Title: Specialized Health Services Division Director
State Role Title: Gen Admin Manager III
Hiring Range: $164,705 - $184,411
Pay Band: 7
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
Job responsibilities will include, but are not limited to:
The Division Director of Specialized Health Care Administration provides leadership, strategic direction, and operational oversight for specialized Medicaid health care programs administered by the Virginia Department of Medical Assistance Services (DMAS).
The Division includes the Dental Program, Pharmacy Program, and Non-Emergency Medical Transportation (NEMT) Program.
The Director is responsible for ensuring that these programs are administered effectively, efficiently, and in accordance with federal and state requirements, Medicaid policy, contractual obligations, clinical standards, and DMAS strategic priorities.
The Division Director establishes a unified operating framework for specialized health care programs, ensuring clear accountability, strong program administration, effective vendor and provider oversight, fiscal stewardship, quality improvement, and a high-quality member experience.
The Director serves as a leader and works closely with the Cardinal Care Managed Care, Health Analytics, Finance, Procurement, Quality, Eligibility, Communications, and other DMAS divisions to ensure specialized benefits and services are effectively integrated into the broader Medicaid program.
The business needs for this position have in office requirements to include but are not limited to conducting the in-person training and/or meetings and engaging with internal and external stakeholders.
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:
Extensive experience in Medicaid, healthcare administration, health insurance, public-sector health programs, or a related field.
Extensive experience leading complex healthcare programs such as health care benefits, pharmacy benefit management, operations, or organizational functions.
Extensive experience working with managed care organizations, healthcare providers, or government healthcare programs.
Extensive experience developing and implementing policies, programs, contracts, or operational strategies.
Extensive experience of systems/programs/computer software, to include Microsoft Suites.
Extensive knowledge/experience with Medicaid (Medicaid and CHIP federal and state laws, regulations and policies), managed care or public health systems.
Extensive experience with meeting deadlines, and managing multiple priorities/initiatives.
Extensive experience engaging with executive leadership, government agencies, vendors, providers, community organizations, and other stakeholders.
Extensive experience managing large, multidisciplinary teams and/or complex organizational operations.
Extensive experience engaging and communicating with executive-level stakeholders.
Additional Considerations
Competitive candidates should meet these additional considerations:
Extensive knowledge of health care administration, provider contracting strategic planning and overall service delivery.
Considerable knowledge of value-based purchasing delivery system reform, and care coordination models.
Extensive experience analyzing and articulating complex policy concepts, envision change, and promoting creative and innovative approaches.
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 Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship, to include participation in STEM -OPT programs or similar programs. Selected candidates will have their work authorization completed using the E-Verify Program.
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
