Director of Medicaid Services

🕒 vor 27 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $132.000 - $162.000 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Direktor

👻 Geisterscore 1%

Was es bedeutet: die Wahrscheinlichkeit, dass für diese Stelle niemand wirklich einstellt.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Warum dieser Wert:

• Seit 28 Tagen offen.
• Stellen bei diesem Unternehmen werden meist in 26 Tagen besetzt.

Jetzt Bewerben

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Health Services Advisory Group, Inc. (HSAG)

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 1979

🏥 Gesundheitswesen

⚕️ Krankenversicherung

🏛️ Regierung

Healthcare • Healthcare Insurance • Government

Die Health Services Advisory Group, Inc. (HSAG) ist eine zielorientierte Organisation zur Verbesserung der Qualität im Gesundheitswesen, die mit Bundes- und Landesbehörden, Krankenversicherungen und Anbietern zusammenarbeitet, um die Betreuung und die Ergebnisse für Patienten zu verbessern. HSAG bietet Datenwissenschaft und fortgeschrittene Analysen, Verwaltung von Umfragen, Überprüfung von Krankenakten, Audits und Beratungsdienstleistungen im Gesundheitswesen an, um die Qualitätsprogramme von Medicare und Medicaid, die Bewertung von Ausnahmeregelungen, Initiativen zur Nierengesundheit und nationale Patientenbefragungen zu unterstützen. Die Organisation konzentriert sich auf die Einhaltung von Vorschriften, Leistungsbewertung und evidenzbasierte Qualitätsverbesserung, um bessere Ergebnisse über das gesamte Gesundheitswesen hinweg zu erzielen.

Beschreibung

• Provide strategic and operational leadership for an assigned portfolio of Medicaid Services external quality review contracts, state customers, and programs • Ensure alignment with contract requirements and applicable state and federal requirements • Serve as senior relationship leader for state Medicaid agencies, managed care entities, subcontractors, and other stakeholders • Direct project planning, implementation, and performance monitoring across scope, staffing, schedules, budgets, and deliverables • Lead and coach project managers and assigned staff; set expectations, monitor performance, support development, and foster accountability and collaboration • Manage recruitment, selection, onboarding, training, evaluation, counseling, and corrective action for assigned staff • Ensure customer deliverables are accurate, high quality, internally reviewed and approved, and submitted on time • Use SharePoint and Copilot to streamline workflows and improve deliverable production • Monitor financial performance, staffing plans, labor utilization, budgets, and forecasts • Identify and mitigate operational, contractual, staffing, and customer risks; escalate significant concerns • Advise project leads on project design, data collection and abstraction, analysis, quality review, technical assistance, training, and report development • Advance standardized, scalable processes and continuous improvement, innovation, and knowledge sharing • Coordinate with HSAG departments and shared services to resolve cross-functional issues and support contract execution • Lead or support business development activities, including proposals, presentations, scope development, and pricing assumptions • Support division planning, resource allocation, succession planning, performance reporting, and organizational priorities • Represent HSAG in customer meetings, presentations, conferences, and external forums • Maintain confidentiality and comply with company policies, contractual obligations, and regulatory requirements

🎯 Anforderungen

• Master's degree in healthcare administration, public health, health services, business administration, or a related field, or an equivalent combination of education and relevant experience • Minimum of eight years of progressively responsible experience in Medicaid, managed care, healthcare quality, external quality review, regulatory oversight, auditing, consulting, or related field • Minimum of five years of management or supervisory experience, including responsibility for complex projects, customer relationships, budgets, and staff performance • Demonstrated experience leading multiple contracts or large, complex initiatives or projects and delivering results through other leaders and cross-functional teams • Experience with state Medicaid agencies, Medicaid managed care organizations, external quality review activities, or related state and federal healthcare programs preferred • Experience supporting proposal development and business growth activities preferred • Excellent leadership, judgment, problem-solving, decision-making, and organizational skills • Excellent oral and written communication, presentation, facilitation, negotiation, and interpersonal skills • Ability to establish credibility and effective working relationships with customers, executive leaders, staff, subcontractors, and external stakeholders • Ability to analyze complex operational, contractual, financial, and customer issues; develop practical solutions; and communicate recommendations clearly • Ability to manage competing priorities, multiple projects, and overlapping deadlines while maintaining attention to detail and quality • Proficiency with Microsoft Windows and Microsoft Office applications, including Microsoft Copilot, and ability to learn and use other business software • Ability to maintain confidentiality and consistently represent HSAG in a professional manner • Ability to travel statewide and out of state as needed

🏖️ Vorteile

• Salaried full-time exempt position • Remote work arrangement • Reasonable accommodations for individuals with disabilities • Limited travel, generally less than 5 percent

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