Director of Medicaid Services

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $132k - $162k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Health Services Advisory Group, Inc. (HSAG)

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1979

🏥 Healthcare

⚕️ Healthcare Insurance

🏛️ Government

Healthcare • Healthcare Insurance • Government

Health Services Advisory Group, Inc. (HSAG) is a mission-driven healthcare quality improvement organization that partners with federal and state agencies, health plans, and providers to improve care delivery and patient outcomes. HSAG provides data science and advanced analytics, survey administration, medical record case review, audits, and healthcare consulting services to support Medicare and Medicaid quality programs, waiver evaluations, kidney health initiatives, and national patient surveys. The organization focuses on regulatory compliance, performance measurement, and evidence-based quality improvement to drive better outcomes across the healthcare continuum.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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