Director, Medicaid Finance

Kansas Department of Health and Environment; Kansas; On-site; USD 110,000 - 121,000; Full time

Benefits offered by this job

Health coverage

Sick & Vacation leave

Parental leave

State holidays

Fitness centers

STAR Program discounts

Retirement plan

Job summary

Kansas Department of Health and Environment is seeking a Director, Medicaid Finance to lead the financial integrity and strategic direction of the Medicaid program. The role oversees a multi‑billion-dollar budget, ensures compliance with federal and state reporting, and manages payments and vendors.

You will supervise a team of 15–20 across budgeting, payments, and reporting functions and collaborate with Medicaid leadership.

Qualifications

• Education: High School, GED.
• Licensing & Certification: Valid Driver's License required.
• Minimum Qualifications: 4 years direct experience in accounting, finance, public administration, economics or a related field.
• At least 4-5 years of progressively responsible financial management experience, including team leadership.
• Demonstrated experience managing complex budgets, financial operations, or large-scale public or nonprofit programs.
• Exceptional analytical and communication skills, with the ability to explain technical fiscal issues to non-technical audiences.
• Word, Excel, PowerPoint, Access
• Five years demonstrated experience managing complex budgets or financial operations.

Responsibilities

• Direct and support a finance team responsible for budgeting, payments, and reporting.
• Oversee development of the Medicaid agency budget, including narrative justifications, caseload projections, rate assumptions and development, and scenario modeling.
• Ensure timely and accurate submission of federally required reports, including CMS-37, CMS-64, cost allocation plans, waiver expenditure reports, and corrective action follow-ups.

Skills

Analytical skills

Communication skills

Leadership

Budget management

Education

High School Diploma or GED

Tools

Word

Excel

PowerPoint

Access

Job description

Job Posting closes: November 5, 2026

Required documents uploaded by: November 5, 2026

Important Recruitment Information for this vacancy

Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.

Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I‑9.

KDHE does not provide sponsorships for this position.

Opt or STEM OPT Applicants: If you are an OPT or STEM OPT applicant, please note that all individuals must maintain valid employment authorization and an unexpired E‑ad.

E‑Verify: Kansas Department of Health and Environment (KDHE) participates in E‑Verify and will provide the federal government with your I‑9 information to confirm that you are authorized to work in the U.S. For additional information regarding E‑Verify, please click here. For additional information regarding Immigrant and Employee Rights (IER) please click here.

http://www.kdhe.ks.gov/

About The Position

• Who can apply: Anyone (External).
• Classified/Unclassified Service: Unclassified
• Full-Time/Part-Time: Full-Time
• Regular/Temporary: Regular
• Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
• Eligible to Receive Benefits: Yes
• Veterans' Preference Eligible: Yes
• Sponsorship: KDHE does not provide sponsorship for this position.

Compensation

• Annual Pay Range: $110,000 - $121,200
• Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retirement and deferred compensation programs

Position Summary & Responsibilities

The position K0221730 Director, Medicaid Finance of Kansas Medicaid serves as the senior executive responsible for the financial integrity, sustainability, and strategic fiscal direction of the Medicaid program. The Director oversees a multi-billion-dollar budget, ensures compliance with federal and state reporting requirements, manages provider and vendor payments, oversees vendors, identifies financial risks, and informs major policy and program decisions with rigorous analysis. The Director, Medicaid Finance, will directly oversee four managers, a team of approximately 15-20 staff across budget, payments, and fiscal reporting functions – and work with a range of external contractors. Leader will be working closely on a daily basis with the State Medicaid Director and the Deputy Secretary, Fiscal Services.

Team Leadership & Capacity Building

• Direct and support a finance team responsible for budgeting, payments, and reporting.
• Document and institutionalize internal processes to increase accuracy, efficiency, and documentation.
• Assess current team capacity, address skill gaps, and foster a culture of accountability, learning, and excellence.
• Navigate cross-agency coordination and engagement with Medicaid leadership, legislature, Governor’s Office, etc.

Budget Development & Financial Analysis

• Oversee development of the Medicaid agency budget, including narrative justifications, caseload projections, rate assumptions and development, and scenario modeling.
• Collaborate with Medicaid program leaders during budget formulation and review processes, as well as working with the State Budget Office, Legislature, Governor’s Office, and other Kansas state agencies.
• Provide regular updates on expenditure trends, funding gaps, and alignment with agency strategic priorities.
• Provide financial perspective to inform Medicaid program design, policy decisions, and cost-effective strategies.
• Develop and leverage analytic tools to guide decision-making in collaboration with program teams.
• Oversee MCO performance on financial parts of MCO contract, including medical loss ratio (MLR), provider reimbursement standards, etc.
• Proactively identify budgetary risks and propose responsive solutions to leadership.

Job Responsibilities may include but are not limited to the following:

Compliance & Reporting

• Ensure timely and accurate submission of federally required reports, including CMS-37, CMS-64, cost allocation plans, waiver expenditure reports, and corrective action follow-ups.
• Coordinate with the CMS Regional Office and federal and state auditors on financial reviews, guidance interpretation, and compliance improvement efforts.
• Ensure robust documentation and oversight to reduce the risk of audit findings, disallowances, and CMS corrective action plans

Qualifications

• Education:
  • High School, GED
• Licensing & Certification:
  • Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.
• Minimum Qualifications:
  • 4 years direct experience in accounting, finance, public administration, economics or a related field.
  • At least 4-5 years of progressively responsible financial management experience, including team leadership.
  • Demonstrated experience managing complex budgets, financial operations, or large-scale public or nonprofit programs.
  • Exceptional analytical and communication skills, with the ability to explain technical fiscal issues to non-technical audiences.
  • Word, Excel, PowerPoint, Access
  • Proofreading, editing, attention to detail
  • Advanced problem solving and analytical skills
  • Five years demonstrated experience managing complex budgets or financial operations
  • Exceptional analytical and communication skills

Preferred Qualifications

• 4-6 years direct experience in Accounting, Finance, Public Administration, Public Policy, Business Administration, Economics, or a related field strongly encouraged.
• Experience in Medicaid, health care finance, or government finance
• Knowledge of federal-state cost sharing, FMAP, and waiver financing
• Administrative claiming and time studies
• Managed care rate setting and capitation payments
• Federal Reporting (CMS-37, CMS-64, cost allocation plans)
• Caseload and expenditure forecasting
• Familiarity with Kansas government structure, Medicaid policies, and stakeholder landscape

Post-Offer, Pre-employment Requirements

• Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions

Equal Employment Opportunity

The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.

If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.