Medicaid Business Operations Program Director

CSRA State and Local Solutions LLC; United States; Hybrid; USD 162,000 - 219,000; Full time

Benefits offered by this job

401K with company match

Comprehensive health and wellness

Internal mobility and career growth

Paid education and certifications

Paid vacation and holidays

Job summary

General Dynamics Information Technology, Inc. seeks a Director of Fiscal Agent Operations to lead fiscal agent operations for the NCMMIS program. You will guide executive collaboration, drive financial performance, and ensure service levels and contractual objectives are met.

The role emphasizes leadership across multiple reporting lines, strategic planning, budgeting, and program optimization, with hybrid work options and a focus on delivering value for Medicaid/NCHHS stakeholders.

Qualifications

• Master’s degree or equivalent combination of education and experience is required.
• Knowledge of Medicaid and Health Choice programs, preferably in North Carolina.
• Fourteen or more years of experience related to health care administrative management.
• Ten or more years of experience in State Medicaid.
• Over 5 years of leadership experience in a large organization.
• Experience in customer interaction to help bring solutions to their business challenges.
• PMI PMP Certification or commitment to achieve certification.
• Strong human relations skills to select, develop, coach, and mentor employees.

Responsibilities

• Lead fiscal agent operations for the NCMMIS program; second in command and executive advisor when needed.
• Ensure successful operation of the program, meet customer objectives, and achieve monthly SLAs.
• Collaborate with customer executives using change management processes and manage performance escalations.

Skills

High-Performance Team

Collaboration

Communication

Leadership

Provider Enrollment

Education

Master’s degree

Job description

Recruitment Details

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Program Delivery and Execution Job Qualifications: Skills: Building High Performance Team, Collaboration, Communication, Leadership, Provider Enrollment Certifications: None Experience: 10+ years of related experience US Citizenship Required: No

Job Description

Millions of healthcare professionals depend on the technologies and services you’ll support as a Director of Fiscal Agent Operations at GDIT. Here, you’ll be empowered to turn obstacles into action. Join us on the frontlines of health IT and make an impact on the health of our military and our nation. At GDIT, people are our differentiator. As a Director of Fiscal Agent Operations, you will help ensure today is safe and tomorrow is smarter. Our work depends on Director of Fiscal Agent Operations joining our team to ensure the successful operation of the program, meet customer objectives, achieve monthly service level commitments to the customer, adapt the program to meet the evolving needs of the customer through collaboration with customer executives using the contractual change management process, and handle performance escalations from program stakeholders. The NCMMIS - Director of Fiscal Agent Operations WILL MAKE AN IMPACT The NCMMIS program built and operates the NCTracks system, a multi-payer claims adjudication system for the State of North Carolina and is the Medicaid fiscal agent for NC DHHS. The Director of Fiscal Agent Operations is second in command for NCMMIS program; leader of fiscal agent operations functions; assumes Executive Account Director (EAD) responsibilities when EAD is away or not available. The Director of Fiscal Agent Operations is also the senior subject matter expert with an in-depth working knowledge of the NC Medicaid and Health Choice Programs acting as a resource for fiscal agent operations areas of the program subordinate to this position and to the Applications Services Group as required in the development and validation of business requirements for system enhancements. This position is responsible for the financial performance of the areas of the program reporting to the position taking an active role in planning, budgeting, and optimizing the financial performance of the program.

Direct Reports

• Claims Manager
• Prior Authorization Manager
• Provider Enrollment Manager
• Call Center Manager
• Finance Manager
• Medical Director
• Pharmacy Director
• Dental Director

WHAT YOU’LL NEED TO SUCCEED

Master’s degree or equivalent combination of education and experience is required. Knowledge of Medicaid and Health Choice programs, preferably in North Carolina Fourteen or more years of experience related to health care administrative management. Ten or more years of experience in State Medicaid Over 5 years of leadership experience in a large organization Experience in customer interaction to help bring solutions to their business challenges PMI PMP Certification or commitment to achieve certification Strong human relations skills to select, develop, coach, and mentor employees

Location: Hybrid

Benefits and Rewards

• 401K with company match
• Comprehensive health and wellness packages
• Internal mobility team dedicated to helping you own your career
• Professional growth opportunities including paid education and certifications
• Cutting-edge technology you can learn from
• Rest and recharge with paid vacation and holidays

The likely salary range for this position is $161,500 - $218,500. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours: 40

Travel Required: Less than 10%

Telecommuting Options: Hybrid

Work Location: Any Location / Remote

Additional Work Locations: Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process: As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work: We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.

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