Job Information
Iowa Department of Administrative Services Iowa Medicaid Dental Contract Manager in Des Moines, Iowa
Iowa Medicaid Dental Contract Manager
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Iowa Medicaid Dental Contract Manager
Salary
$67,350.40 - $104,187.20 Annually
Location
Des Moines - 50319 - Polk County, IA
Job Type
Full-time
Job Number
24-04219
Agency
401 Health & Human Services - Central Office
Opening Date
06/12/2024
Closing Date
7/2/2024 11:59 PM Central
LinkedIn Tag
#LI-POST
Point of Contact
Courtney Bushell at cbushel@dhs.state.ia.us
Description
Benefits
Questions
Job Description
The Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, seeking one candidate for a Dental Contract Manager (Executive Officer 2) position.
Medicaid is a state-federal funded program that is administered by the Iowa Department of Health and Human Services and is the second largest insurance program in the State of Iowa. Be part of an organization that is continually working to modernize and innovate solutions to improve the quality of life and health outcomes for the state’s Medicaid members. Dental benefits for a majority Iowa Medicaid members are provided through prepaid ambulatory health plan (PAHP) contracts.
The Dental Contract Manager provides the requisite program oversight and coordination for all aspects of the PAHPs in support of the Medicaid dental plan. The position activities will ensure synchronization of performance management and ensure efficiencies, minimize or avoid duplication of efforts, and support the dental goals. This position is a key advisor to executive leadership and will make day-to-day decisions to assure that the PAHPs are contractually compliant and consistently providing reliable dental care to Iowa's Medicaid managed care members. The Dental Contract Manager is a liaison between the PAHPs and Iowa Medicaid and is the point of contact coordinating and approving communications. This position will also interact with sister agencies in addition to the Centers for Medicare and Medicaid Services (CMS) regulators.
Tasks involved include:
• Contract management and oversight of PAHPs retained through FFS or MCO agreements.
• Approves all aspects of PAHP operations prior to and during a 'readiness' review which assures CMS that the PAHP has been approved and is able to implement the dental goals and meet the contractual obligations.
• Assures the PAHP contract with the Department of Human Services is compliant in all aspects to consistently provide reliable health care to Iowa's members which includes assurance that members receive the necessary services to achieve positive health outcomes; that providers are supported; that fraud and abuse is minimized and state payments to the PAHP are justified.
• Reviewing and approving PAHP operations manual, communications, and other required documentation to ensure contractual compliance.
• Conduct and facilitate formal monthly PAHP oversight/operations meetings and develop communication and tracking tools.
• Determine PAHP compliance with contractual requirements to assure members receive necessary dental services; program integrity issues and accurate reporting of data to ensure the State is paying accurate capitation payments. When failure to comply, initiate corrective action plans or termination in collaboration with the Medicaid Director.
• Prepare reports summarizing PAHP progress and compliance to Governor's office, Legislature; CMS and the public.
• Serve as PAHP expert with the Medicaid Leadership team and the Iowa Medicaid Director to assist in confidential decision-making pertaining to contractual compliance; development of aligned strategies to improve care and services; modification of capitation rates etc. Identify complex and sensitive problems and review related information to develop and evaluate options and implement solutions. In addition, coordinate with the Dental SME as policies and procedures are drafted and best practice is defined.
To ensure the Iowa Medicaid is providing the best service to the citizens of Iowa, applicants should demonstrate exceptional customer service skills, integrity and a strong work ethic, along with the below skill sets.
Successful candidates will:
• Have self-directed proven project management skill sets for complex/large scale initiatives.
• Comprehend and apply state and federal code within the Medicaid program.
• Understand and interpret federal and state requirements and process requirements pertaining to Medicaid managed care and the Fee-for-Service dental program.
• Detail oriented and able to handle multiple tasks efficiently and effectively. Communicate effectively through a variety of mediums with internal and external audiences to inform and continually foster productive relationships.
• Proven PC skills including Windows and Microsoft Applications.
We have a great total compensation package for all of our full-time employees, including:
Iowa Public Employees' Retirement System (IPERS)
Retirement Investors Club (RIC) (Employer Sponsored Retirement Plan)
Health, Dental and Vision Insurance
Vacation Leave
Sick Leave
Paid Holidays (9 days/year)
Flexible Spending Accounts
Life Insurance
Long-Term Disability Insurance
For additional information on benefits click here
The State of Iowa is an EEO/AA Employer:
IHHS values those with “lived experience” and encourages foster youth, foster parents, and/or parents who were in the DHS (HHS) system to apply.
Minorities, women, veterans and persons with disabilities are also 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 visitwww.dhs.gov/E-Verify.
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, and experience equal to four years of full-time professional-level work in program 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!
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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
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Agency
State of Iowa
Website
http://dhs.iowa.gov/
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