Job Openings

The Iowa Medicaid Division is seeking a Managed Care Policy Analyst Liaison to optimize the management and oversight of Medicaid managed care contracts. This position will ensure compliance with state and federal regulations, improve program performance, and maintain quality standards. The ideal candidate will serve as a bridge between stakeholders, including Managed Care Plans (MCOs and PAHPs), healthcare providers, and regulatory bodies, with a focus on improving healthcare outcomes for Iowans.

Responsibilities:
• Policy Analysis and Development:
Conduct analysis of healthcare policies and regulations related to managed care. Develop strategies for compliance and draft administrative rules and provider manuals based on updated guidelines.

• Stakeholder Engagement:
Act as a primary point of contact between the Iowa Medicaid division, Managed Care Plans, healthcare providers, and regulatory agencies. Facilitate collaboration to address operational issues and optimize managed care processes.

• Performance Monitoring and Improvement:
Track the performance of managed care programs, identify areas for improvement, and implement solutions to enhance efficiency and quality of care.

• Training and Education:
Develop and deliver training programs for both internal staff and external stakeholders on managed care policies, procedures, and best practices.

• Data Analysis and Reporting:
Analyze data related to managed care metrics and outcomes. Generate reports and present findings to support decision-making and strategic planning.

• Quality Assurance and Compliance:
Ensure compliance with quality standards, regulatory requirements, and contractual obligations. Conduct audits and reviews to assess adherence and identify areas for improvement.

For complete job description and application, click here. Application deadline 12.01.24

Operating under the federal Older Americans Act, the Office of the State Long-Term Care Ombudsman (OSLTCO) plays a crucial role in safeguarding the well-being and rights of individuals residing in long-term care facilities. The OSLTCO is seeking a Long-Term Care Ombudsman to review, investigate and work to resolve complaints for or on behalf of residents/tenants in long-term care facilities and Medicaid managed care members receiving Medicaid long-term services and supports in the community.

Responsibilities:
Conduct facility visits, investigate and work to resolve complaints by or on behalf of residents/tenants in long-term care facilities Provide information, consultation and education to individuals, providers, facility staff, resident and family councils and document all activity details.

Develop and maintain a working knowledge of resident’s rights and state and federal rules and regulations, and apply appropriate strategies for resolving complaints and representing the rights of residents/tenants.

Monitor operations of long-term care facilities by going to the facility and observing staff and facility routine, visiting with residents, family and visitors about their satisfaction with quality of care and quality of life at the facility.

Review, investigate and work to resolve complaints by or on behalf of Medicaid managed care recipients with their managed care organization. Assist recipients in understanding the services, coverage, access provisions, responsibilities, their rights and opportunities under Medicaid Managed Care.

For complete job description and application, click here. Application deadline 12.01.24

Under the supervision of the section supervisor, maintains a regional field office for the delivery of disease prevention and public health services. Serves as a liaison between the Division of Public Health and local public health for communicable diseases, including HIV, STIs, and viral hepatitis. Delivers STI and HIV partner services, including counseling, interviewing, and educating persons who have acquired or been exposed to these infections.

Solicits partner and contact information, provides referrals for support services, and acts as an advocate by ensuring linkage to case management, medical, and other support services. Performs partner/contact investigations, including location of partners, risk reduction counseling, HIV testing, and linkage to other follow-up testing and treatment. Conducts additional follow up and re-interviews for persons living with HIV identified as out of care or never in care and works to connect them with appropriate medical services. Performs phlebotomy, as needed, for testing.

Collects and reports timely partner services and Ryan White Part B Program service information through client-level data systems. Conducts quality assurance of data, and participates in quality improvement projects for the delivery of partner services and the collection and management of data. Provides information, education, consultation, and problem-identification services to community-based organizations, community task forces, local public health, private medical providers, hospital infectious disease practitioners, blood banks, plasma centers, and public and private laboratories.

For complete job description and application, click here. Application deadline 12/5/24

Support agency-wide initiatives to strengthen Iowa HHS capacity for population health statistical analyses for local, regional, and state-level data. Work with Iowa HHS leadership and local public health partners to provide advanced statistical and predictive analytics and modeling.

Responsibilities:
Leadership: lead cross-collaboration efforts with leaders and community partners to support choice of statistical strategy and modeling.
Statistical Acumen: conceptualize and conduct population health analyses applying mathematical, statistical and machine learning language and applications.
Team Building and Communication: disseminate findings and engage with stakeholders on action steps.

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

This position is eligible for remote or hybrid work arrangements.  The selected candidate must reside in Iowa and be able to report to the Des Moines office on occasion.

For complete job description and application, click here. Application deadline 11/25/24.

The HHS Data Analyst position is a part-time opportunity with a flexible schedule. Occasional travel for trainings and meetings will be required.

Responsibilities:
Collaborate and communicate with Human Resources and team members throughout the agency to effectively manage data analysis and reporting metrics.

Create and build strong working relationships with internal and external partners to evaluate existing workflows and recommend improvements of existing systems and workflows.

Provide analysis of agency hiring trends and practices, including reporting for employee retention and recruitment strategies.

Responsible provide workforce skills assessments and create and maintain HR and Workforce program dashboards.

Requirements:
This position requires a strong understanding of data analytics and reporting metrics. Ideal candidates will have solid communication skills, ability to create positive working relationships with both internal and external customers, and have excellent active listening skills. Candidates must be organized, able to multi-task, and pay close attention to detail. Additionally, this position requires flexibility to shifting priorities, ability to prioritize effectively, and demonstrate critical thinking skills.

For complete job description and application, click here. Application deadline 11/24/24.

This position will work within the Healthy Iowans team and interact across HHS and with outside partners as part of the SHA&SHIP process. Strong written and oral communication skills are critical for this role.

What You’ll Do:
This position will also assist with the coordination and technical assistance to HHS advisory groups, state agencies, state community planning groups, and other organizations in implementing the state health needs assessment and improvement plan (SHA&SHIP), also known as Healthy Iowans.

– Aid in the planning and coordination of the steering committee and workgroups for the SHA&SHIP, including arranging meeting logistics, developing agendas, co-facilitating meetings, and documenting meeting discussions.

– Partner closely with the HHS Divisions to ensure the SHA&SHIP are strongly connected with the community health assessments and community health improvement plans administered by the service systems (e.g. local public health, Behavioral Health administration service organizations, area agencies on aging).

– Lead the coordination, development and updates to the Partners in Action process to gather information regarding the strategies partners are implementing for SHIP priorities.

– Assist in the management of content and functionality for Healthy Iowans’ web-based engagement activities. This includes compiling and analyzing performance metrics for engagement efforts.

– Raise awareness of Healthy Iowans by facilitating conversations with internal and external partners and promoting continuous engagement in the SHA & SHIP process.

– Serve as lead in writing and disseminating SHA & SHIP content, progress reports, and communication materials (i.e. infographics, one-pagers, presentations). Ensure all communications are audience-appropriate and meet accessibility standards.

– Coordinate, write, and publish Healthy Iowans’ monthly newsletter. This includes collaborating with partners to ensure the newsletter highlights ongoing health improvement strategies across the state.

For complete job description and application, click here. Application deadline 11/24/24.

Under the direction of the Bureau Chief of Payments & Receipts, this position assists with assuring the work assignments are carried out: performs such duties as instruction employees about routine tasks, answering questions, about procedures and policies, distributing and balancing the workload and accepting, modifying or rejecting work: and may provide input on appointments, promotions, and reassignments. This position is responsible for the accurate and timely payment of claims for external vendors and reimbursements of travel expenses for state employees Duties include review of claims for accuracy and completeness so as to comply with federal, state, and department policies and procedures. This position oversees the payments of over $6.5 billion annually from over 110 state and federal sources.

Responsibilities:
This position will:
Pre-audit account payable documents for the department in accordance with policies and procedures adopted by Department of Administrative Services – State Accounting Enterprise (DAS-SAE) and general accounting procedures. Ensures disbursement data entered into the statewide accounting system (IowaAdvantage) complies with Code of lowa and other regulations. Verifies claims are accurate, authorized, properly supported, coded correctly and goods have been received or services rendered. Applies final approval of account payable documents in IowaAdvantage on behalf of the department. Documents the rational for denial of claims and returns denied claims to appropriate bureau staff for modification or correction. Approves certification of documents for payments submitted on interface files, approving that payment data matches the originating sources for payment made through electronic transmissions.

For complete job description and application, click here. Application deadline 11/22/24.

This position will process change requests to death records in the Iowa Vital Events System (IVES). This position will issue burial transmit permits in accordance with Iowa Code and Administrative Rules. This position will register all death transcripts of Death Reports of Citizens Abroad. Will prepare certified copies of vital records after changes in accordance with the Iowa Code and Administrative Rules.

This position will provide guidance and support to staff and advise supervisors on processing of death change requests. Will provide consultation to funeral directors, certifiers, other agencies and members of the public as it relates to changes to death records and Iowa Code and Administrative Rules authority. Will be responsible to communicate via written and oral correspondence with a wide variety of agencies and professionals involved in changing death records including but not limited to attorneys, hospital staff, certifiers, county registrars, other government agencies and the general public.

The position oversees the claims and ordering process for the Bureau. Will be responsible to maintain inventory of certified copy paper assigned to them and document voided paper and paper unaccounted for.

This position requires knowledge of entitlement and legal action changes as outlined by Iowa Code and Administrative Rules. Will be able to make decisions regarding changes to death records in accordance with these laws and rules. Completes special projects or other duties as assigned within the established timeframes.

For complete job description and application, click here. Application deadline 12/8/24

As a division of the Iowa Department of Health and Human Services (HHS), Iowa Medicaid insures more than 700,000 Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Department’s Director, who serves on Governor Reynolds’ Cabinet, Iowa’s State Medicaid Director is a key member of the Iowa HHS Executive Team, responsible for the direct oversight of all managed care operations, program policy, major IT system enhancements, and data governance.  As a member of the executive team, the Medicaid Director establishes and builds connection points to other core program functions within Iowa HHS, including child welfare, public health, community behavioral health, and integrated eligibility.

In year two of a significant agency consolidation, Iowa HHS is a lifespan services agency and the State’s largest in both budget and number of employees. This new system design positions Medicaid in a cornerstone role beyond its foundational capacity as a major insurer in the state, to drive key population health outcomes and significant impacts to rural healthcare access, maternal health, and behavioral health system design. Iowa Medicaid is leading significant transformational efforts, including the launch of a redesigned home and community-based services waiver structure, and a co-designed model to launch CCBHCs.
As with any leadership role, Iowa HHS seeks a self-driven, tenured executive who thrives while contributing to a fast paced and high-functioning team. Iowa’s Medicaid Director must have demonstrated experience in healthcare, Medicaid program operations, and operational planning, as well as a deep understanding of cost and caseload trends.

For complete job description and application, click here. Application deadline 11.22.24