Dental Contract Manager

State-of-Iow; Des Moines (IA); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plans

Flexible spending accounts

Employee assistance program

Job summary

The Iowa Department of Health and Human Services, Division of Medicaid, Bureau of Contracting, seeks a Dental Contract Manager to direct Medicaid Dental program management, including the Dental Wellness Plan and Fee-for-Service contracts.

You will lead development and oversight of approximately $75 million in contracts for PAHPs, coordinate with CMS and other agencies, and ensure contractual compliance while supporting executive leadership decisions.

Qualifications

• Graduation from an accredited four-year college or university with a degree in any field and four years of professional-level work experience.
• Eight years of education and/or full-time experience as described in the job posting.
• All of the following combinations (a, b, and c) of education and experience may satisfy the requirements.

Responsibilities

• Provide contract administration and oversight for PAHP contracts.
• Coordinate and approve communications and reporting.
• Draft procedures and SOPs for FFS and MCPs.

Skills

Contract management

Communication

Leadership

Interagency collaboration

Education

Bachelor's degree

Job description

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Contracting is seeking a Dental Contract Manager to join our team!

This key position directs all Medicaid Dental program management and oversight, including the Dental Wellness Plan, Dental Wellness Plan-Kids, and Fee-for-Service (FFS). This position manages the initial development and execution of approximately $75 M in contracts for the Prepaid Ambulatory Health Plans (PAHPs). These contracts establish Medicaid health plan dental provider network(s), inclusive of specialty providers. The Dental Contract Manager (E02) provides oversight for the continual performance compliance of PAHPs.

The Dental Contract Manager provides the requisite program oversight and coordination for all aspects of the PAHPs in support of the Medicaid dental program. 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 ensure that the PAHPs are contractually compliant and consistent 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.

The Iowa Medicaid Dental Contract Manager oversees and approves FFS dental services and is the liaison for the Managed Care Plans (MCPs) contractual dental service agreements. The Iowa Medicaid Dental Contract Manager is responsible for collaborating with Iowa Medicaid Dental policy SMEs to develop procedures that apply to both managed care and/or FFS.

The Iowa Medicaid Dental Contract Manager must continually forecast, assess trends and identify emerging issues that may have potential federal/national impact, and will source best Medicaid dental practices.

As a leader within the organization, this position interacts and is a key player in activities that involve representatives from the community, business interests, politics, national agencies, federal agencies, and service providers.

The work performed under this position includes, but is not limited to:

• Provides accurate, timely and consistent responses and ensures that communication minimizes misinterpretation and misunderstanding of contractual terms or expectations.
• Establishes procedure and methodology for providing input and reporting areas of program vulnerabilities.
• Identifies/clarifies issues or concerns and provides/proposes potential solutions to minimize or avoid issuance of corrective actions.
• Contacts appropriate internal or external staff to obtain supplemental information.
• Assimilates information or data into accurate, consistent response(s) that comply with contract, federal state law and general guidelines to meet written or verbal agency responses, or to comply with federal reporting requirements.
• Reviews and approves all related communications involving PAHPs for both the Iowa Medicaid FFS or the MCPs.
• Provides technical assistance and actively participates in initial and ongoing contract negotiations to assure that state needs are adequately represented; utilizes knowledge of programmatic, budgetary and federal/state requirements.
• Drafts informal and formal materials based on best practice, past performance issues, and evolving state needs or agency direction(s).
• Provides technical assistance to agency legal counsel and Iowa Medicaid or agency leadership.
• Develops initial and continually modifies or approves dental standard operating procedures (SOP) for FFS & MCPs.
• Conducts dental program oversight through performance data review based on contract compliance and projected performance outcomes; makes recommendations for corrective action and system(s) improvement then provides oversight to monitor compliance.
• Ensures the Department's policies and operational procedures are compliant with state/federal rules and regulations.
• Establish inter-agency collaboration to develop or amend project plans, state administrative rules, Medicaid State Plan Amendments and operational plans and procedures.
• Point of contact to address or approve required system changes designed to capture performance data.

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.

To 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).

E-Verify and Right to Work

The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees’ rights to work without being required to join a labor organization. For more information, please visit www.e-verify.gov.

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 a 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 a Program Manager 1 or comparable specific management‑level position.

For additional information, please click on this link to view the job description.