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Program Operations Manager

4 months ago

Richmond, United States Dept of Med Assistance Svcs Full time

**Title**: Program Operations Manager

**State Role Title**: Prog Admin Manager III

**Hiring Range**: $97,410 - 127,169

**Pay Band**: 6

**Agency**: Dept of Med Assistance Svcs

**Location**:Dept of Medical Asst Services

**Recruitment Type**: General Public - G

**Job Duties**

This position is responsible for oversight of the Cover Virginia Contract administration by providing daily monitoring of the contractor's performance deliverables according to the current contract.

Oversight and/or collaboration with Quality units, Call center, the Cover Virginia Incarcerated Unit (CVIU), Central Processing Unit (CPU) eligibility team and Department of Medical Assistance Services (DMAS) Advance Resolution Center (ARC) unit.

Review of statistical data and reports for accuracy and compliance. Makes recommendations for improvements in processes and/or sanctions for non-compliance areas.

Development and implementation of quality control programs and training as deemed necessary. Implementation of required changes and/or updates to policies and procedures.

Performs the responsibilities required as the Contract administrator for the Cover Virginia contract.

Provides leadership and guidance to assigned staff and coworkers to ensure continuity of operations.

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values - service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

**Minimum Qualifications**

Considerable knowledge of public and private healthcare programs, eligibility criteria, policy, procedures, and operations of the Family Access to Medical Insurance Security (FAMIS/FAMIS Plus)/Medicaid programs.

Project management experience to include development of project plans in excel or Microsoft Project.

Knowledge/Experience of program operations development/planning/implementation.

Considerable experience in training and quality assurance methodology and procedures.

Considerable experience in supervising professional staff.

Considerable contract management experience over large scale projects including writing contracts.

Considerable experience in call center operations and/or eligibility processing operations primarily in a leadership role.

Considerable experience in meeting deadlines.

Experience engaging with internal/external stakeholders.

**Additional Considerations**

Considerable knowledge of Health Insurance Marketplace (State Based Exchange) processes and procedures.

Extensive experience communicating effectively with diverse populations and conveyance of complex ideas both orally and in writing.

Considerable ability to work with a variety of software packages and output from mainframe systems, performing system readiness testing and documentation/analysis of expected and actual results.

**Special Instructions**

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking.

This position requires the submission of a Statement of Economic Interest (financial disclosure).

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.

**Contact Information**

Name: DMAS Talent Acquisition

Phone: (804)-225-4407

Note**: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. **Equal Opportunity Employer