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Medical Policy Program Manager

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Medical Policy Program Manager

Salary

$61,110.40 - $94,806.40 Annually

Location

Des Moines - 50316 - Polk County, IA

Job Type

Full-time

Job Number

25-03293

Agency

400 Health & Human Services - Medicaid

Opening Date

06/02/2025

Closing Date

6/12/2025 11:59 PM Central

LinkedIn Tag

#LI-POST

Point of Contact

Jenny Erdman - [email protected]

+ Description

+ Benefits

+ Questions

Job Description

Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements will be placed on the eligible list.

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Quality Innovation and Medical Policy is seeking a Medicaid Policy Program Manager to join our team!

Responsibilities include:

+ Oversight of the policies and administration of medical programs in Iowa Medicaid.

+ Collaborates, coordinates and actively communicates with internal and external stakeholders to define and communicate program strategy and ensure activities meet contractual requirements as well as the performance objectives and outcomes.

+ Provides consultation and advice to the Medicaid program in full and is the subject matter expert for Medical policy.

+ Plan and coordinate the activities and strategies for the successful implementation and operation of their policies.

+ Providing consultation, analysis and interpretation of federal and state rules, laws, regulation, and procedures related to Medicaid coverage and reimbursement.

+ The development and implementation of program goals, objectives, and performance standards related to their policies and programs.

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a

comprehensive benefits package designed to support your well-being and professional growth:

+ Health, Dental, and Vision Coverage:Health and dental insurance packages to keep you and

your family healthy at a low cost with outstanding coverage!

+ Paid Time Off:Take time to recharge with paid time off, including vacation (96 hours/year to

begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9

days/year).

+ Retirement Plans:Participate in retirement plans such as IPERS (employees contribute 6.29%

and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC),

Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to

$75/month).

+ Flexible Spending Accounts:Take advantage of flexible spending accounts for medical and

dependent care expenses.

+ Insurance Coverage:Benefit from life insurance and free long-term disability insurance for added peace of mind.

+ Employee Assistance Program:Access resources and support through our Employee

Assistance Program for personal and professional challenges.

+ Employee Discount Programs:Enjoy discounts on a variety of goods and services through our

employee discount programs.

For additional information on benefits click here.

Click hereto see how we compare with other employers or offers by using our Total Compensation Calculator.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Selectives

872Registered Nurse Licensure as Registered Nurse in the State of Iowa by the Iowa Board of Nursingorlicensure as a Registered Nurse in accordance with the Nurse Licensure Compact Administrator’s Agreement of the National Council of State Boards of Nursing. More information regarding the Nurse Licensure Compact Administrators agreement of the National Council of State Boards of Nursing is available at: Nurse Licensure Compact

Minimum Qualification Requirements

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

+ Graduation from an accredited four-year college or university with a degree in any field, and experience equal to three years of full-time work in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations.

+ All of the following (a and b):

+ Three years of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and

+ A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.

+ All of the following (a, b, and c):

+ One year of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and

+ A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; and

+ A total of two years of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business administration, industrial management, statistics, natural science, or a closely-related field equals one year of full-time experience.

+ Current, continuous experience in the state executive branch that includes six months of full-time work as a Management Analyst 2 or two and a half years as a Management Analyst 1.

For additional information, please click on thislink to view the job description (https://das.iowa.gov/sites/default/files/hr/documents/class\_and\_pay/JobClassDescriptions/ManagementAnalyst3-00736-90736.pdf) .

Why Choose the State of Iowa?

At the heart of our commitment to excellence is a dedication to our most valuable asset – our employees. Discover the outstanding benefits that set us apart as an employer of choice.

Our Robust Benefits Package Includes:

Competitive Compensation:

Enjoy a competitive salary that reflects directly on your skills and expertise.

Keep in mind, your wage is just one part of your total compensation. Unlock the complete value of your employment with the State of Iowa by using our user-friendlyTotal Compensation Calculator (https://das.iowa.gov/media/3773/download?inline) .Gain insights into your comprehensive annual compensation, including salary and State-provided benefits.

Health and Wellness:

Prioritize your well-being with our comprehensive health plans, including medical, dental, and vision coverage. Enjoy the peace of mind knowing that the State of Iowa covers 90% of the premiums, providing you and your loved ones with excellent coverage at a remarkably low cost.

Retirement Planning:

We are proud to offer the Iowa Public Employees Retirement System (IPERS). A defined benefit plan, IPERS benefits are guaranteed for life, meaning once you retire, you will receive the same monthly benefit for the remainder of your life (once vested). We invest in your long-term financial well-being, so you can retire with peace of mind.Click here to learn more about IPERS (https://ipers.org/members) .

Paid Time Off:

Life is unpredictable, and at the State of Iowa, we understand the importance of work-life balance. Our leave policies, including paid holidays, vacation, and sick leave with unlimited accrual, ensure you have the flexibility you need for personal and family matters.

Professional Development:

Elevate your career with continuous learning opportunities. We support your growth through training programs, workshops, and tuition reimbursement.

Employee Assistance Program (EAP):

We care about your well-being beyond the workplace. Access confidential counseling, resources, and support through our Employee Assistance Program.

Diversity and Inclusion:

Be part of a diverse and inclusive workplace that embraces all backgrounds and perspectives. We believe diversity is a strength that drives innovation.

Join Us - Elevate Your Career:

Ready to elevate your career with the State of Iowa?Click here (https://iowa.attract.neogov.com/recruitment/p/benefits) to explore more about our unparalleled benefits and discover what makes us unique. Your success is our priority!

01

Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely.Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded. If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question.Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa.

+ Yes - I understand and agree.

+ No

02

PLEASE READ CAREFULLY

Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq?

+ No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

+ Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

03

Have you graduated from an accredited college or university with a Bachelor's degree in any field? IF YES - How many years do you have of full-time work in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations?

+ No experience in the identified areas

+ Less than one year of experience in the identified areas

+ One year to less than two years of experience in the identified areas

+ Two years to less than three years of experience in the identified areas

+ Three or more years of experience in the identified areas

+ Not applicable

04

If you are a CURRENT employee for the State of Iowa (executive branch) how many years of full-time experience as a Management Analyst 2 for the State of Iowa do you have?

+ No Experience as a Management Analyst 2

+ Less than 6 months

+ 6 months or more

05

If you are a CURRENT employee for the State of Iowa (executive branch) how many years of full-time experience as a Management Analyst 1 for the State of Iowa do you have?

+ No Experience as a Management Analyst 1

+ Less than 12 months of experience as a Management Analyst 1

+ 12 months to less than 18 months of work experience as a Management Analyst 1

+ 18 months to less than 24months of work experience as a Management Analyst 1

+ 24 months to less than 30 months of work experience as a Management Analyst 1

+ 30 months or more of work experience as a Management Analyst 1

+ Not applicable – I am not a State Employee

06

Do you meet A and B: A. Three years of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and B. A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.

+ Yes - I meet A and B

+ I do not meet A and B

07

Do you meet A, B and C: A. One year of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations: and B. A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; and C. A total of two years of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business administration, industrial management, statistics, natural science, or closely related fields equals one year of full-time experience.

+ I meet A, B and C

+ I do not meet A, B and C

08

Do you have Licensure as Registered Nurse in the State of Iowa by the Iowa Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact Administrator's Agreement of the National Council of State Boards of Nursing? More information regarding the Nurse Licensure Compact Administrators agreement of the National Council of State Boards of Nursing is available at:Nurse Licensure Compact. (https://www.ncsbn.org/nurse-licensure-compact.htm)

+ Yes

+ No

Required Question

Employer

State of Iowa

Website

hhs.iowa.gov

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