Medicaid Program Integrity Jobs in Vermont (NOW HIRING)

Overview
The Department of Vermont Health Access (DVHA) is seeking a Program Improvement Manager to ensure excellent performance of the Medicaid Management Information System (MMIS).
Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.
The Program Improvement Manager has the following responsibilities:
• Ensuring the excellent performance of the MMIS claims processing and fiscal agent contractor serving Vermont's Medicaid members and providers.
• Oversees vendor compliance with contractual requirements, expectations, and service levels, and ensures incidents are effectively managed and appropriate corrective actions are implemented.
• Establish, maintain, and enhance a framework for program operations supporting the state's ongoing partnership with the MMIS contractor.
• Proactively assess business processes, structures, and tools to identify gaps, and will lead the development and implementation of improvement plans to continually strengthen program operations.
• Successful partnerships with a variety of state and contractor staff to identify improvement opportunities.
• Provide outreach and communication to state stakeholders on business operations and ensure access to information and training for using the MMIS.
• Primary escalation point for state and MMIS vendor change management and operational issues.
• Facilitator between vendor and state subject matter experts to ensure alignment in roles/responsibilities, processes and support advanced problem solving.
Mission:
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
Diversity, Equity, and Inclusion:
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.
Our State:
Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.
Telework:
The Department of Vermont Health Access (DVHA) supports a hybrid work environment. Upon hire, employees work with their supervisor to create a schedule that aligns with the business needs of the unit. We believe a hybrid work environment promotes autonomy and allows for increased flexibility and greater work/life balance.
Who May Apply
This position, Program Improvement Manager (Job Requisition #55462), is open to all State employees and external applicants.
If you would like more information about this position, please contact Erin.Covey@vermont.gov
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
Environmental Factors
Work is performed in a standard office setting, but some travel may be required for which private means of transportation should be available. Lifting and transporting of training and/or event materials, and establishing appropriate set-up of training/event facilities, may be required.
Minimum Qualifications
Master Degree in Business Administration, Public Administration or related field AND two (2) years or more work experience in organizational development or business process improvement.
OR
Bachelor's degree AND four (4) years or more work experience in organizational development or business process improvement.
OR
Associates degree AND six (6) years or more work experience in organizational development or business process improvement.
Preferred Qualifications
Knowledge of the principles, practices, and tools available/associated with project management, change management, and business process analysis.
Knowledge of performance measurement.
Knowledge of Agency contracting procedures.
Knowledge of information technology (IT) applications utilized in agency operations.
Ability to identify information technology enhancements that meet business requirements.
Certification as a SOV CI Green Belt, or equivalent industry certification.
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.