Program Improvement Manager

We are the Department of Vermont Health Access (DVHA), Vermont’s Medicaid agency. Our mission is to improve Vermonters’ health and well-being by providing access to high-quality, cost-effective health care.

About the role

We are seeking a Program Improvement Manager to ensure excellent performance of the Medicaid Management Information System (MMIS). In this role, you will oversee the MMIS claims processing and fiscal-agent contractor that serves Vermont’s Medicaid members and providers.

Responsibilities

• Oversee vendor compliance with contractual requirements, expectations, and service levels; ensure incidents are effectively managed and appropriate corrective actions are implemented.
• Establish, maintain, and enhance a framework for program operations that supports the state’s ongoing partnership with the MMIS contractor.
• Proactively assess business processes, structures, and tools to identify gaps; lead the development and implementation of improvement plans to continually strengthen program operations.
• Build successful partnerships with state and contractor staff to identify improvement opportunities.
• Provide outreach and communication to state stakeholders on business operations; ensure access to information and training for using the MMIS.
• Serve as the primary escalation point for state and MMIS vendor change-management and operational issues.
• Facilitate alignment between vendor and state subject-matter experts on roles, responsibilities, processes, and advanced problem-solving.

Requirements

• Master’s degree in Business Administration, Public Administration, or a related field and two or more years of work experience in organizational development or business-process improvement.
• or Bachelor’s degree and four or more years of work experience in organizational development or business-process improvement.
• or Associate’s degree and six or more years of work experience in organizational development or business-process improvement.

Preferred Qualifications

• Knowledge of project-management, change-management, and business-process-analysis principles, practices, and tools.
• Knowledge of performance measurement.
• Knowledge of Agency contracting procedures.
• Knowledge of information-technology applications used in Agency operations.
• Ability to identify IT enhancements that meet business requirements.
• Certification as a State of Vermont Continuous Improvement Green Belt or equivalent industry certification.

Work Environment

• Work is performed in a standard office setting.
• Some travel may be required; private transportation should be available.
• Lifting and transporting training/event materials and setting up training/event facilities may be required.
• DVHA supports a hybrid work environment; employees work with their supervisor to create a schedule that aligns with unit business needs.

Location

Vermont is a “small but mighty” state in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We are ranked among the top 10 states to raise a family and are nationwide leaders in progressive social and educational policies. The region offers beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.

Benefits

• 80% State-paid medical premium and a dental plan at no cost for employees and their families.
• Work/life balance: 11 paid holidays each year and a generous leave plan.
• State-paid Family and Medical Leave Insurance (FMLI).
• Two ways to save for retirement: a State defined-benefit pension plan and a deferred-compensation 457(b) plan.
• Tuition reimbursement.
• Flexible-spending healthcare and childcare reimbursement accounts.
• Low-cost group life insurance.
• Incentive-based Wellness Program.
• Qualified Employer for Public Service Student Loan Forgiveness Program.

Explore the Benefits of State Employment for specifics.