Eligibility Policy Manager, MAGI Covered Groups

Virginia Department of Medical Assistance Services

$124K — $141K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Considerable knowledge of Medicaid and CHIP eligibility and enrollment requirements
  • Experience with independent project management
  • Experience in implementing Medicaid/CHIP eligibility policy training
  • Ability to provide technical guidance for system modifications and improvements
  • Skilled in developing guidance documents for complex programs
  • Proficient in Microsoft Office Suite and Adobe
  • Experience analyzing and interpreting complex federal and state regulations

Responsibilities

  • Serve as expert consultant to senior officials on Medicaid and FAMIS eligibility policy
  • Ensure comprehensive analysis of policy options related to beneficiary entitlements
  • Manage and provide oversight to the Eligibility Policy Unit
  • Lead strategic direction for the unit's initiatives
  • Attend in-person internal and external stakeholder meetings

Benefits

  • Opportunity to impact health policies affecting vulnerable populations
  • Collaborative work environment with stakeholders
  • Strategic oversight role with management responsibilities
  • In-office participation fosters professional networking opportunities
  • Located in a vibrant area of Central Virginia with access to natural attractions
Full Job Description
Eligibility Policy Manager, MAGI Covered Groups

Job no:
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Health and Human Services

Title: Eligibility Policy Manager, MAGI Covered Groups

State Role Title: Policy And Planning Manager II

Hiring Range: $124,200 - $141,739

Pay Band: 6

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Policy Manager, MAGI Covered Groups in the Eligibility Policy and Outreach Division.

Job responsibilities will include, but are not limited to:

Serve as expert consultant to the Governor, the Secretary of Health and Human Resources, the Department Director, and Management Team on Medicaid and FAMIS (Family Access to Medical Insurance Security) eligibility policy, with a focus on coverage for children, pregnant individuals, and non-aged adults.

Ensure that policymakers have full analysis and knowledge of policy options available under Medicaid and other federal programs related to beneficiary entitlements, benefit limitations, methods of service delivery and financing.

Provide management, oversight and strategic direction to the Eligibility Policy Unit.

The business needs for this position have in office requirements to include but are not limited to attending in-person meetings and attending internal and external stakeholder's meetings.

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/

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Considerable knowledge of Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment requirements.

Considerable experience with independent project management.

Considerable experience implementing Medicaid/CHIP eligibility policy training.

Provides technical guidance regarding the modification and improvement of the Eligibility system.

Considerable experience in developing guidance documents for complex programs.

Considerable experience using Microsoft Office Suite and Adobe.

Experience analyzing, interpreting and applying complex federal and state law regulations and guidance.

Experience meeting deadlines.

Considerable experience engaging with internal and external stakeholders on large projects.

Considerable experience managing staff.

Considerable experience with Virginia's Medicaid/FAMIS eligibility and enrollment systems.

Knowledge of national and state policies dictated by H.R. 1 impacting the provision of Medicaid and FAMIS.

Additional Considerations

There are no additional considerations for this position.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

This position requires the submission of a Statement of Economic Interest (financial disclosure).

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [email protected]

Advertised: 17 Sep 2026 Eastern Daylight Time
Applications close: 01 Oct 2026 Eastern Daylight Time

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