VA Eligibility & Contracts Manager

Dept of Med Assistance Svcs; Richmond (VA); On-site; USD 99,000 - 110,000; Full time

Job summary

The Department of Medical Assistance Services (DMAS) invites qualified candidates to apply for the Cover VA Eligibility Manager role in the Eligibility & Enrollment Services Division in Richmond, VA. You will oversee eligibility monitoring, policy development for the Cover Virginia contract, and report to the Program Operations Manager.

The position leads two contract monitors and oversees operations of the CPU, Cardinal Care Correspondence Center, Renewal Processing Unit, Federal Work

Qualifications

• Considerable knowledge/experience of the Medicaid/FAMIS programs, Virginia Insurance Marketplace, and the health care and social needs of families and children.
• Experience with eligibility processing systems such as VaCMS, MES, and other required state systems.
• Experience in Medicaid eligibility policy.
• Experience with program implementation, developing processes and procedures, and project management.
• Proficiency in Word, Outlook, Excel, PowerPoint, web research, and general computer skills.
• Knowledge of interpreting federal and state laws/regulations.
• Experience meeting deadlines.
• Experience with internal/external stakeholders.
• Experience managing team members and collaborating across functions.
• Experience interpreting data, compiling reports, and presenting to stakeholders.

Responsibilities

• Oversee eligibility monitoring and policy subject matter for the Cover Virginia contract, reporting to the Program Operations Manager.
• Direct oversight of two contract monitors and operations of the CPU, Cardinal Care Correspondence Center, Renewal Processing Unit, Federal Work Requirements, and Cover Virginia Appeals.
• Attend internal meetings, external meetings, and vendor offsite visits.

Skills

Medicaid/FAMIS knowledge

Policy development

Project management

Stakeholder management

Microsoft Office proficiency

Data interpretation & reporting

Meeting deadlines

Team leadership

Tools

VaCMS

MES

Contract management systems

Job description

The Department of Medical Assistance Services (DMAS) invites qualified candidates to apply for the Cover VA Eligibility Manager role in the Eligibility & Enrollment Services Division in Richmond, VA. You will oversee eligibility monitoring, policy development for the Cover Virginia contract, and report to the Program Operations Manager.

The position leads two contract monitors and oversees operations of the CPU, Cardinal Care Correspondence Center, Renewal Processing Unit, Federal Work