Director of Medicaid Assessment

7 days ago

Washington, United States Telligen Full time

Job Summary

This position will be responsible for providing program/project leadership, strategic planning, guidance and management for assigned portfolio of Medicaid contracts and projects including development, implementation, monitoring, and client relationship management.

Key Responsibilities

  • Plans, develops, executes and directs special projects and/or contracts.
  • Exercises independent judgment and discretion with regard to development and execution.
  • Ensures timely and accurate completion resulting in client satisfaction, according to company and legal standards and within contract budget.
  • Serves as liaison between client and Telligen, providing quick resolution to issues that arise.
  • Assists in developing and training on contract, project, and staff performance metrics.
  • Ensures data are maintained accurately and in a confidential environment.
  • Performs project and contract reviews.
  • Manages client expectations with regard to program and activities.
  • Partners with health care providers, professional organizations, stakeholders, vendors, and other parties as needed based on assigned contracts.
  • Stays abreast of healthcare trends and national guidelines/standards of care.
  • Selects, develops, and manages employees to achieve individual, team, and organizational success.
  • Ensures employee accountability through routine observation, performance measurement, and performance feedback.
  • Fulfills the Telligen Management Philosophy that "Managers coach, engage, and support our people to achieve results".
  • Prepares cost estimates and budget for assigned projects or contracts.
  • Ensures performance is conducted in a cost-effective manner by managing and monitoring financials.
  • Represents the Company, business unit or contractor at meetings with external parties.
  • Makes presentations ensuring a professional and knowledgeable image is projected.
  • Researches potential business opportunities and provides subject matter expertise in proposal development.
  • Performs miscellaneous duties as assigned.

Requirements

Four-year degree in one of the following disciplines healthcare management, nursing, mental health, or public health and/or equivalent experience in health or human services; minimum of 5 years experience in a healthcare environment; minimum of 5 years managing a professional staff; demonstrated experience working in a fast-paced and deadline-driven environment.

Experience with State Medicaid Agencies and/or commercial payers.

Positions working on specific contracts may require U.S. Citizenship.

Commitment to Safety

As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination)

About Us

Telligen is one of the most respected population health management organizations in the country.

We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.

Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions.

Our business is our people and we're looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health.

Our Values

We're on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity.

Ownership

As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success.

When employee-owners grow and thrive, we all win.

Community

Putting others first and being a good corporate partner wherever we work, and play makes us who we are.

We Show Up. For our clients, for our communities, and for each other.

Ingenuity

We're a team of passionate professionals driven by hard work and big ideas.

We understand that high-value breakthroughs come from taking calculated risks.

If it will benefit our clients and advance our mission, we're all ears.

We celebrate free-thinking and challenge the status quo, so brainstorm away

Integrity

Smiling faces (virtual or in-person) are the norm around here.

We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence.

About Our Commitment to Diversity and Inclusion

Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability), and E-Verify Participants.

Telligen will not provide sponsorship for this position.

If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.

Telligen does not accept 3rd party solicitations from outside staffing firms.

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