Quality & Network Senior Manager

Kansas Department of Health and Environment; Kansas; On-site; USD 70,000 - 78,000; Full time

Benefits offered by this job

Medical coverage

Sick leave

Vacation leave

Paid holidays

Retirement plan

Employee discounts

Job summary

Kansas Department of Health and Environment is seeking a Quality & Network Senior Manager (K0241490) to lead the Quality Program Management staff and EQRO activities within the KanCare program. You will develop quality and outcome measurement strategies and collaborate with KDHE, KDADS, the EQRO, and MCO staff to ensure federal reporting processes are met.

This full-time, unclassified position requires strong leadership, data analysis, and knowledge of healthcare quality standards.

Qualifications

• Two years of experience in a health care environment or related setting supervising audit and quality assurance functions, EQRO activities like calculating HEDIS measures.
• Proofreading, editing, attention to detail is preferred.
• Experience communicating with Federal agencies and personnel is a plus.
• Knowledgeable in analyzing statutes and regulations and providing guidance on such.

Responsibilities

• Leads and directs staff responsible for the Network Adequacy program to monitor MCO compliance with time and distance requirements within the KanCare program.
• Management of Network Adequacy consists of ensuring the MCOs are following federal requirements and requirements in the KanCare contract.
• Leads and directs staff responsible for the Program Improvement Plan (PIP) process for the MCOs.

Skills

Word

Excel

PowerPoint

Access

Education

High School / GED

Job description

Job Posting closes: November 10, 2026

Required documents uploaded by: November 10, 2026

Kansas Department of Health and Environment: Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.

Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. KDHE does not provide sponsorships for this position. If you are a OPT or STEM OPT applicant, please note that all individuals must maintain valid employment authorization and an unexpired EAD. E-Verify: Kansas Department of Health and Environment (KDHE) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here. For additional information regarding Immigrant and Employee Rights (IER) please click here. http://www.kdhe.ks.gov/

About The Position

• Who can apply: Anyone (External)
• Classified/Unclassified Service: Unclassified
• Full-Time/Part-Time: Full-Time
• Regular/Temporary: Regular
• Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
• Eligible to Receive Benefits: Yes
• Veterans' Preference Eligible: Yes
• Sponsorship: KDHE does not provide sponsorship for this position.

Compensation

• Annual Pay Range: $70,491.20 - $77,729.60
• Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retirement And Deferred Compensation Programs

Position Summary & Responsibilities

The Quality & Network Senior Manager position (K0241490) is responsible for Leads and directs Quality Program Management staff, Eternal Quality Review Organization (EQRO) staff. Collaborates closely with KDHE, KDADS, the EQRO and MCO staff, as well as other external stakeholders. Manages and develops quality and outcome measurement strategies, processes and tools. Assists with oversight of KDHE’s monitoring and assists with federal reporting regarding the KanCare program.

Job Responsibilities may include but are not limited to the following:

• Leads and directs staff responsible for the Network Adequacy program to monitor MCO compliance with time and distance requirements within the KanCare program.
• Management of Network Adequacy consists of ensuring the MCOs are following federal requirements and requirements in the KanCare contract.
• Leads and directs staff responsible for the Program Improvement Plan (PIP) process for the MCOs.

Qualifications

• Education:
  • High School, GED
• Licensing & Certification:
  • Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.
• Minimum Qualifications:
  • Two years of experience in a health care environment or related setting supervising audit and quality assurance functions, EQRO activities like calculating HEDIS measures, participating in performance improvement project analysis, or working with network adequacy requirements. Education may be substituted for experience as determined relevant by the agency.
• Preferred Qualifications:
  • Word, Excel, PowerPoint, Access
  • Proofreading, editing, attention to detail
  • Experience communicating with Federal agencies and personnel
  • Knowledgeable in analyzing statutes and regulations and providing guidance on such.
  • Previous Medicaid experience
  • Analyze data and present clearly and concisely
  • Experience auditing and writing analysis papers
  • Experience with statistics, strong mathematical background
  • EQRO activity experience
• Post-Offer, Pre-employment Requirements:
  • Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a state job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions.
  • Must live within 1-2-hour travel time from/to Topeka, KS. This position must work in the office at least 2 days per week.

How to Claim Veterans Preference

Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determined by the hiring manager.

How to Claim Disability Hiring Preference

Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.

Equal Employment Opportunity

The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.

If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.