Medicaid Program Manager - MLTSS

Virginia Beach, VA
Dec 15, 2016
Apr 04, 2017
Full Time
Job Description:
At Optima Health, our goal is to improve health every day, by providing our members with the services, tools, and information to make better choices about their healthcare. We offer innovative programs for members with chronic illnesses, customized wellness programs, integrated clinical and behavioral health services, and pharmacy management—as well as comprehensive health insurance plans.

In alignment with our mission we are seeking a dynamic and experience professional to serve in the position of Medicaid Program Manager for our upcoming MLTSS initiative in Virginia.

The new team member selected for this role will serve as the primary contact with Virginia Medicaid for all business matters. The Program Manager will lead implementation of program changes, and work with department leads to assure full contract compliance, as well as resolving day-to-day concerns.

Key performance skills needed are:
- Demonstrated ability to work with people at a variety of levels
- Diplomacy, tact and people skills
- Good matrix management experience
- Clear written and verbal communication skills

This position acts as a liaison between Medicaid and all internal departments to interpret and apply Medicaid contract /regulatory requirements. Ensures departmental policies and procedures are compliant with the Medicaid contract and state and federal regulations.

Education Level
Bachelor's Level Degree

Required: Managed Care - 5 years

Preferred: None, unless noted in the “Other” section below

None, unless noted in the “Other” section below

Required: Microsoft Excel, Microsoft PowerPoint, Microsoft Word

Preferred: None, unless noted in the “Other” section below

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