Director of Medicaid Services

🕒 il y a 24 jours

🇺🇸 États-Unis – Télétravail

💵 $132 000 - $162 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Health Services Advisory Group, Inc. (HSAG)

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201 - 500 employés

Fondée en 1979

🏥 Santé

⚕️ Assurance santé

🏛️ Gouvernement

Healthcare • Healthcare Insurance • Government

Health Services Advisory Group, Inc. (HSAG) est une organisation axée sur sa mission d'amélioration de la qualité des soins de santé, qui collabore avec des agences fédérales et étatiques, des régimes de santé et des prestataires pour améliorer la prestation des soins et les résultats pour les patients. HSAG fournit des services de science des données et d'analytique avancée, d'administration d'enquêtes, d'examen de cas de dossiers médicaux, d'audits et de conseil en santé pour soutenir les programmes de qualité de Medicare et Medicaid, les évaluations des dérogations, les initiatives de santé rénale et les enquêtes nationales auprès des patients. L'organisation se concentre sur le respect des réglementations, la mesure des performances et l'amélioration de la qualité basée sur des preuves pour obtenir de meilleurs résultats dans l'ensemble du continuum des soins de santé.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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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