an opportunity for student loan forgiveness
- and more!
If you have previously applied for Program Manager and wish to be considered for the current vacancy, you must reapply under this announcement. Previous scores will not be used.
Example of Duties
- Interview, hire, supervise, direct and develop the activities, training and performance of staff.
- Creatively manage and improve contract development and compliance; maximize current program resources, ensure quality and consistency in contract management; foster innovation and employ best practices.
- Provide contract expertise and technical assistance to staff to ensure accurate and consistent contract administration.
- Establish contract objectives, policies and operating procedures in accordance with state plans, policies, rules and regulations.
- Ensure all eligible Medicaid participants receive appropriate, safe and cost-effective services.
- Problem-solve contract related issues to resolution.
- Represent the department in fair hearings and contested cases relating to contract determinations.
- Maximize use of resources through program analysis and staff resource inventory; arrange productive and appropriate staff work assignments ensuring skilled service delivery.
- Identify current needs, workloads and responsibilities and ensure efficient workflow management.
- Successfully set and communicate work priorities for staff.
- Evaluate staff performance.
- Determine staff training needs.
Minimum Qualifications
You must possess all the minimum qualifications listed below to pass the exam for this position. Click on the Questions tab associated with this announcement for the details regarding minimum qualification requirements. The Supplemental Questions on the application are the exam questions. If it is a written answer, please make sure you answer each question with enough detail to determine how you meet the requirements. Do not put see resume as your answer to written questions. Answer each written question thoroughly. Failure to do this may result in not passing the exam and disqualify you from being considered for this position.
- Competency in management and demonstrated leadership skills.
- Experience managing and observing program performance and subsequently creating and implementing changes to improve program performance.
- Good knowledge of strategic planning.
Supplemental Information
Additional Qualifications: Are not required; however, having the minimum qualifications and the experience and/or education below will increase your score.
- Good knowledge of contract operations and/or organizational change management. Gained by at least two years' experience where resource management, relationship management, vendor management, and process management were key responsibilities. Education and/or experience in development and implementation of organizational management and/or change.
- Experience developing and/or overseeing the management and administration of managed care, administrative services (not supplies), and consultation contracts. Gained by at least two years' experience at a management level where contract management and administration were key responsibilities.
- Good knowledge of survey methods and basic statistics used to collect and interpret data. Gained by completion of two upper-division survey methods and statistics classes, OR at least four years of experience applying survey methodology and developing or interpreting financial and non-financial statistical analysis for decision making.
- Experience developing, reviewing and evaluating contract and/or program-related informational material; presenting information and leading stakeholder groups. Gained by completion of one upper-division public health evaluation class AND one upper-division health communication class, OR at least four years of experience developing or reviewing and evaluating health related information materials as part of regular job duties.
- Experience developing, negotiating, and evaluating business requirements, presenting information, and leading stakeholder groups. Gained by at least two years of experience collecting business rules and requirements, developing system requirements, and working with vendors to develop the functional requirements to bring the business needs to fruition.
To be considered you must apply online at the link below. To learn more about this position and to apply by 01/30/2022, copy and paste this link into your browser (Chrome works best):
https://www.governmentjobs.com/careers/idaho/jobs/3381519/program-manager-medicaid-contracts
EEO/AA/Veteran
Hiring is done without regard to race, color, religion, national origin, sex, age or disability. If you need special accommodations to satisfy testing requirements, please contact the Division of Human Resources at (208) 334-2263.
Preference may be given to veterans who qualify under state and federal laws and regulations.