About The Position

Responsible for leading the development, delivery, and management of AFMC’s Outreach Services, Inspections of Care, and related contracts and programs that support improved health outcomes for targeted populations. The role ensures contract deliverables are met, promotes operational excellence, and collaborates with team members to educate healthcare providers and consumers and promote quality. It provides strategic leadership in translating complex Medicaid policies, program changes, and operational requirements into provider outreach, education, and engagement strategies. The role works with the Arkansas Department of Human Services, Medicaid program leadership, and other stakeholders on policy implementation, provider engagement, education, and operational improvements. It promotes AFMC’s programs and services to current and prospective stakeholders and serves as executive sponsor for outreach and quality efforts across AFMC. The position selects, directs, coaches, and evaluates assigned staff and demonstrates AFMC’s values of Honesty, Excellence, Accountability, Respect, and Teamwork in support of the organization’s mission and vision. The position develops and manages outreach services, Inspections of Care, and related programs; builds partnerships with clients and stakeholders; identifies opportunities to improve health and human services; monitors Medicaid policy and operational developments; and recommends strategic and operational responses to executive leadership. It oversees provider outreach and educational materials and programs, continuous quality improvement, departmental performance, reporting, budgeting, and staff management. The role also advises executive management, provides strategic direction for provider outreach and quality efforts, and identifies opportunities for new or expanded business.

Requirements

  • Minimum of ten years of professional experience in Medicaid programs, healthcare administration, managed care, healthcare policy, provider relations, or related healthcare operations.
  • Minimum of five years of senior leadership and managerial experience, including responsibility for program strategies, operational oversight, staff management, and budgets.
  • Demonstrated experience interpreting, implementing, and supporting state Medicaid policies and programs, including evaluating their impact on healthcare providers, provider outreach, education, and program operations.
  • Experience working directly with state Medicaid agencies or comparable government entities on Medicaid program administration, policy implementation, or provider-related initiatives.
  • Bachelor’s degree.
  • Strong leadership skills and ability to lead, develop, and motivate teams.
  • Ability to develop and implement strategic and operational plans aligned with organizational goals.
  • Excellent written, verbal, presentation, and public speaking skills.
  • Strong relationship-building, collaboration, customer service, and stakeholder engagement skills.
  • Knowledge of applicable contract requirements, regulations, and industry standards.
  • Ability to analyze operational and performance data to support decision-making and continuous improvement.
  • Strong project management, organizational, and problem-solving skills; ability to manage multiple priorities, delegate, meet deadlines, and maintain accountability for results.
  • Demonstrated initiative, sound judgment, creativity, flexibility, and professionalism.
  • Ability to work collaboratively across departments and with executive leadership.
  • Ability to maintain confidentiality and appropriately manage sensitive information.
  • Proficiency with Microsoft Office and other business technology.
  • Knowledge of healthcare terminology, coding concepts, and data standards relevant to assigned outreach programs.
  • Knowledge of health information technology and electronic health record systems relevant to provider outreach and program operations.
  • Ability to travel, including overnight travel, as needed.
  • Reliable, high-speed wireless internet service (Wi-Fi).
  • Ability to meet the physical and sensory requirements, with or without mechanical devices, including mobility, reaching, bending, lifting, grasping, reading, writing, communicating with personnel, and remaining calm under stress; must be capable of performing essential job functions with or without reasonable accommodations.

Nice To Haves

  • Extensive knowledge of Arkansas Medicaid programs, policies, and operations.
  • Experience overseeing multiple state or federal healthcare programs and leading cross-functional initiatives involving policy, operations, and provider engagement.
  • Experience contributing to strategic planning, program development, and business development activities within a healthcare organization.
  • Master’s, PhD, Juris Doctorate, or other advanced degree in a related field.

Responsibilities

  • Develop, implement, and manage AFMC’s Outreach Services, Inspections of Care, and related contracts and programs that promote improved health outcomes in targeted patient populations.
  • Build relationships and mutually beneficial partnerships with clients, stakeholders, constituents, healthcare organizations, and the community.
  • Identify opportunities to improve health and human services through community engagement, research, policy, and program development.
  • Maintain strategic working relationships with Arkansas Department of Human Services leadership, Medicaid program administrators, healthcare providers, managed care organizations, and other stakeholders.
  • Monitor, interpret, and evaluate changes in state and federal Medicaid policies, regulations, program requirements, and operational guidance; assess their implications and recommend strategic actions to executive leadership.
  • Maintain knowledge of specialized Medicaid programs, including home and community-based services, waiver programs, and long-term services and supports.
  • Identify emerging Medicaid policy issues, program developments, provider concerns, and operational challenges that may affect AFMC contracts, programs, or organizational strategy, and recommend responses.
  • Oversee outreach presentations, informational materials, and educational programs that support provider participation in projects.
  • Promote continuous quality improvement principles and tools and develop feedback strategies for the provider community.
  • Monitor departmental performance against objectives and timelines and implement corrective actions when needed.
  • Prepare and submit monthly, quarterly, and annual departmental reports to the COO and CEO.
  • Prepare the annual departmental budget and manage expenditures in accordance with budget requirements.
  • Meet regularly with executive management to advise on organizational goals, objectives, and policies and obtain direction or support for cross-departmental priorities.
  • Select, direct, train, coach, and evaluate assigned staff; establish performance standards and objectives, monitor progress, and hold staff accountable for accurate and timely work.
  • Provide executive sponsorship and strategic direction for provider outreach and quality efforts across AFMC.
  • Identify and pursue opportunities for new or expanded business.
  • Perform additional duties as assigned.
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