Specialized Health Services Division Director

State Role Title: Gen Admin Manager III

Hiring Range: $164,705 - $184,411

Pay Band: 7

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Specialized Health Services Division Director in the Director's Office. Job responsibilities will include, but are not limited to:

The Division Director of Specialized Health Care Administration provides leadership, strategic direction, and operational oversight for specialized Medicaid health care programs administered by the Virginia Department of Medical Assistance Services (DMAS). The Division includes the Dental Program, Pharmacy Program, and Non-Emergency Medical Transportation (NEMT) Program. The Director is responsible for ensuring that these programs are administered effectively, efficiently, and in accordance with federal and state requirements, Medicaid policy, contractual obligations, clinical standards, and DMAS strategic priorities.

The Division Director establishes a unified operating framework for specialized health care programs, ensuring clear accountability, strong program administration, effective vendor and provider oversight, fiscal stewardship, quality improvement, and a high-quality member experience. The Director serves as a leader and works closely with the Cardinal Care Managed Care, Health Analytics, Finance, Procurement, Quality, Eligibility, Communications, and other DMAS divisions to ensure specialized benefits and services are effectively integrated into the broader Medicaid program.

The business needs for this position have in office requirements to include but are not limited to conducting the in-person training and/or meetings and engaging with internal and external stakeholders. 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/

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

• Extensive experience in Medicaid, healthcare administration, health insurance, public-sector health programs, or a related field.
• Extensive experience leading complex healthcare programs such as health care benefits, pharmacy benefit management, operations, or organizational functions.
• Extensive experience working with managed care organizations, healthcare providers, or government healthcare programs.
• Extensive experience developing and implementing policies, programs, contracts, or operational strategies.
• Extensive experience of systems/programs/computer software, to include Microsoft Suites.
• Extensive knowledge/experience with Medicaid (Medicaid and CHIP federal and state laws, regulations and policies), managed care or public health systems.
• Extensive experience with meeting deadlines, and managing multiple priorities/initiatives.
• Extensive experience engaging with executive leadership, government agencies, vendors, providers, community organizations, and other stakeholders.
• Extensive experience managing large, multidisciplinary teams and/or complex organizational operations.
• Extensive experience engaging and communicating with executive-level stakeholders.

Additional Considerations

Competitive candidates should meet these additional considerations:

• Extensive knowledge of health care administration, provider contracting strategic planning and overall service delivery.
• Considerable knowledge of value-based purchasing delivery system reform, and care coordination models.
• Extensive experience analyzing and articulating complex policy concepts, envision change, and promoting creative and innovative approaches.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: askhcdtalentacq@dmas.virginia.gov