Human Services Program Coordinator - Senior

Position Overview

Remote (WI resident required)
Contract via Spherion (Madison, WI)
4 weeks PTO + paid holidays

The Benefits Program Manager

The Benefits Program Manager designs, implements, and manages fee-for-service Medicaid benefits policy for the WI Dept of Health Services (DHS) Division of Medicaid Services to ensure equitable, high-quality healthcare. This role acts as a liaison between the state, providers, county agencies, and advocacy groups to integrate health equity into the healthcare delivery system.

Core Responsibilities

• Benefit Management & Contract Oversight
  - Program Oversight: Manage Medicaid portfolios: vision/hearing contracts, HIV/AIDS Health Home, WI Chronic Disease Program, hospice, and end-stage renal disease benefits.
  - Contract Management: Oversee procurement, transition, and operations of state vision and hearing contracts.
• Collaboration
  - Partner with internal policy, systems, communications, and fiscal teams for smooth operations.
  - Assist healthcare providers to improve quality, ensure program integrity, and create operational resources.
• Stakeholder Communication & Issue Resolution
  - Policy Clarification: Respond to complex inquiries regarding coverage and reimbursement.
  - Conflict Resolution: Facilitate communication between county agencies, providers, and partners to resolve disputes and secure member access.

Program Leadership & Technical Assistance

• Program Lead
  - Serve as the Bureau's primary lead for the HIV/AIDS Health Home and WI Chronic Disease Program.
• Technical Guidance
  - Train and advise external partners on person-centered benefit administration.
• Performance Monitoring
  - Track and report on initiatives improving member health outcomes.

Bureau Integration

• Participation in Bureau of Benefits Policy planning and execution.
• Internal Relations
  - Maintain professional cross-team relationships and adapt to changes.

Required Knowledge, Skills, And Abilities

• Medicaid Systems: Deep understanding of federal/state Medicaid statutes, regulations, fee-for-service, and reimbursement.
• Healthcare Delivery: Knowledge of clinical assessment, planning, evaluation, and WI public/private health resources.
• Policy Analysis: Understanding of healthcare policy development principles and processes.
• Communication: Advanced written, verbal, and interpersonal skills to guide diverse stakeholders to consensus.
• Organization: Strong project management skills to balance multiple complex health programs.