Medical Director

Title: Medical Director

State Role Title: Physician Manager I

Hiring Range: $203,466 - $218,916

Pay Band: 8

Agency: Dept of Med Assistance Svcs

Location: Richmond City

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 Medical Director with the Office of the Chief Medical Officer.

The Medical Director provides senior level leadership in support of the Agency's mission and advances key initiatives to achieve the quadruple aim of improved population health, reduced per capita cost, and enhanced patient and provider experience for the Virginia's Medicaid Program.

Job responsibilities will include, but are not limited to:

This position will work directly to support the leadership of the Chief Medical Officer to provide clinical direction and execute high-priority initiatives for the agency with the goal of providing high-quality and cost-effective health services to improve the health and well-being for Virginians in the Medicaid program.

High-priority initiatives may include the opioid epidemic, maternal and child health, social drivers of health, pharmacy innovation, and value-based payment.

The Medical Director will lead the development and implementation of clinical guidelines and medical policy coverage decisions director of the Medical Support Unit and work with medical directors of the Agency's managed care organizations to resolve recipient issues and drive forward care transformation.

The individual in this position will represent Virginia Medicaid at internal and external meetings including working closely with the Medicaid provider community on high-priority initiatives.

Completion of Medical School and an approved residency is required, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine or Psychiatry.

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

Competitive candidates will meet these minimum qualifications:

Experience with, the development, implementation, operation and evaluation of complex health care programs.

Knowledge of State and Federal Medicaid Policies and Regulatory Reporting.

Knowledge in Utilization Management and Medical Necessity Review and willingness to be trained on Utilization Management platforms (i.e. MCG/InterQual or similar software).

Knowledge of managing large-scale projects and an understanding of complex governmental organizations; project management; agency services and delivery techniques in a data driven organization.

Experience in the ability to plan, organize, implement, and monitor large scale/time sensitive projects; to serve as representative of the Agency in workgroups; participate in taskforces led by Governor's office and/or Health and Human Resources Secretary's office.

Experience with Excel, Microsoft, Visio or similar software.

Knowledge/experience in interpretation and application of federal, state laws/regulations.

Considerable experience in meeting stringent deadlines.

Experience with internal/external stakeholders.

Completion of Medical School and an approved residency is required, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine or Psychiatry.

Must have working knowledge of the health needs of the Medicaid population.

Additional Considerations

Competitive candidates should meet these additional considerations:

Knowledge and experience in Public Health, Health Policy Research, Health Services Research, Economics, Biostatistics, or related field.

Experience in research and data analytics in a health care/health insurance environment.

Knowledge of Medicaid, including Fee-for-Service and Managed Care.

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.