Managed Care Policy Analyst Liaison

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