Director Eligibility and Enrollment Services

Title: Director Eligibility and Enrollment Services

State Role Title: General Admin Manager III

Hiring Range: $154,500 - $164,129

Pay Band: 7

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Director Eligibility and Enrollment Services in the Eligibility and Enrollment Division.

This position is responsible for providing executive leadership, oversight, strategic direction and program management for the Division of Eligibility and Enrollment Services (EES).

This includes day-to-day oversight, development, updating and implementation of Medicaid eligibility related operations and services, collaborating with other agencies and stakeholders, including but not limited to the Centers for Medicare and Medicaid Services (CMS), State Corporation Commission (SCC), Virginia Department of Social Services (VDSS), and Local Departments of Social Services (LDSS).

Within DMAS, the EES Director collaborates across deputy areas, with close collaboration with the Office of Internal Audit and Information Management teams. This position is a fast-paced role which requires the ability to work autonomously, have strong decision-making skills, and have the ability to pivot and work on high priority and fast-paced projects.

Projects within the EES portfolio include:

Oversight of the Facilitated Enrollment program and coordination of State Based Exchange (SBE) Marketplace policies and procedures with the SCC.

Oversight of the Cover Virginia contract which includes the vendor responsible for operating the state-wide Medicaid call center, the Central Processing Unit, and the Cover Virginia Incarcerated Call Center/Processing Unit, and the new Cardinal Care Correspondence Center (inbound and returned Cardinal Care mail processing center).

Oversight of federal and/or state audits of eligibility and/or enrollment systems including the development/implementation of corrective action plans.

Oversight of the eligibility systems unit, responsible for implementing system changes to align with federal policy and state regulations with a focus on automation; and constant collaboration with VDSS Benefit Programs within the areas of administration, training/guidance, communication, and monitoring.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org

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

Extensive knowledge of the Medicaid and Children’s Health Insurance Program (CHIP) programs, major initiatives and the populations served.

Knowledge of the Virginia Case Management System (VaCMS) and Medicaid Enrollment System (MES), with considerable knowledge of implementing new programs within eligibility/enrollment systems including project management skills.

Extensive knowledge, recent leadership experience and a demonstrated history of successively responsible management positions to include managing professional employees, developing high performing teams, setting goals, and managing resources to achieve action-based results.

Extensive experience delegating work monitoring progress and providing continuous feedback loops.

Extensive knowledge implementing large scale systems and processes with innovative and creative problem-solving skills, effectuating change, and providing data driven results.

Considerable experience in contract monitoring preferred.

Comprehensive knowledge of budget management with the ability to plan, track, and project annual division budget of $36m+.

Comprehensive experience utilizing data tools to formulate or analyze proposals, evaluate programs, measure performance, and improve outcomes to plan and forecast future needs.

Extensive knowledge of Modified Adjusted Gross Income (MAGI) and Aged, Blind, and Disabled (ABD) (to include Long-term Supports and Services and patient pay) Medicaid eligibility policy.

Extensive experience managing complex projects to successful outcomes, through independent work and effective delegation with extensive experience prioritizing multiple high priority tasks with ability to handle emergent issues and high-level requests while meeting deadlines and performance expectations.

Extensive experience communicating orally and in writing to varied audiences and serving as an effective spokesperson for the agency and the work of the division.

Extensive experience working collaboratively with diverse stakeholders to include internal stakeholders/cross divisional projects.

Considerable knowledge of the state budget, state code, General Assembly session process.

Considerable knowledge drafting decisions packages, financial impact statements, and collaborating with other individuals across agencies/divisions to develop cost analyses.

Additional Considerations

Not Applicable

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

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

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

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

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.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name: DMAS Talent Acquisition

Phone: (804)-225-4407

Email: askhcdtalentacq@dmas.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

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.