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
Job Duties
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.
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
Additional Considerations
There are no additional considerations.
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.
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.
This position requires a fingerprint based Criminal History Background Check, applicable Education Checks, Work History Verification with references.
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.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce. Qualified individuals with disabilities are encouraged to apply.
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.
Contact Information
Name: DMAS Talent Acquisition
Phone: 804-225-4407
Email: askhcdtalentacq@dmas.virginia.gov
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.