Manager Medical Consultant Jobs (NOW HIRING)

Medical Consultant
Job no: 5107880
Work type: Wage (Hourly)
Location: Richmond (City), Virginia
Categories: Health and Human Services
Title: Medical Consultant
State Role Title: Med Asst Physician Consultant
Hiring Range: $120.00 - $127.50/hour
Pay Band: UG
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 Medical Consultant in the office of the Chief Medical Officer.
Job responsibilities will include, but are not limited to:
The Medical Consultant provides 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 Virginia's Medicaid Program.
This position will 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.
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.
High-priority initiatives may include maternal and child health, vaccinations, pharmacy innovation,
telehealth and rural health transformation.
The Medical Consultant will lead synchronization of policy (state health plan, Code of Virginia, Administrative Code), payment (fee schedule maintenance, managed care payment, value-based care) and practice (clinical guideline development, medical policy coverage decisions).
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.
The business needs for this position may be completed virtually.
The position you are applying for is an Hourly/Wage position. Hourly (wage) employees may not work more than an average of 29 hours a week and cannot exceed 1500 hours during their employment year. This position does not include health insurance, retirement or leave.
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 developing, implementing, and evaluating health care programs, including work with Medicaid payer or MCO operations.
Knowledge of Utilization Management and Medical Necessity Review systems and willingness to be trained on Utilization management platforms and processes.
Experience with project management processes, agency service procedures, and operational workflows for large programs.
Experience planning and executing projects and representing the agency on workgroups or taskforces.
Experience with Teams, Excel, Microsoft.
Knowledge of Medicaid policies and experience interpreting federal and state regulations.
Experience meeting strict deadlines on high-visibility or large-scale initiatives.
Experience collaborating with stakeholders across agencies, taskforces, and Medicaid payer organizations.
Completion of Medical School and an approved residency is required, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine or Psychiatry.
Additional Considerations
Competitive candidates should meet these additional considerations:
Knowledge of healthcare financing.
Experience working in/with Academic institutions.
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 could be expected to work in the office as driven by business needs.
Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
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
From July 1, 2026, through January 21, 2029, applicants who were involuntarily separated from employment with the Federal Government on or after January 1, 2025, due to a reduction in force, budget reduction, or workforce restructuring initiative may be eligible for HB494 Federal Employee Priority Consideration. Applicants seeking HB494 Federal Employee Priority Consideration must identify themselves within the state application process and provide supporting documentation, including a Standard Form 50 (SF-50), verifying their eligibility.
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.
Advertised: 15 Jul 2026 Eastern Daylight Time
Applications close: 12 Aug 2026 Eastern Daylight Time
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