Medicaid Contract Manager

State-of-Iow; Des Moines (IA); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Health and dental insurance

Paid time off

Retirement plans

Flexible Spending Accounts

Life insurance

Employee Assistance Program

Employee discount programs

Job summary

The Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, seeks a Medicaid Contract Manager to lead contract oversight, ensure vendor compliance, and manage performance reporting. You will draft reports, facilitate oversight meetings, and coordinate with legal and fiscal teams to address performance issues.

As the primary liaison for vendor contracts, you will develop corrective action plans, communicate expectations, and monitor progress while collaborating with DOM Do-IT

Qualifications

• Eight years of procurement/contract administration experience or equivalent.
• Experience reviewing contract requirements and ensuring ongoing compliance.
• Ability to prepare and present performance reports to diverse audiences.

Responsibilities

• Oversee vendor contracts as the primary point of contact for compliance.
• Analyze vendor reports to ensure contractual compliance and performance.
• Draft and present ad hoc or scheduled performance reports.
• Lead vendor oversight meetings and communicate outcomes.
• Collaborate across HHS and state agencies to ensure governance.
• Develop corrective actions and monitor progress through to resolution.

Skills

Contract management

Vendor oversight

Report drafting

Stakeholder communication

Meeting facilitation

Issue identification

Job description

The Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, is seeking a Medicaid Contract Manager positions.

Primary point for vendor(s) contract oversight. Approval of all aspects of vendor pre and post contract implementation.

• Conduct analysis of ad hoc and scheduled vendor reports to ensure contractual compliance
• Draft and present ad hoc or schedules performance reports defining project or performance progress, problems, solutions or contingencies.
• Conduct ad hoc and formal vendor oversight meetings
• Develop agenda and expectations for meeting; communicate as required.
• Identify issues or concerns
• Documents decisions and actions to be taken by Iowa Medicaid and vendor; communicate agreements and performance expectation
• Collaborates with other areas of HHS and other state agencies, including DOM Do-IT to ensure appropriate oversight and governance processes are followed.

Track and monitor contractual compliance requirements

• Identify compliance issues in terms of scope, magnitude, etc.
• Consult with legal, fiscal, and other relevant parties regarding performance issues
• Propose corrective action(s) for review and consideration with Iowa Medicaid leadership
• Initiate corrective action plans up to and including termination.
• Prepare written notice of non-compliance and expectations.
• Track and monitor corrective action
• Monitor corrective action plans communicating progress or identify issues with recommendations for solution.
• Review and approve all related communications

Prepare ad hoc and scheduled reports summarizing vendor progress and compliance to a variety of audiences inclusive of internal staff, Governor’s office, Legislature, CMS and the public.

• Prepare and coordinate preparation of report content
• Prepare special reports as assigned.

Serves as contract subject matter expert

• Participate in development of Iowa Medicaid contract oversight procedures.
• Develop training or provide technical assistance as needed.
• Participate in operational meetings and other key meetings
• Participate in development of proposed legislation, administrative rules, or other policies
• Analyze program(s) issues, program(s) performance, CMS proposed legislation, to provide substantive context for proposed legislation or RFI.

• Attend public or other meetings to provide information
• Research and recommend national best practices for contract oversight process improvement.
• Provide information for the Advanced Planning Documents (APD) as needed
• Participate in development of proposed legislation, administration rules or other policies

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well‑being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

E-Verify and Right to Work

The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees’ rights to work without being required to join a labor organization. For more information, please visit www.e-verify.gov.

All work performed on behalf of Iowa Health and Human Services must occur in the State of Iowa.

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

1. Eight years of full-time work experience in the procurement of technical, standardized, expendable, and non-expendable items, or in services procurement and contract administration, including the review of ongoing compliance with contract requirements and terms.
2. Graduation from an accredited four-year college or university with a degree in business or public administration, accounting, or economics, and experience equal to four years of full-time work in the procurement of technical, standardized, expendable and non-expendable items or in services procurement and contract administration, including the review of ongoing compliance with contract requirements and terms.
3. A total of eight years of education and/or full-time experience (as described in number one), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.
4. All of the following (a, b, and c): a. Three years of full-time work experience in the procurement of technical, standardized, expendable, and non-expendable items, or in services procurement and contract administration, including the review of ongoing compliance with contract requirements and terms; and b. A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in business or public administration, accounting, or economics equals one year of full-time experience; and c. A total of one year of graduate‑level education and/or full‑time experience (as described in part a), where twenty‑four semester hours of accredited graduate college or university coursework in business or public administration, accounting, or economics equals one year of full‑time experience.
5. Current, continuous experience in the state executive branch that includes one year of full‑time work as a Procurement Specialist 3.

For additional information click on this link to view the job description.