drjobs Medicaid Medical Director 2025-01565

Medicaid Medical Director 2025-01565

Employer Active

1 Vacancy
drjobs

Job Alert

You will be updated with latest job alerts via email
Valid email field required
Send jobs
Send me jobs like this
drjobs

Job Alert

You will be updated with latest job alerts via email

Valid email field required
Send jobs
Job Location drjobs

Cheyenne, WY - USA

Monthly Salary drjobs

$ 11645 - 12939

Vacancy

1 Vacancy

Job Description

Description and Functions





Open Until Filled

GENERAL DESCRIPTION:

The Wyoming Department of Health is seeking a mission-oriented Medical Doctor to serve as Medicaid Medical Director. As Medical Director this leadership position will provide expertise in standards of care and quality of care to ensure Medicaid members can live healthy lives in Wyoming. This individual will work closely with internal Medicaid staff to lead healthcare quality and population health efforts for members of Wyoming Medicaid and CHIP. As Wyoming Medicaids clinical leader this leadership role will engage with external healthcare providers the community organizations and other government entities to promote access to high-quality cost-effective services throughout the state. This individual will also serve as a clinical leader within the Public Health Division specifically in the Ryan White/HIV Program and the Maternal and Child Health Unit. The Medicaid Medical Director will report directly to the Senior Administrator of the Division of Healthcare Financing and serve as a core member of the Divisions leadership team. This position offers a predictable schedule and will be located in Cheyenne with the opportunity to telework on a part-time basis.

Human Resource Contact:

ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed in the job level.

  • Develops and implements strategies to improve health outcomes for Wyoming Medicaid members.
  • Develops and provides clinical oversight in the development of strategic goals including quality improvement initiatives and high-value care models objectives guidelines and policies.
  • Analyzes population health data and utilizes evidence-based practices to provide recommendations on decision-making and policy development.
  • Examines and evaluates programs within Wyoming Medicaid and Kid Care CHIP to determine the need for new programs or changes in existing programs; presents recommendations to the Senior Administrator; outlines proposed methods of meeting these needs.
  • Coordinates program efforts with other agencies to assure agency compliance with federal and state regulations. Advises Department administrators of opportunities to improve intergovernmental collaboration.
  • Represents the Department of Health at legislative hearings contractor meetings regional and national conferences Advisory Council meetings and actively participates in the Medicaid Medical Director Network.
  • Actively outreaches to and directs communication with healthcare providers in the State including physicians hospitals primary care clinics skilled nursing facilities specialists etc.
  • Collaborates across the Department of Health to assist with the most complex cases investigations research and policy decisions. Ensures coordination of all clinical activities within the division.
  • Participates in the Public Health Emergency Preparedness Program to ensure preparedness for prevention of response to and recovery from public health emergencies through exercises planning education and redundant communications.
  • Leads state participants in the design and development of telehealth infrastructure and utilization across the state. Champions telehealth utilization across Wyoming. Develops processes for using telehealth resources to support and improve medical service delivery.
  • For the Ryan White/HIV program and Maternal & Child Health programs provides clinical oversight and decision-making perspective. Provides recommendations in program policy development proposed legislation strategic planning and special projects.
  • Attends various Medicaid advisory groups professional meetings and delivers technical assistance.
  • Maintain knowledge of the latest trends and best practices in population health
  • Present to varied audiences of clinical and non-clinical backgrounds on complex population health issues.

Qualifications


KNOWLEDGE:


MINIMUM QUALIFICATIONS:

Education:
Doctor of Medicine (M.D.)
Experience:
Acquired knowledge at the level of a Physician
Certificates Licenses Registrations:
Must be licensed or eligible for licensure by the State Board of Medical Examiners to practice medicine in the State of Wyoming.

Necessary Special Requirements


PHYSICAL WORKING CONDITIONS:


NOTES:

  • FLSA: Exempt
  • The Wyoming Department of Health is an E-Verifyemployer.
  • The State of Wyoming offers an excellent benefits package.

Supplemental Information


048-Wyoming Department of Health - Division of Healthcare Financing - Administration

Click
here to view the State of Wyoming Classification and Pay Structure.

URL:
State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.


Required Experience:

Director

Employment Type

Full-Time

About Company

Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.