Medical Policy Program Manager

Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list.

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Quality Innovation and Medical Policy is seeking a Medicaid Pediatric and Early Prevention, Screening, Diagnosis and Treatment Policy Specialist (EPSDT) to join our team
Job Classification: Management Analyst 3

Requirements:

• Work Monday – Friday, 8:00 am - 4:30 pm
• Report to the Lucas Building in Des Moines, located on the beautiful Capitol Complex, two (2) days per week
• Hold a nursing degree and ability to be licensed in the State of Iowa
• Have a valid driver's license
• Occasionally travel to meet with external stakeholders and attend conferences

Desired experience with or knowledge of:

• Medicaid policies and processes
• Assessing, diagnosing and providing treatment for the medical needs of children, youth and young adults under the age of 21
• Clinical knowledge in how to apply the benefits
• Disaggregating information to internal and external stakeholders

Responsibilities include:

• Reviews, revises, writes, plans, coordinates and oversees the activities and strategies for the implementation and operation of Iowa Medicaid policies
• Collaborates, coordinates, communicates and consults with internal and external stakeholders (i.e. childcare providers, educators)
• Defines program strategies ensuring activities meet contractual requirements including performance objectives and outcomes
• Provides consultation, analysis and interpretation of federal and state rules, laws, regulation, and procedures related to Medicaid coverage and reimbursement
• Develops and implements program goals, objectives, and performance standards related to policies and programs
• Identifies and presents suggestions for changes to the existing program
• Researches and reviews articles on clinical best practices

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits click here.

Click here to see how we compare with other employers or offers by using our Total Compensation Calculator.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with "lived experience" and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa TDD).

E-Verify and Right to Work
The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees' rights to work without being required to join a labor organization. For more information, please visit

872 Registered Nurse
Licensure as Registered Nurse in the State of Iowa by the Iowa Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact Administrator's Agreement of the National Council of State Boards of Nursing. More information regarding the Nurse Licensure Compact Administrators agreement of the National Council of State Boards of Nursing is available at: Nurse Licensure Compact

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

• Graduation from an accredited four-year college or university with a degree in any field, and experience equal to three years of full-time work in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations.
• All of the following (a and b):
• Three years of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and
• A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.
• All of the following (a, b, and c):
• One year of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and
• A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; and
• A total of two years of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business administration, industrial management, statistics, natural science, or a closely-related field equals one year of full-time experience.
• Current, continuous experience in the state executive branch that includes six months of full-time work as a Management Analyst 2 or two and a half years as a Management Analyst 1.
  For additional information, please click on this link to view the job description (Download PDF reader).