Medicaid Directed Payment Program Manager

Job Description

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Quality Innovation and Medicaid Policy is seeking a Medicaid Supplemental Payment Program Manager to join our team!

The Medicaid Supplemental Payment Program Manager will play a critical role in the design, implementation, and oversight of our Medicaid Directed Payment Programs (DPPs). These programs are essential in ensuring appropriate reimbursement for healthcare services and supporting the delivery of high-quality care to Iowa’s Medicaid members. This position offers a unique opportunity to shape healthcare policy and make a tangible difference in the lives of Iowans.

Key Responsibilities

• Program Development and Management: Lead the development, implementation, and ongoing management of Medicaid Directed Payment Programs, ensuring compliance with federal and state regulations. This includes understanding and interpreting CMS guidance related to directed payments.
• Financial Analysis and Oversight: Monitor program expenditures, analyze financial data, and develop projections to ensure fiscal integrity and program effectiveness. Collaborate with finance teams on payment methodologies and reconciliation.
• Stakeholder Engagement: Foster strong collaborative relationships with internal divisions (e.g., policy, finance, managed care organizations), healthcare providers, associations, and other external stakeholders.
• Policy and Regulatory Compliance: Stay abreast of changes in Medicaid policy, federal regulations, and healthcare industry trends. Ensure all DPPs are compliant with CMS requirements and state law.
• Data Analysis and Reporting: Utilize data to evaluate program performance, identify areas for improvement, and generate comprehensive reports for internal and external audiences.
• Communication and Training: Develop and deliver clear and concise communications, presentations, and training materials related to DPPs for various audiences.
• Problem Solving: Identify and resolve complex program issues, working collaboratively with stakeholders to develop effective solutions.
  
  

Qualifications

• Education: Bachelor's degree from an accredited college or university in Public Health, Healthcare Administration, Business Administration, Finance, Public Policy, or a related field. Master's degree preferred.

• Experience:
• Minimum of 5 years of progressively responsible experience in healthcare administration, Medicaid programs, healthcare finance, or public policy.
• Demonstrated experience with Medicaid directed payments, supplemental payments, or similar healthcare reimbursement methodologies is highly preferred.
• Proven experience in program management, including design, implementation, and evaluation.
• Experience working with federal and state healthcare regulations.
  
  

• Skills:
• Excellent analytical and problem-solving skills with the ability to interpret complex data and regulations.
• Strong financial acumen and understanding of healthcare finance principles.
• Exceptional written and verbal communication skills, including the ability to communicate effectively with diverse audiences.
• Proven ability to build and maintain effective working relationships with internal and external stakeholders.
• Strong organizational skills and attention to detail.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
  

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a

comprehensive benefits package designed to support your well-being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and
• your family healthy at a low cost with outstanding coverage!
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to
• begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9
• days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29%
• and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC),
• Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to
• $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and
• dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee
• Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.
  
  

For Additional Information On Benefits Click Here .

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Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the HHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.e-verify.gov

Minimum Qualification Requirements

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

• Graduation from an accredited four-year college or university with a degree in any field, and experience equal to four years of full-time professional-level work in program administration, program development, program operations, or management.
• A total of eight years of education and/or full-time experience (as described in number one), where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience.
• All of the following (a, b, and c): a. Two years of full-time professional-level work experience in program administration, program development, program operations, or management; and b. A total of four years of education and full-time experience (as described in part a), where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience; and c. A total of two years of graduate-level education and full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university course work in a public-service-related area (e.g., public or business administration, social work, public health, law, education, engineering) equals one year of full-time experience. Graduation from the Iowa Certified Public Manager Program is also equivalent to one year of full-time experience or education.
• Current, continuous experience in the state executive branch that includes twelve months of full-time work as an Executive Officer 1 or comparable specific management-level position.
  
  

For additional information, please click on this link to view the job description .