Category: Curator- Job Hunter

 
 

Position Title: Director of Development

Position Information/Duration: Full-Time, 12-Month

Travel: Up to 25% of time post-pandemic

Salary Range: $75,000 – $85,000

Location: Washington, D.C. (Telework with monthly in-person team meetings.)

Reports To: Founding Executive Director

 
 

About the Institute for Medicaid Innovation

Join an organization that is passionate about improving the lives of Medicaid enrollees, their families, and communities through the development, implementation, and diffusion of innovative solutions. The Institute for Medicaid Innovation (IMI) is a national 501(c)3 nonprofit, nonpartisan research and policy organization that provides independent information and analysis to inform Medicaid policy and improve the health of the nation. The work of IMI is informed, guided, and supported by an exceptional group of national experts representing academic and non-academic research institutions, advocacy and community organizations, clinician groups, Medicaid managed care organizations, state, and federal policymakers, and, most importantly, individuals, families, and communities. IMI recently re-established its strategic priorities which provide both guardrail and launch pad for IMI’s work.

IMI acknowledges that it is not feasible for us to live up to our mission without acknowledging the need for creating an equitable and inclusive work environment. For more information about IMI, please visit our website.

 
 

About the Role

IMI seeks its first-ever Director of Development. Reporting to and working closely with the Founding Executive Director (ED), the Director of Development will be responsible for managing and implementing all philanthropic revenue activities while working closely with the ED, Deputy Executive Director (DED), and Governing Board of Directors to promote an organizational culture of collegiality and philanthropy. The ideal candidate will have strong leadership capabilities that is informed by previous experience working in at least one mission-drive, national nonprofit organization, preferably in environments of varying sizes, to understand the potential scope of work for their role at IMI.

This position is both strategic and tactical, as it is responsible for developing, managing, and executing IMI’s annual development plan. Currently, IMI is funded exclusively through research grants and contracts. The ideal candidate will sustain IMI’s current funding in collaboration with the ED, developing relationships with and reporting to current funders. They will also help grow IMI’s portfolio to include institutional and corporate grants as well as individual giving. The ideal candidate has a clear grasp of all core components of development, including grant writing, corporate partnerships/funding, individual giving and stewardship, and annual and online giving campaigns. This role requires experience managing development operations, including CRM selection and management, budget-building, and gift- processing.

 
 

The Director of Development can expect his/her/their work to include:

Leadership and Development Strategy:

• Manage and execute IMI’s development, stewardship, and communications plans to achieve annual revenue goals. Update plans annually with evolving new ideas, industry best practices, and data-driven analysis.
  
• Ensure IMI’s development plan aligns with and is in service of the evolving organizational goals as specified in the organization’s strategic plan
  
• Ensure a robust gift pipeline big enough to hit annual revenue goals by actively managing prospective and current individual donors, foundations and other funders solicited via proposals, grant applications, appeals, and other fundraising activities
  
• Cultivate relationships with all Board of Directors to support their strategic development efforts, provide training, and collaborate on the development of potential funder parameters
  
• Monitor and report regularly on the progress of the development plan, provide actionable analysis for the ED, DED, and Board of Directors
  
• Identify suspected revenue gaps and develop tactics to generate new leads
  
• Contribute positively to IMI’s organizational culture and reflect IMI’s values and commitment to equity
  

Government, Foundation and Corporate Funding

• Ensure IMI has a robust pipeline of local, regional, and national grant opportunities to pursue
  
• Create and manage a grant calendar to track all upcoming applications and reports
  
• Collaborate across teams to gather materials and requirements for grant applications and reports
  
• Clearly and effectively draft dynamic, reader-friendly, and high-quality writing free of typos, jargon, and lackluster prose
  
• Assist ED, Board of Directors, Advisory Board, and Committees in building personal relationships with foundation and corporate funders
  

Fundraising and Donor Relations

• Manage and develop initiatives, appeals, and campaigns focused on targeting new individual donors and stewarding existing donors
  
• Research and design cultivation and solicitation plans for all major donors/funders and support the Executive Director in the execution of those plans
  
• Serve as the primary point of contact for new individual donors of all size
  
• Think creatively about the donor stewardship plan and update it annually with new and meaningful ways to connect donors and foster a sense of community
  
• Project manage the ED’s fundraising work, directing them where and how best to spend their time and efforts on a weekly, monthly, and quarterly basis
  

Managing Development Operations and Revenue Tracking

• Establish and monitor annual and long-term revenue goals and budgets
  
• Design and update a regular progress-to-goal report and development dashboard for the ED and work with the Director of Finance for regular updates
  
• Ensure accuracy in all development input, records, and reports
  
• Recommend and work towards the implementation of a Donor CRM system
  
• Routinely update how-to documentation to codify and safeguard systems
  
• Work closely with Director of Finance to ensure data integrity
  

 
 

About You

To be maximally successful in this role, you need to be:

• A born project manager with a knack for working backwards from a deadline to create a plan
  
• Accustomed to working on multiple projects with different deadlines simultaneously
  
• A natural people person who appreciates that everyone has an important story to tell
  
• An entrepreneur at heart who is a self-starter and has the experience and confidence to lead and create something new and inventive
  
• A reliable and friendly communicator who reaches out and follows up
  
• A practiced public speaker who can think on your toes
  
• Looking for an opportunity to help an organization grow exponentially
  
• A stickler for details and quality
  
• A caretaker of sensitive information about donors, board members, IMI’s community, etc.
  
• A strong self-motivator
  
• A creative thinker who can conceptualize, test, and revise out-of-the-box ideas and solutions
  
• Committed to understanding the needs of IMI’s priority populations within the context of health care. Knowledge of Medicaid is a plus.
  

You need to have:

• A minimum of seven (7) years of nonprofit development experience
  
• A minimum of two (2) years of experience in a leadership role
  
• Demonstrable experience as a fundraising generalist, with hands-on practice at institutional giving/grant writing, major gifts, annual giving, corporate partnership building, and online giving campaigns
  
• The proven ability to organize and motivate a diverse team that will include IMI’s staff, Board of Directors, Advisory Boards, Committees, and other volunteers.
  
• An excellent working knowledge of Development CRMs for donor and revenue management
  
• Experience managing and improving development operations, ranging from CRM management to budget monitoring to gift processing
  
• Enthusiasm to propose fresh ideas without prompting by leadership, openness to feedback on those ideas, and a persistence to bring those ideas to life
  
• A clear passion for health equity and innovation
  

 
 

The Institute for Medicaid Innovation is a 501(c)3 entity dedicated to generating and disseminating evidence that demonstrates the impact of Medicaid managed care on access to quality care for vulnerable populations in the U.S. The Institute moves beyond the current healthcare delivery system focused on the measurement of quality outcomes by understanding how core community services address social issues and inequalities that builds a culture of health to improve care and outcomes. We provide innovative solutions that address important clinical, research, and policy issues in Medicaid through multi-stakeholder engagement, research, data analysis, education, quality improvement initiatives, and dissemination/implementation activities. The Institute has taken on the ambitious agenda to identify what works well in Medicaid and to also identify areas that need improvement. Through the work of the Institute, it is our goal to inform and enhance the Medicaid program.

IMI is an equal opportunity employer. As an anti-racist and gender inclusive organization, all qualified applicants will receive consideration for employment without regard to age, race, ethnicity, sex, gender, religion, political affiliation, marital status, or disability.

 
 

Clipped from: https://www.idealist.org/en/amp/nonprofit-job/d3fc980149cc4c3d8f7483a2fa9542f1-director-of-development-institute-for-medicaid-innovation-washington?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

The Population Health Strategy Director is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. This role requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Candidate must reside within the state of Louisiana.

Responsibilities

Humana’s Bold Goal is to improve the health of the communities we serve as evidenced by more healthy days. The Population Health Strategy Director identifies health needs such as chronic diseases or disabilities, or the health needs of the under-served and advises executives to develop functional strategies (often segment specific) that positively impact Social Determinants of Health (Food insecurity, Transportation and Housing challenges, Isolation, etc.) This leader will work collaboratively to deliver high-impact partnerships and programmatic strategy.

This is an exciting opportunity to develop, lead and implement comprehensive population health strategy and interventions in partnership with leadership and business units. Responsibilities include the following:

• Oversee the MCO’s strategic design, implementation, and evaluation of population health initiatives based on a deep understanding of scientific population health principles
  
• Sponsor and champion MCO and system-wide initiatives, including cultivating the support necessary to achieve the desired operational objectives for each initiative
  
• Liaison with Louisiana Department of Health (LDH) on population health activities
  
• Develop and implement operational plans that address the market opportunities/challenges and align with the established population health goals.
  
• Build and maintaining sustainable strategic relationships with community partners, state agencies, and providers.
  
• Lead a team of specialized professional associates focused on positively impacting Social Determinants of Health for Medicaid members in the community
  
• Create evidence-based, scale-able and financially sustainable population health solutions.
  
• Consult with Market’s and all Humana Lines of Business to expand “Bold Goal” population health strategies through plan operations
  
• Success in this role will be based on the ability to work on multiple projects, influence without authority, pivot as priorities change and navigate ambiguity in a fast-paced environment.
  

Required Qualifications

• Bachelor’s Degree in nursing, social work, health services research, health policy, information technology, or other relevant field
  
• Minimum five (5) years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
  
• Minimum three (3) years of leadership experience.
  
• Experience working in Medicaid and preferably in a managed care setting.
  
• Ability to analyze data and make data-driven recommendations for quality improvement
  
• Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners.
  
• Experience with program planning, implementation, and evaluation
  
• Ability to take personal initiative and work independently, as well as part of a team
  
• Ability to meet deadlines in a complex and fast-paced environment
  
• Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint
  
• Must be passionate about contributing to an organization focused on continuously improving consumer experience
  
• Candidate must reside within the state of Louisiana.
  

Preferred Qualifications

• Master’s Degree
  

Additional Information

• Travel: up to 25% to Baton Rouge, LA and vicinity
  
• We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
  
• If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
  

Scheduled Weekly Hours

40

 
 

Clipped from: https://www.indeed.com/viewjob?jk=f2759228c3c36164&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Supplemental Information

 
 

This position is located within the Louisiana Department of Health / Medical Vendor Administration / Policy and Compliance / EBR Parish


Announcement Number: MVA/SAG/2061
Cost Center: 305-2090501
Position Number(s): 76158


This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary or Promotional appointment.


(Job appointments are temporary appointments that may last up to 48 months)


WORKING JOB DESCRIPTION:
The position is a supervising, senior manager reporting to the Program Manager 3 in the section and responsible for overseeing and directing the management of the Medicaid State Plan Unit. The State Plan Unit activities are critical to securing approvals of Medicaid State Plan Amendments (SPAs). The position negotiates and consults with federal officials to secure the necessary approvals needed to secure FFP for Medicaid covered benefits and services. This position also oversees the Policy and Compliance section’s federal/state regulatory research/reporting activities and special projects.


No Civil Service test score is required in order to be considered for this vacancy.


To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.


*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*


A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit


There is no guarantee that everyone who applies to this posting will be interview. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.


For further information about this vacancy contact:
Sanaretha Gray

Sanaretha.Gray@la.gov
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821
225 342-6477


This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

 
 

Qualifications

MINIMUM QUALIFICATIONS:
A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.

SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.


Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:

A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.

30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.

60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.

90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.

120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.

College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A master’s degree in the above fields will substitute for one year of the required experience.

A Juris Doctorate will substitute for one year of the required experience.

Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.

A Ph.D. in the above fields will substitute for two years of the required experience.

Advanced degrees will substitute for a maximum of two years of the required experience.

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.

Job Concepts

Function of Work:
To administer medium size and moderately complex statewide Medicaid program(s).


Level of Work:
Manager.


Supervision Received:
Broad from a higher-level administrator/executive.


Supervision Exercised:
Supervision over lower level positions in accordance with the Civil Service Allocation Criteria Memo.


Location of Work:
Department of Health and Hospitals.


Job Distinctions:
Differs from Medicaid Program Manager 1-A and Program Manager 1-B by administering medium size or moderately complex statewide program(s) and supervision exercised.


Differs from Medicaid Program Manager 3 by absence of responsibility for administering large and/or very complex Medicaid program(s) and supervision exercised.

Examples of Work

Administers and manages enrollment of Medicaid providers for all Medicaid programs statewide; directs overall goals and objectives.


Plans, coordinates, and controls a medium size or moderately complex statewide program.


Plans, develops, implements and monitors comprehensive Medicaid program policies.


Conducts and directs studies and special projects pertaining to the programs assigned.


Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.


Reviews and analyzes complex data and system reports to ensure compliance with program regulations.


Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.


Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.


Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.


Identifies, verifies and analyzes the various revenue sources for the program. Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

 
 

Clipped from: https://www.indeed.com/viewjob?jk=88b720b0273fa3df&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Supplemental Information

 
 

This position is located within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Technology Services / EBR Parish


Announcement Number: MVA/SAG/2065
Cost Center: 305-2060305
Position Number(s): 50555074


This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary or Promotional appointment.


(Job appointments are temporary appointments that may last up to 48 months)


No Civil Service test score is required in order to be considered for this vacancy.


To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.


*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*


A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit


There is no guarantee that everyone who applies to this posting will be interview. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.


For further information about this vacancy contact:
Sanaretha Gray

Sanaretha.Gray@la.gov
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821
225 342-6477


This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

 
 

Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.

SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.


Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:


A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.


30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.


College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A master’s degree in the above fields will substitute for one year of the required experience.

A Juris Doctorate will substitute for one year of the required experience.

Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.

A Ph.D. in the above fields will substitute for two years of the required experience.

Advanced degrees will substitute for a maximum of two years of the required experience.

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.

Job Concepts

Function of Work:
To administer small and less complex statewide Medicaid program(s).


Level of Work:
Program Manager.


Supervision Received:
Broad from a higher-level manager/administrator.


Supervision Exercised:
May provide functional supervision in accordance with the Civil Service Allocation Criteria Memo.


Location of Work:
Department of Health and Hospitals.


Job Distinctions:
Differs from Medicaid Program Monitor by responsibility for administering small and less complex statewide program(s).


Differs from Medicaid Program Manager 1-B by the absence of supervisory responsibility.


Differs from Medicaid Program Manager 2 by the absence of responsibility for administering medium size and moderately complex statewide program(s).

Examples of Work

Supervises the auditing of eligibility enrollment of all Medicaid programs statewide.


Reviews work of eligibility review staff for quality assurance.


Plans, coordinates, and controls small or less complex statewide program(s).


Plans, develops, implements and monitors comprehensive Medicaid program policies.


Conducts and directs studies/special projects pertaining to the programs assigned.


Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.


Reviews and analyzes complex data and system reports to ensure compliance with program regulations.


Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.


Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.


Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.


Identifies, verifies and analyzes the various revenue sources for the program(s). Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

 
 

Clipped from: https://www.indeed.com/viewjob?jk=261b56372289cc6e&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members’ experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

The Solutons Architect provides technical services to analyze, design, and deliver clinical/business system and/or application solutions. Developing processes and procedures with in systems to support business stakeholders. Lends expertise to answer technical/application consulting questions, individually or as part of a project team. Serves as a subject matter expert associated with content, processes, and procedures associated with enterprise applications. Responsible for making recommendations regarding policies associated with the job’s purpose and essential responsibilities.  Routine decisions include those regarding systems implementation and interaction with systems across Community Health Choice systems /applications.

QUALIFICATIONS:   

• Seven years experience analyzing, designing, and/or delivering clinical/business solutions.
  
• Three years experience in management of health insurance payor systems.
  
• Service Now, Sharepoint and Azure Cloud administration experience.
  

OTHER SKILLS:

• Current business practices and computing systems and databases (SQL Server and MS Access). 
  
• Proficiency in applying highly technical principals, demonstrated analytical, problem solving and research ability as evidenced by experience in the identification of business requirements and subsequent implementation of appropriate software configuration solutions to business problems. 
  
• Knowledge of health insurance payor systems and processes preferred.
  
• Requirements gathering, process mapping, group presentation
  
• Exceptional written and verbal communication skills
  
• Analytical, and organizational skills.
  
• Ability to handle multiple projects simultaneously while adhering to a stringent timeline.  
  
• Ability to analyze the functionality of systems and their fit with specifications. 
  

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Note: Current Community Health Choice employees must log in to PeopleSoft via CITRIX to explore career opportunities as an internal candidate. Click HERE for instructions.

Apply Online

 
 

Clipped from: https://jobs.communityhealthchoice.org/solutions-architect-community-health-choice/job/17995242?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Supplemental Information

 
 

This position is located within the Louisiana Department of Health / Medicaid Vendor Administration / Eligibility Field Operations /Rapides


Announcement Number: MVA/DRT/147335
Cost Center: 3052050400
Position Number(s): 50531279


This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary or Promotional appointment.


No Civil Service test score is required in order to be considered for this vacancy.


The Medicaid Analyst Supervisor (MAS) is a highly responsible position requiring extensive knowledge of Medicaid policy and procedures to supervise a unit of Medicaid Analysts in the Specialized Operations & Support Unit (SO&S). The SO&S Unit is a strategic Medicaid eligibility and enrollment unit responsible for statewide projects and initiatives. The MAS is responsible for monitoring attendance, productivity, and overall quality of work performed to ensure exceptional service to the state, as well as Medicaid enrollees. The MAS must ensure that all ongoing projects and any new assignments are handled appropriately, according to urgency. The ideal candidate must have excellent communication skills, time management skills, and be a team player. The MAS must be easily adaptable to change and display positivity when acclimating team members to inevitable shifts in projects. Decision-making is also an important part of the supervisor’s role. A willingness to share ideas and participate in team-building skills are also very important to the whole Unit. A Medicaid Analyst Supervisor in the Specialized Operations & Support Unit will gain exposure to several aspects of the Medicaid program and communicate closely with Medicaid management on special projects, which may lead to the future career opportunities.


To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.


*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*


A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit


For further information about this vacancy contact:
Deanda Thymes

Deanda.Thymes@la.gov
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821
225 342-6477


This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus three years of professional social services experience.

SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.


Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:


A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.


30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.


College credit earned without obtaining a baccalaureate degree will substitute for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.

Graduate training will substitute for a maximum of one year of the required work experience on the basis of thirty semester hours for one year of experience.

A master’s degree will substitute for one year of the required experience.

A Juris Doctorate will substitute for one year of the required experience.

Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.

A Ph.D. will substitute for two years of the required experience.

Advanced degrees will substitute for a maximum of two years of the required experience.

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.

Job Concepts

FUNCTION OF WORK:

To supervise a unit of Medicaid Analysts.

LEVEL OF WORK:

Supervisor.

SUPERVISION RECEIVED:

Medicaid Analysts typically report to a Medicaid Area Manager. May receive supervision from higher level personnel.

SUPERVISION EXERCISED:

Subordinate staff typically consists of Medicaid Analysts.

LOCATION OF WORK:

Department of Health and Hospitals, Medical Vendor Administration.

JOB DISTINCTIONS:

Differs from Medicaid Analyst 3 by the presence of direct supervisory responsibilities.

Differs from Medicaid Area Manager by the absence of managerial responsibilities.

Examples of Work

EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance.

Ensures strict adherence to all rules and regulations by all personnel in the unit.

Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.

Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions.

Plans and coordinates in-service training for personnel in the unit.

Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.

Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.

Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.

Interviews applicants and recipients concerning their rights in relation to fair hearings.

Interviews complainants and investigates possible adjustments.

Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.

Conducts special investigations and studies.

Develops and maintains files for corrective action.

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Description:

About this job

Description

The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) performs project-oriented duties related to the integration of an acquired entity into the company. The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) implements activities and projects associated with the assimilation of practices and systems where the primary competence is in project management and integration related disciplines. This role will partner with stakeholders across the organization after the merger/acquisition decision has been reached with a focus on integration activities. 

Primary Responsibilities include:

Advises executives

Description

The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) performs project-oriented duties related to the integration of an acquired entity into the company. The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Medicaid Acquisition Integration Lead (Acquisition Integration Advisor) implements activities and projects associated with the assimilation of practices and systems where the primary competence is in project management and integration related disciplines. This role will partner with stakeholders across the organization after the merger/acquisition decision has been reached with a focus on integration activities. 

Primary Responsibilities include:

Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Develops and manage all aspects of project and program engagement from planning, external vendor relationships, communications, resources, budget, change, risks and issues Manages the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure. Plans, organizes, monitors, and oversees integration utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Creates and/or supports the blueprinting process and helps business areas complete deliverables. Understands interdependencies between technology, operations and business needs. Provides functional and technical knowledge across multiple business and technical areas. Defines the Statement of Work and Specifications for the requested goods and services. Supports the overall integration by leading dedicated work streams. Identify and develop contingency plans to mitigate and address risks and procures adequate resources to achieve project objectives in planned timeframes. Provides status reporting regarding project milestones, deliverable, dependencies, risks and issues, communicating across. Actively demonstrates Humana core values in all interactions Actively seeks growth and development opportunities provided within the company and without, committing to constant growth and evolution as a professional and for the Humana Medicaid team. Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Required Qualifications

Bachelor’s Degree or equivalent experience. Five (5) or more years of technical and/or business project management experience. Two (2) or more years System and/or business integration experience. Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies. Possess a solid understanding of operations, technology, communications and processes Must have a room in your home designated as a home office; away from high traffic areas where confidential information may be secured.  Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10×1 (10mbs download x 1mbs upload) is required. We will require full Covid Vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.  If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. 

Preferred Qualifications

Two (2) or more years of leadership experience. Two (3) or more years of experience in Health Plan Operations and/or Healthcare IT systems. Two (2) or more years previous experience working in Mergers and Acquisition field. Experience working with Medicaid and/or Medicare Plans. Proficiency in Microsoft Office programs. Possess a solid understanding of operations, technology, communications and processes. Six Sigma and / or Project Management Institute certification.

4 hours ago

 
 

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*Description* The Medicaid Project Manager 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Medicaid Project Manager 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action..

*Responsibilities* The Medicaid Project Manager 2 designs, communicates, and implements an operational plan for completing the project, monitors progress and performance against the project plan and takes action to resolve operational problems and minimize delays. + Identifies, develops, and gathers the resources to complete the project. + Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors.

+ Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. + Conducts meetings and prepare reports to communicate the status of the project. + Sets priorities, allocates tasks, and coordinates project staff to meet project targets and milestones.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. + Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures..

*Required Qualifications* + Bachelor’s degree or equivalent experience. + 3 – 5 years’ experience managing cross functional medium to large scale projects in a fast paced environment. + Ability to manage stakeholders and hold them accountable for deliverables.

+ Comfortable working on new projects with limited knowledge/expertise of the content and be able to learn quickly in order to effectively manage the implementation. + Proficiency in facilitating meetings and communicating effectively with project stakeholders up to and including senior level leadership. + Must have a room in your home designated as a home office; away from high traffic areas where confidential information may be secured.

+ Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10×1 (10mbs download x 1mbs upload) is required. + We will require full Covid Vaccination for this job as we are a?healthcare?company committed to putting health and safety first for our members, patients, associates and the communities we serve.

+ If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law..

*Preferred Qualifications* + Six Sigma and/or Project Management Institute certification. + Strong communication, presentation and leadership skills.

+ Advanced MS Office experience (MS Project, Visio, and Excel). + Flexible and adaptable dealing with ambiguous situations. + Prior experience in the health solutions industry..

*Additional Information* +.*Typical Work Days/Hours:* Monday – Friday; Eastern Standard Time (EST) +.*Travel:* up to 10%.*Interview Format* As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor.

?This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.? If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone.

You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.? Expect this type of interview to last anywhere from 5-10 minutes.

Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews..

*Scheduled Weekly Hours* 40.

 

Web Reference : AJF/183713076-168
Posted Date : Mon, 08 Nov 2021

 
 

To apply for this position you will complete an application form on another website provided by or on behalf of Humana. Please note Apply4 Tech Jobs is not responsible for the application process on any external website.

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Solutions driven success.

XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO Logistics, we look for employees who like a challenge and can communicate effectively in all situations. We want to leverage your skills and years of experience to drive positive results while ensuring a bright future for yourself and XPO. If you?re looking for a growth opportunity, join us at XPO.

As a Local Account Executive at XPO Logistics, you?ll act as a champion for customers, working to provide them with the most efficient and cost-effective solutions. You?ll find yourself immersed in a forward-thinking environment fueled by achievement and a tenacious team spirit. We?ll give you the support you need to excel at work, and the resources to build a career that will exceed your expectations. If you?re looking for a growth opportunity, join us at XPO.

Pay, benefits and more.

We are eager to attract the best, so we offer competitive compensation and a generous benefits package, including full health insurance (medical, dental and vision), 401(k), life insurance, disability and the opportunity to participate in a company incentive plan.

What you?ll do on a typical day:

• Conduct daily face-to-face customer visits to drive sales increases and support local sales in national and strategic accounts
  
• Grow share of wallet within existing customer base, gain share of wallet from new customers and grow overall market share within your assigned territory
  
• Negotiate contracts and pricing with customers
  
• Facilitate the networking of Directors of Sales/Operations, Service Center Managers and Supervisors with the customer
  
• Work with Customer Support Specialists, Customer Service Representatives and other sales support staff to ensure effective administrative support and customer satisfaction
  
• Develop relationships vertically and horizontally within customer organizations
  
• Share market and sales status with local service center; describe future business opportunities for local employees
  

What you need to succeed at XPO:

At a minimum, you?ll need:

• Bachelor’s degree, 4 years of related work experience or equivalent military experience
  
• 1 year of direct business-to-business selling experience supporting both local and national sales efforts
  
• Experience with Microsoft Office (PowerPoint)
  
• Experience working with enterprise Customer Relationship Management (CRM) tools
  
• Availability and flexibility to work evenings and some weekends as needed
  

It?d be great if you also have:

• 2 years of direct business-to-business selling experience supporting both local and national sales efforts
  
• Experience working in Salesforce.com
  
• Proven track record of success in sales, customer relations and in collaborating across multiple business units
  
• Competitive nature with a hunter mentality and a strong desire to win
  
• Excellent verbal and written communication skills
  
• Solid time management and organizational skills with the ability to be productive in a variety of work environments
  
• Ability to understand competitor strategies, products, and pricing patterns
  

Be part of something big.

We are proud to be an Equal Opportunity/Affirmative Action employer. Qualified applicants will receive consideration for employment without regard to race, sex, disability, veteran or other protected status.

All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test.

The above statements are not an exhaustive list of all required responsibilities, duties and skills for this job classification.

Review XPO’s candidate privacy statement here.

PandoLogic. Keywords: Sales Account Executive, Location: Sheboygan, WI – 53081

 
 

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Found in: Jobrapido US Premium

Description:

This position is located in Processing Center of the Midlands, Richland County. The MAGI Eligibility Specialist II determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner.

• Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible. Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner. Documents all notes and steps clearly and completely for review and hand-off to other specialists.
  
• Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards. Resolves discrepancies in case determinations or documentation a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation. Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record.
  
• Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training.
  
• Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership.
  

The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
  
• 15 days annual (vacation) leave per year.
  
• 15 days sick leave per year.
  
• 13 paid holidays.
  
• State Retirement Plan and Deferred Compensation Programs.
  

 
 

A high school diploma and relevant program experience. A bachelor’s degree may be substituted for the required program experience.

Additional Requirements:
Occasional overnight travel.
Overtime and/or weekend work with Deputy approval

 
 

Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.

The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

3 days ago

 
 

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