Eligibility Policy Manager, MAGI Covered Groups

DHRM; Richmond (VA); On-site; USD 124,000 - 142,000; Full time

Job summary

Department of Medical Assistance Services (DMAS) in Virginia seeks an Eligibility Policy Manager, MAGI Covered Groups, to advise top leadership on Medicaid/CHIP eligibility policy and options for children, pregnant individuals, and non-aged adults. The role leads the Eligibility Policy Unit and collaborates with internal and external stakeholders to shape policy and training.

Located in Richmond, the role requires in-person engagement, strong policy analysis, and management of a high-impact

Qualifications

• Knowledge of Medicaid and CHIP eligibility and enrollment requirements.
• Experience with independent project management.
• Experience implementing Medicaid/CHIP eligibility policy training.
• Provides technical guidance regarding modification and improvement of the Eligibility system.
• Experience developing guidance documents for complex programs.
• Experience using Microsoft Office Suite and Adobe.
• Experience analyzing, interpreting and applying complex federal and state law regulations and guidance.
• Experience meeting deadlines.
• Experience engaging with internal and external stakeholders on large projects.
• Experience managing staff.
• Experience with Virginia’s Medicaid/FAMIS eligibility and enrollment systems.
• Knowledge of national and state policies under HR 1 impacting Medicaid/FAMIS.

Responsibilities

• Serve as expert consultant on Medicaid and CHIP eligibility policy.
• Ensure policymakers have full analysis of policy options.
• Provide management and strategic direction to the Eligibility Policy Unit.
• Attend in-person and external stakeholder meetings as required.

Skills

Medicaid eligibility policy

CHIP eligibility

Project management

Policy training

Guidance documentation

MS Office

Adobe

Regulatory analysis

Stakeholder engagement

Staff management

Virginia Medicaid/FAMIS systems

HR 1 policy knowledge

Tools

Microsoft Office

Adobe

Job description

Title: Eligibility Policy Manager, MAGI Covered Groups

State Role Title:Policy And Planning Manager II

Hiring Range: $124,200 - $141,739

Pay Band: 6

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 Eligibility Policy Manager, MAGI Covered Groups in the Eligibility Policy and Outreach Division.
Job responsibilities will include, but are not limited to:
Serve as expert consultant to the Governor, the Secretary of Health and Human Resources, the Department Director, and Management Team on Medicaid and FAMIS (Family Access to Medical Insurance Security) eligibility policy, with a focus on coverage for children, pregnant individuals, and non-aged adults.
Ensure that policymakers have full analysis and knowledge of policy options available under Medicaid and other federal programs related to beneficiary entitlements, benefit limitations, methods of service delivery and financing.
Provide management, oversight and strategic direction to the Eligibility Policy Unit.
The business needs for this position have in office requirements to include but are not limited to attending in-person meetings and attending internal and external stakeholder’s meetings.
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:
Considerable knowledge of Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment requirements.
Considerable experience with independent project management.
Considerable experience implementing Medicaid/CHIP eligibility policy training.
Provides technical guidance regarding the modification and improvement of the Eligibility system.
Considerable experience in developing guidance documents for complex programs.
Considerable experience using Microsoft Office Suite and Adobe.
Experience analyzing, interpreting and applying complex federal and state law regulations and guidance.
Experience meeting deadlines.
Considerable experience engaging with internal and external stakeholders on large projects.
Considerable experience managing staff.
Considerable experience with Virginia’s Medicaid/FAMIS eligibility and enrollment systems.
Knowledge of national and state policies dictated by H.R. 1 impacting the provision of Medicaid and FAMIS.

Additional Considerations

There are no additional considerations for this position.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [e-mail]

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.

Advertised: 17 Sep 2026 Eastern Daylight Time
Applications close: 01 Oct 2026 Eastern Daylight Time