Deputy Director of Medicaid Services

Job ID: #9U404

About the Role

Leads the development and administration of the strategy, goals, and objectives of the Division of Medicaid Services (DMS) in close coordination with the Medicaid Director. Authorizes and directs senior-level policy development, evaluation, and administration; program operations; and the implementation of DMS policies and procedures. Translates Medicaid program strategy to Department goals and operations. Leverages expertise on national trends and best practices in Medicaid policy strategy and execution to enhance the DMS strategic plan, identifying and evaluating alternatives for enhancing program and business operations, and leading the Director level staff to achieve through an effective team of professionals for the DMS Division objectives. Assists the DMS Director in the support of DHHS Divisions with Medicaid-related initiatives. Acts as Medicaid Director in the absence of the Director.

Responsibilities

• In coordination with the Medicaid Director, ensures that DMS strategy and operations align with the goals and objectives of the Division and Department, including monitoring and evaluating operational activities for compliance with regulatory mandates, efficient and effective allocation of Division resources, and the achievement of evidence-based, measurable outcomes. Generates opportunities for alignment and integration through outcome-based evidence in the pursuit of opportunities for improvement across the Division, drawing upon external expertise, publicly-available data sources, academic literature, and relevant reports.
• Reports directly to the Medicaid Director and oversees the Directors of Medicaid Enterprise Development and Director of Policy and Clinical Programs. Provides direct supervision and professional development guidance to subordinate Directors and Management staff. Evaluates work performance, assesses training needs, and assures timely performance evaluations are conducted. Independently administers assigned program objectives and directs staff activities to accomplish desired results.
• Oversees and provides leadership to the Division Directors in their day-to-day operations in program management with a focus on the Medicaid Care Management Program, Operation and Finances of Federal Waivers for the Medicaid Program, the State Plan and amendments, Medicaid Management Information System, and State and Federal level rule-making – clinical and non-clinical, service delivery, contracts, MMIS financial management, and budget. Oversees the development and implementation of strategies to improve business and program operations. Authorizes internal operational policies and procedures and reviews recommendations for enhancements.
• Prepares initial drafts of budget materials in collaboration with the Finance Director and Medicaid Director to address Division and Department needs. Monitors budgets and expenditures and imposes fiscal controls as required.
• Leads across DMS operations, establishing short-term and long-term priorities for managed care programs, clinical programs, Federal and State policy, system enhancements, high-impact Division procurements, and cross-agency collaboration.
• Partners with the Medicaid Director and other Department leadership to develop legislative strategy and activities, drafts legislation, and presents testimony at legislative hearings. Leads legislative initiatives with Department-wide or cross-Department impacts as assigned by the Medicaid Director.
• Oversees the administration and coordination of policy and rule-making for program efforts through Division Directors with other DHHS sections/units to ensure agency compliance with federal and state regulations by ensuring coordination and maintenance of NH administrative rules, State Plan Amendments, and Waivers that deal with Medicaid benefits.
• Analyzes, interprets, and integrates program, regulatory, financial, and outcome data and metrics to inform planning efforts and decision-making. Prepares reports and communicates findings and recommendations to the Director.
• Acts as the official representative of the Department and Division. Meets with government officials, medical professionals, and other key stakeholders to explain and develop DMS policy and operating positions. Provides information and guidance to state agencies, the legislature, Governor’s Office, and the general public regarding agency activities and responsibilities. Presents testimony at legislative and regulatory hearings to provide information and speak in support of agency goals.
• Frequently interfaces with federal and state agencies, community partners, and constituents including the Centers for Medicare and Medicaid Services. Troubleshoots and resolves received/referred issues from DMS stakeholders and beneficiaries.

Requirements

• Master’s degree from a recognized college or university with a major study in public administration, health policy, finance, public health, public policy, law, or a related field of study, and eight years of work experience in public administration, policy administration, business, management, or a related field.
• OR Bachelor’s degree from a recognized college or university with a major study in public administration, health policy, finance, public health, public policy, law, or a related field of study, and nine years of work experience in public administration, policy administration, business, management, or a related field.
• Valid driver’s license and/or access to transportation for travel as required by the position duties.

Qualifications

• Specialized knowledge of Medicaid, state government, strategic planning, and agency administration.
• Ability to work under minimal supervision with extensive latitude for the use of initiative and independent judgment.
• Knowledge of local, state, and federal laws and regulations, specifically knowledge of CMS regulations and processes for state plan, institutional, and waiver programs.
• Knowledge of the principles and practices of public administration and management or health management and finance.
• Demonstrated ability to direct and organize program activities; to establish program goals and objectives that support the strategic plan; to identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to direct the development of agency policies and procedures; to prepare concise reports; to make presentations and testify at hearings; and to plan, assign, and/or supervise the work of others.

Preferred Qualifications

Preference will be given to candidates with public administration, public health, law, or health care policy background who have worked within a State and/or Federal medical assistance program.

Pay

The pay range for this position is $97,057.00 - $135,272.00 annually.

Benefits

• HMO or POS Medical and Prescription Drug Benefits (value varies by plan and bargaining unit).
• State’s share of Employee’s Retirement: 12.87% of pay.
• Dental Plan at minimal cost for employees and their families ($500-$1800 value).
• Flexible Spending healthcare and childcare reimbursement accounts.
• State defined benefit retirement plan and Deferred Compensation 457(b) plan.
• Work/life balance: flexible schedules, paid holidays, and generous leave plan.
• $50,000 state-paid life insurance plus additional low-cost group life insurance.
• Incentive-based Wellness Program (ability to earn up to $500).