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Medicaid Directed Payment Program Manager

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Medicaid Directed Payment Program Manager

Salary

$68,702.40 - $106,267.20 Annually

Location

Des Moines - 50319 - Polk County, IA

Job Type

Full-time

Job Number

26-00272

Agency

400 Health & Human Services - Medicaid

Opening Date

08/01/2025

Closing Date

8/21/2025 11:59 PM Central

LinkedIn Tag

#LI-POST

Point of Contact

Natalie Bryant - [email protected]

+ Description

+ Benefits

+ Questions

Job Description

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

The Medicaid Supplemental Payment Program Manager will play a critical role in the design, implementation, and oversight of our Medicaid Directed Payment Programs (DPPs). These programs are essential in ensuring appropriate reimbursement for healthcare services and supporting the delivery of high-quality care to Iowa’s Medicaid members. This position offers a unique opportunity to shape healthcare policy and make a tangible difference in the lives of Iowans.

Key Responsibilities:

+ Program Development and Management: Lead the development, implementation, and ongoing management of Medicaid Directed Payment Programs, ensuring compliance with federal and state regulations. This includes understanding and interpreting CMS guidance related to directed payments.

+ Financial Analysis and Oversight: Monitor program expenditures, analyze financial data, and develop projections to ensure fiscal integrity and program effectiveness. Collaborate with finance teams on payment methodologies and reconciliation.

+ Stakeholder Engagement: Foster strong collaborative relationships with internal divisions (e.g., policy, finance, managed care organizations), healthcare providers, associations, and other external stakeholders.

+ Policy and Regulatory Compliance: Stay abreast of changes in Medicaid policy, federal regulations, and healthcare industry trends. Ensure all DPPs are compliant with CMS requirements and state law.

+ Data Analysis and Reporting: Utilize data to evaluate program performance, identify areas for improvement, and generate comprehensive reports for internal and external audiences.

+ Communication and Training: Develop and deliver clear and concise communications, presentations, and training materials related to DPPs for various audiences.

+ Problem Solving: Identify and resolve complex program issues, working collaboratively with stakeholders to develop effective solutions.

Qualifications:

+ Education: Bachelor's degree from an accredited college or university in Public Health, Healthcare Administration, Business Administration, Finance, Public Policy, or a related field. Master's degree preferred.

+ Experience:

+ Minimum of 5 years of progressively responsible experience in healthcare administration, Medicaid programs, healthcare finance, or public policy.

+ Demonstrated experience with Medicaid directed payments, supplemental payments, or similar healthcare reimbursement methodologies is highly preferred.

+ Proven experience in program management, including design, implementation, and evaluation.

+ Experience working with federal and state healthcare regulations.

+ Skills:

+ Excellent analytical and problem-solving skills with the ability to interpret complex data and regulations.

+ Strong financial acumen and understanding of healthcare finance principles.

+ Exceptional written and verbal communication skills, including the ability to communicate effectively with diverse audiences.

+ Proven ability to build and maintain effective working relationships with internal and external stakeholders.

+ Strong organizational skills and attention to detail.

+ Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).

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 HHS 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.e-verify.gov

Minimum Qualification Requirements

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

1) Graduation from an accredited four-year college or university with a degree in any field,andexperience equal to four years of full-timeprofessional-level workinprogram administration, program development, program operations, or management.

2) A total of eight years of education and/or full-time experience (as described in number one), where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience.

3) All of the following (a, b, and c): a. Two years of full-time professional-level work experience in program administration, program development, program operations, or management; and b. A total of four years of education and full-time experience (as described in part a), where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience; and c. A total of two years of graduate-level education and full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university course work in a public-service-related area (e.g., public or business administration, social work, public health, law, education, engineering) equals one year of full-time experience. Graduation from the Iowa Certified Public Manager Program is also equivalent to one year of full-time experience or education.

4) Current, continuous experience in the state executive branch that includes twelve months of full-time work as an Executive Officer 1 or comparable specific management-level position.

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/ExecutiveOfficer2-00711-80711-90711.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 four year college or university? IF YES- How many years do you have of full-time professional level work in program administration, program development, program operations, or management?

+ I have not graduated from an accredited four year college or university

+ Less than two years of the identified experience

+ Two years to less than four years of the identified experience

+ Four years or more of the identified experience

04

How many years do you have of COMBINED post high school education AND/OR experience in full-time professional level work such as program administration, program development, program operations, or management? 30 semester hours equals one year of experience.

+ I do not have any of the education and/or experience

+ Less than four years of the combined education and/or experience

+ Four years to less than eight years of the combined education and/or experience

+ Eight years or more of the combined education and/or experience

05

Have you graduated from the Iowa Certified Public Manager Program?IF YES- How many years do you have of COMBINED post high school education AND/OR experience in full-time professional level work such as program administration, program development, program operations, or management.? 30 semester hours equals one year of experience.

+ I have not graduated from the Iowa Certified Public Manager Program

+ Less than four years of the combined education and/or experience

+ Four years to less than seven years of the combined education and/or experience

+ Seven years or more of the combined education and/or experience

06

Are you a current State of Iowa employee? IF YES - How many months do you have of continuous experience in the state executive branch as an Executive Officer 1 or a comparable management level position?

+ I am not a State of Iowa employee

+ Less than 12 months of experience as an Executive Officer 1 or a comparable management level position

+ 12 months or more of experience as an Executive Officer 1 or a comparable management level position

07

Have you graduated from an accredited four year college or university? IF YES - How many years do you have of COMBINED GRADUATE level (post bachelor's degree) course work in a public-service-related area (e.g., public or business administration, social work, public health, law, education, engineering) AND/OR full-time professional level work such as program administration, program development, program operations, or management? Twenty-four hours of the identified graduate level course work equals one year of experience. A MAXIMUM of 48 semester hours of graduate course work may be counted.

+ I have not graduated from an accredited four year college or university

+ Less than four years of the combined graduate education AND/OR experience

+ Four years or more of the combined graduate education AND/OR experience

Required Question

Employer

State of Iowa

Website

hhs.iowa.gov

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