Division Director of CCMC

Commonwealth of VA Careers; Richmond (VA); On-site; USD 165,000 - 184,000; Full time

Job summary

DMAS is seeking a Division Director of CCMC in Richmond, VA to provide leadership and strategic oversight for Virginia Medicaid's Cardinal Care Managed Care division. The Director will align operations with federal and state requirements and manage cross-functional teams across care management, contracts, and policy.

The role requires extensive experience in Medicaid/managed care, executive leadership, and stakeholder engagement, with telework options and office duties as needed.

Qualifications

• Extensive experience in Medicaid, managed care, healthcare administration, or related fields.
• Experience with executive leadership, government agencies, vendors, and providers.

Responsibilities

• Provide leadership, strategic direction, and operational oversight for Virginia Medicaid's Cardinal Care Managed Care division.
• Establish a unified operating model across CCMC functions and ensure alignment with federal/state requirements.
• Oversee care management, complex care monitoring, contract management, policy, and program administration.

Skills

Medicaid

Managed care

Healthcare administration

Public sector health programs

Executive leadership

Stakeholder engagement

Microsoft Office

Tools

Microsoft Office

Job description

Title: Division Director of CCMC

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

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Division Director of CCMC in the Director's Office. Job responsibilities will include, but are not limited to: The Director of the Cardinal Care Managed Care (CCMC) Division provides leadership, strategic direction, and operational oversight for Virginia Medicaid's Cardinal Care Managed Care delivery system. The Director is accountable for ensuring that the Commonwealth's managed care program operates effectively, efficiently, and in alignment with federal and state requirements, DMAS strategic priorities, contractual obligations, and the needs of Medicaid members and providers. This position serves as the agency's senior leader for managed care operations and is responsible for establishing a unified operating model across the managed care functions consolidated within the CCMC Division. The Director provides leadership across care management, complex care monitoring, contract management, policy and special populations, member and provider solutions, managed care operations, and managed care program administration. The Director will establish clear accountability, strengthen cross-functional coordination, improve operational performance, and ensure consistent oversight of the managed care delivery system. 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/ The Department of Medical Assistance Services (DMAS) is working to improve the health and well‑being of Virginians through access to high-quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications: Extensive experience in Medicaid, managed care, healthcare administration, health insurance, public‑sector health programs, or a related field. Extensive experience leading complex healthcare programs such as health care benefits, Medicaid long‑term care, pharmacy benefit management, operations, or organizational functions. Extensive experience managing large, multidisciplinary teams and/or complex organizational operations. 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 with effectively with executive leadership, government agencies, vendors, providers, community organizations, and other stakeholders. 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 with executive‑level communication and stakeholder engagement skills, including the ability to advise senior leadership, communicate complex clinical and policy issues to diverse audiences, engage provider and medical communities, and represent an organization in high‑level internal and external forums.

Additional Considerations

Competitive candidates should meet these additional considerations: Extensive knowledge of managed care principles, models and financing, provider contracting strategic planning and overall service delivery. Knowledge and skills with development and implementation of strategic goals to lead staff and the division. Considerable knowledge of value‑based purchasing, delivery system reform, and care coordination models. Extensive experience with leadership skills necessary to analyze and articulate complex policy concepts, envision change, and promote creative and innovative approaches.

Special Instructions

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment‑based Sponsorship, to include participation in STEM‑OPT programs or similar programs. Selected candidates will have their work authorization completed using the E‑Verify Program. The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs. Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee. This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references. This position requires the submission of a Statement of Economic Interest (financial disclosure). The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce. In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service‑Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800‑552‑5019, or DBVI at 800‑622‑2155 From July 1, 2026, through January 21, 2029, applicants who were involuntarily separated from employment with the Federal Government on or after January 1, 2025, due to a reduction in force, budget reduction, or workforce restructuring initiative may be eligible for HB494 Federal Employee Priority Consideration. Applicants seeking HB494 Federal Employee Priority Consideration must identify themselves within the state application process and provide supporting documentation, including a Standard Form 50 (SF‑50), verifying their eligibility. The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [e-mail]

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service‑Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800‑552‑5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022‑ February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.