Eligibility Policy Manager, MAGI Covered Groups

Commonwealth of VA Careers; Richmond (VA); On-site; USD 124,000 - 142,000; Full time

Job summary

Commonwealth of VA Careers seeks an Eligibility Policy Manager to lead policy development for MAGI Covered Groups. You will advise senior officials on Medicaid/CHIP eligibility options and provide strategic direction to the Eligibility Policy Unit from Richmond, VA.

The role requires actionable policy analysis, cross‑agency collaboration, and executive-level communication. A strong background in Medicaid policy and project leadership is essential.

Qualifications

• Knowledge of Medicaid/CHIP eligibility and enrollment requirements.
• Experience managing independent projects from initiation to delivery.
• Experience implementing Medicaid/CHIP eligibility policy training.
• Provides technical guidance on modifying the eligibility system.
• Experience developing guidance documents for complex programs.
• Proficiency in Microsoft Office Suite and Adobe.

Responsibilities

• Serve as expert consultant to the Governor, the Secretary of Health and Human Resources, the Department Director, and Management Team on Medicaid and FAMIS eligibility policy.
• Ensure policymakers have full analysis and knowledge of policy options available under Medicaid and other federal programs.
• Provide management, oversight and strategic direction to the Eligibility Policy Unit.
• Attend in-person meetings and internal/external stakeholder meetings as required.
• Support DMAS’s mission and values in policy development and implementation.

Skills

Medicaid policy

Policy analysis

Project management

Stakeholder engagement

Staff management

Policy guidance drafting

Microsoft Office

Adobe

Tools

Microsoft Office Suite

Adobe Acrobat

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

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

• 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.

Special Instructions

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment‑based Sponsorship. 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.