Medicaid Dental Policy Specialist

State of Iowa - Executive Branch; Des Moines (IA); Sur place; USD 85 000 - 110 000; Plein temps

Résumé du poste

The Iowa Department of Health and Human Services (Iowa HHS) is seeking a dynamic and strategic leader to serve as the Medicaid Dental Policy Specialist within the Division of Medicaid. This highly visible position provides leadership and oversight for Iowa Medicaid's dental policy programs, including the Dental Wellness Plan, Dental Wellness Plan-Kids, Hawk-I Dental, and Fee-for-Service (FFS) dental services.

Location: Lucas State Office Building, 321 E. 12th Street, Des Moines, IA 50319.

Qualifications

• Lead the development, implementation, and oversight of Medicaid dental policies and programs.

Responsabilités

• Lead the development, implementation, and oversight of Medicaid dental policies and programs.
• Define policies for covered services, provider eligibility, reimbursement methodologies, and program requirements.
• Serve as the department's subject matter expert on Medicaid dental policy and provide guidance to leadership, stakeholders, and program staff.
• Develop and implement SPAs, CMS waivers, administrative rules, provider manuals, and policy guidance.
• Draft and revise administrative rules, provider communications, and policy documents to ensure compliance with federal and state laws and regulations.
• Analyze proposed federal and state policy changes and recommend program improvements.

Description du poste

Job Description

The Iowa Department of Health and Human Services (Iowa HHS) is seeking a dynamic and strategic leader to serve as the Medicaid Dental Policy Specialist within the Division of Medicaid. This highly visible position provides leadership and oversight for Iowa Medicaid's dental policy programs, including the Dental Wellness Plan, Dental Wellness Plan-Kids, Hawk-I Dental, and Fee-for-Service (FFS) dental services.

This position plays a critical role in ensuring Iowa Medicaid dental policies are aligned with federal and state requirements while advancing access to quality dental care for Iowans. The successful candidate will serve as the department's primary subject matter expert on dental policy and collaborate with federal partners, managed care organizations, providers, stakeholders, and agency leadership to develop innovative solutions that improve outcomes and strengthen Iowa's Medicaid dental programs.

Location: Lucas State Office Building, 321 E. 12th Street, Des Moines, IA 50319

Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m.

What You'll Do

• Lead the development, implementation, and oversight of Medicaid dental policies and programs.
• Establish and maintain policies defining covered services, provider eligibility and qualifications, reimbursement methodologies, and program requirements.
• Serve as the agency's subject matter expert on Medicaid dental policy and provide guidance to leadership, stakeholders, and program staff.
• Develop and implement State Plan Amendments (SPAs), Centers for Medicare & Medicaid Services (CMS) waivers, administrative rules, provider manuals, and policy guidance.
• Draft and revise administrative rules, provider communications, and policy documents to ensure compliance with federal and state laws and regulations.
• Analyze proposed federal and state policy changes and recommend program improvements.
• Review and provide recommendations