Specialized Health Services Division Director

Virginia Information Technologies Agency • Richmond, VA

1d • $164,705 - $184,411 • Hybrid

About The Position

The Specialized Health Services Division Director provides leadership, strategic direction, and operational oversight for specialized Medicaid health care programs administered by the Virginia Department of Medical Assistance Services (DMAS). The division includes the Dental Program, Pharmacy Program, and Non-Emergency Medical Transportation (NEMT) Program. The Director ensures these programs are administered effectively and efficiently, consistent with federal and state requirements, Medicaid policy, contractual obligations, clinical standards, and DMAS strategic priorities.

The Director establishes a unified operating framework for specialized health care programs, promoting clear accountability, effective program administration, vendor and provider oversight, fiscal stewardship, quality improvement, and a high-quality member experience. The position works closely with Cardinal Care Managed Care, Health Analytics, Finance, Procurement, Quality, Eligibility, Communications, and other DMAS divisions to integrate specialized benefits and services into the broader Medicaid program.

The role has in-office requirements driven by business needs, including in-person training and meetings and engagement with internal and external stakeholders. Telework arrangements may be available under Commonwealth policy but may be modified or ended based on performance or business needs.

Requirements

• Extensive experience in Medicaid, healthcare administration, health insurance, public-sector health programs, or a related field.
• Extensive experience leading complex healthcare programs, such as health care benefits, pharmacy benefit management, operations, or organizational functions.
• Extensive experience working with managed care organizations, healthcare providers, or government healthcare programs.
• Extensive experience developing and implementing policies, programs, contracts, or operational strategies.
• Extensive experience with systems, programs, and computer software, including Microsoft Suites.
• Extensive knowledge or experience with Medicaid and CHIP federal and state laws, regulations, and policies, managed care, or public health systems.
• Extensive experience meeting deadlines and managing multiple priorities or initiatives.
• Extensive experience engaging with executive leadership, government agencies, vendors, providers, community organizations, and other stakeholders.
• Extensive experience managing large, multidisciplinary teams and/or complex organizational operations.
• Extensive experience engaging and communicating with executive-level stakeholders.

Nice To Haves

• Extensive knowledge of health care administration, provider contracting, strategic planning, and overall service delivery.
• Considerable knowledge of value-based purchasing, delivery system reform, and care coordination models.
• Extensive experience analyzing and articulating complex policy concepts, envisioning change, and promoting creative and innovative approaches.

Responsibilities

• Provide leadership, strategic direction, and operational oversight for the Dental, Pharmacy, and Non-Emergency Medical Transportation programs.
• Ensure specialized health care programs are administered effectively and efficiently in accordance with federal and state requirements, Medicaid policy, contractual obligations, clinical standards, and DMAS strategic priorities.
• Establish a unified operating framework that supports accountability, program administration, vendor and provider oversight, fiscal stewardship, quality improvement, and a high-quality member experience.
• Collaborate with Cardinal Care Managed Care, Health Analytics, Finance, Procurement, Quality, Eligibility, Communications, and other DMAS divisions to integrate specialized benefits and services into the broader Medicaid program.
• Conduct or participate in in-person training and meetings and engage with internal and external stakeholders as business needs require.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed