Managed Care Supervisor

at  Dept of Med Assistance Svcs

Title: Managed Care Supervisor
State Role Title: Program Administration Specialist II
Hiring Range: $72,100 - $93,503
Pay Band: 5
Agency: Dept of Med Assistance Svcs
Location: Dept of Medical Asst Services
Agency Website: www.dmas.virginia.gov
Recruitment Type: General Public - G

MINIMUM QUALIFICATIONS

Competitive candidates will meet these minimum qualifications:
Considerable knowledge of Medicaid and Medicare services, managed care and health programs.
Experience with contract management and an understanding of contract monitoring practices.
Considerable independent and collaborative project management skills, including planning, evaluation, recommendation, and implementation.
Considerable supervisory experience with professional and ancillary staff and knowledge of supervisory principles and practices.
Experience in developing and conduct trainings and leading meetings.
Knowledge/Experience of systems/programs/computer software.
Knowledge and/or experience analyzing, interpreting, and applying state/federal regulations and laws.
Experience with organizational skills and meeting deadlines.
Experience communicating and collaborating with diverse internal and external stakeholders

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Managed Care Supervisor. The selected competitive candidate will provide exceptional delivery of services to the agency’s Integrated Care Division.
Job responsibilities will include, but are not limited to:
This position is primarily responsible for providing supervision in the monitoring and ongoing development of the Cardinal Care managed care program.
This position is responsible for ensuring an annual Managed Care Organization (MCO) monitoring plan is developed and will supervise and direct the daily program operational functions related of the activities necessary to implement the monitoring plan.
Assist staff in completing all assigned and required duties; and work closely on a daily basis with the Manager to ensure high-quality program operations.
This position oversees the Integrated Care Division quality activities and the MLTSS-specific reporting requirements and activities.
Works within the division and across the agency to meet strategic plans, objectives, and new initiatives.
As an employee of DMAS you are entitled to the many comprehensive benefits the Commonwealth has to offer. This includes health benefits, 12 paid holidays, paid leave, flexible work schedules, & retirement plans. For more specific details please visit: https://www.dhrm.virginia.gov/employeebenefits
Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/
The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.
DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.
At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.