Medicaid Dental Policy Strategist

State of Iowa; Des Moines (IA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health, dental, and vision coverage

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 (Iowa HHS) seeks a dynamic leader to serve as the Medicaid Dental Policy Specialist within the Division of Medicaid. This role leads policy development and oversight for Iowa Medicaid's dental programs, aligning with federal/state requirements and advancing access to dental care for Iowans.

The ideal candidate will be the department's SME on dental policy, collaborating with federal partners, providers, stakeholders, and agency leadership.

Qualifications

• Knowledge of Medicaid policy and healthcare policy.
• Experience interpreting federal and state regulations and program requirements.
• Strong analytical, research, policy development, and problem-solving skills.
• Experience developing administrative rules, policy documents, or reports.

Responsibilities

• Lead the development, implementation, and oversight of Medicaid dental policies and programs.
• Define covered services, provider eligibility, reimbursement methodologies, and program requirements.
• Serve as the department's subject matter expert on Medicaid dental policy and guidance to leadership and staff.
• Develop SPAs, CMS waivers, administrative rules, provider manuals, and policy guidance.
• Draft and revise administrative rules and policy documents to ensure compliance.
• Analyze proposed federal and state policy changes and recommend improvements.
• Review managed care dental contract requirements, performance measures, and quality initiatives.
• Represent Iowa Medicaid in meetings with providers, MCOs, and stakeholders.
• Develop reports and analyses to support executive decisions and legislative inquiries.
• Research national trends and best practices to improve access and outcomes.
• Participate in actuarial discussions and evaluate reimbursement impact on dental services.
• Develop presentations and training materials on policy updates.
• Assist in confidential policy and strategic planning activities.

Skills

Medicaid policy

Healthcare policy

Dental services

Regulations interpretation

Policy development

Administrative rules

Stakeholder collaboration

Project management

Job description

The Iowa Department of Health and Human Services (Iowa HHS) seeks a dynamic leader to serve as the Medicaid Dental Policy Specialist within the Division of Medicaid. This role leads policy development and oversight for Iowa Medicaid's dental programs, aligning with federal/state requirements and advancing access to dental care for Iowans.

The ideal candidate will be the department's SME on dental policy, collaborating with federal partners, providers, stakeholders, and agency leadership.