Medicaid Contract Manager

State of Iowa • Des Moines - 50319 - Polk County, IA

6d

About The Position

The Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, is seeking a Medicaid Contract Manager to serve as the primary point of contact for vendor contract oversight. The role oversees vendor activities before and after contract implementation, analyzes scheduled and ad hoc vendor reports for compliance, and prepares and presents performance reports describing progress, problems, solutions, and contingencies.

The Contract Manager conducts vendor oversight meetings, establishes agendas and expectations, documents decisions and actions, and communicates agreements and performance expectations. The role collaborates with HHS teams and other state agencies to ensure appropriate oversight and governance. It monitors contractual requirements, identifies and addresses compliance concerns with relevant stakeholders, and proposes and initiates corrective actions, including termination when appropriate. The manager tracks corrective action plans and prepares or approves related communications and reports for internal and external audiences, including the Governor’s office, Legislature, CMS, and the public.

The position also serves as a contract subject matter expert, contributes to oversight procedures and training, participates in operational and policy meetings, and supports proposed legislation, administrative rules, policy analysis, public information sessions, national best-practice research, and Advanced Planning Documents as needed. All work performed on behalf of Iowa HHS must occur in the State of Iowa.

Requirements

• Meet at least one of the stated minimum qualification pathways: eight years of qualifying full-time procurement or services procurement and contract administration experience, including review of ongoing compliance with contract requirements and terms; or a qualifying combination of education and experience.
• A qualifying bachelor's degree in business or public administration, accounting, or economics may be combined with four years of qualifying full-time procurement or contract administration experience, including compliance review.
• Qualifying education and experience may be combined under the stated rules: 30 semester hours of undergraduate coursework count as one year of experience, and 24 semester hours of qualifying graduate coursework count as one year where specified.
• One qualification pathway requires three years of qualifying procurement or contract administration experience, a total of four years of relevant education and/or experience, and a total of one year of relevant graduate-level education and/or experience.
• Alternatively, current continuous experience in the state executive branch that includes one year of full-time work as a Procurement Specialist 3 qualifies.
• Complete a background check.
• Perform all work on behalf of Iowa HHS within the State of Iowa.

Responsibilities

• Serve as the primary point of contact for vendor contract oversight.
• Approve aspects of vendor activity before and after contract implementation.
• Analyze scheduled and ad hoc vendor reports to assess contractual compliance.
• Draft and present performance reports detailing project or performance progress, problems, solutions, and contingencies.
• Conduct formal and ad hoc vendor oversight meetings, develop agendas and expectations, identify issues, and document decisions and actions.
• Collaborate with HHS divisions and other state agencies, including DOM Do-IT, to follow oversight and governance processes.
• Track contractual compliance requirements and identify compliance issues, including their scope and magnitude.
• Consult with legal, fiscal, and other relevant parties regarding performance issues.
• Propose corrective actions for Iowa Medicaid leadership to review and consider; initiate corrective action plans, up to and including termination.
• Prepare written notices of non-compliance and expectations, track corrective actions, and report progress or issues with recommended solutions.
• Review and approve related communications.
• Prepare scheduled and ad hoc reports on vendor progress and compliance for internal staff, the Governor’s office, Legislature, CMS, and the public.
• Prepare and coordinate report content and prepare special reports as assigned.
• Serve as the contract subject matter expert and participate in developing Iowa Medicaid contract oversight procedures.
• Develop training or provide technical assistance as needed.
• Participate in operational and other key meetings.
• Participate in developing proposed legislation, administrative rules, and other policies.
• Analyze program issues and performance, and CMS-proposed legislation, to provide context for proposed legislation or requests for information.
• Attend public or other meetings to provide information.
• Research and recommend national best practices to improve contract oversight processes.
• Provide information for Advanced Planning Documents (APDs) as needed.

Benefits

• Health, dental, and vision coverage.
• Paid vacation, sick leave, and holidays.
• Retirement plans through IPERS and the Retirement Investors Club (RIC), including a state match for the RIC employer-sponsored plan up to $75 per month.
• Flexible spending accounts for medical and dependent care expenses.
• Life insurance and free long-term disability insurance.
• Employee Assistance Program.
• Employee discount programs.

What This Job Offers

• Job Type: Full-time