Medicaid Services Director

Job Summary

Providing strategic and operational leadership for Medicaid Services, the full-time salaried Medicaid Services Director will oversee external quality review contracts, manage customer relationships, and ensure high-quality deliverables while working remotely.

Key responsibilities

• Provide strategic oversight for Medicaid Services EQR contracts, ensuring compliance with state and federal requirements
• Serve as the senior relationship leader for state Medicaid agencies and stakeholders, proactively addressing customer satisfaction concerns
• Direct project planning, implementation, and performance monitoring, including staffing, budgets, and deliverables

Required qualifications

• Master's degree in healthcare administration, public health, or a related field, or equivalent experience
• Minimum of eight years of experience in Medicaid, managed care, or healthcare quality, with at least five years in a management role
• Demonstrated experience leading complex projects and managing customer relationships
• Familiarity with state Medicaid agencies and external quality review activities preferred
• Experience with business development and proposal activities preferred