Medicaid Business Operations Program Director

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

None

Job Family:

Program Delivery and Execution

Job Qualifications:

Skills:

Building High Performance Team, Collaboration, Communication, Leadership, Provider Enrollment

Certifications:

None

Experience:

10 + years of related experience

US Citizenship Required:

No

Job Description:

The NCMMIS -Director of Fiscal Agent Operations​ WILL MAKE AN IMPACT

• The NCMMIS program built and operates the NCTracks system, a multi-payer claims adjudication system for the State of North Carolina and is the Medicaid fiscal agent for NC DHHS.
• The Director of Fiscal Agent Operations is second in command for NCMMIS program; leader of fiscal agent operations functions; assumes Executive Account Director (EAD) responsibilities when EAD is away or not available.
• The Director of Fiscal Agent Operations is also the senior subject matter expert with an in-depth working knowledge of the NC Medicaid and Health Choice Programs acting as a resource for fiscal agent operations areas of the program subordinate to this position and to the Applications Services Group as required in the development and validation of business requirements for system enhancements.
• This position is responsible for the financial performance of the areas of the program reporting to the position taking an active role in planning, budgeting, and optimizing the financial performance of the program.

Direct Reports:

• Claims Manager
• Prior Authorization Manager
• Provider Enrollment Manager
• Call Center Manager
• Finance Manager
• Medical Director
• Pharmacy Director
• Dental Director

WHAT YOU’LL NEED TO SUCCEED:

• Master’s degree or equivalent combination of education and experience is required.
• Knowledge of Medicaid and Health Choice programs, preferably in North Carolina
• Fourteen or more years of experience related to health care administrative management.
• Ten or more years of experience in State Medicaid
• Over 5 years of leadership experience in a large organization
• Experience in customer interaction to help bring solutions to their business challenges
• PMI PMP Certification or commitment to achieve certification
• Strong human relations skills to select, develop, coach, and mentor employees
• Location: Hybrid

• 401K with company match
• Comprehensive health and wellness packages
• Internal mobility team dedicated to helping you own your career
• Professional growth opportunities including paid education and certifications
• Cutting-edge technology you can learn from
• Rest and recharge with paid vacation and holidays

The likely salary range for this position is $161,500 - $218,500. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Hybrid

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

 

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.