What are the responsibilities and job description for the MCO Manager position at Kansas Department of Health and Environment?
Job Posting
Important Recruitment Information for this vacancy
Job Posting closes: April 08, 2025
Required documents uploaded by: April 08, 2025
Kansas Department of Health and Environment:
Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.
About The Position
Who can apply: External (Open to Anyone)
Classified/Unclassified Service: Unclassified
Full-Time/Part-Time: Full-time
Regular/Temporary: Regular
Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
Eligible to Receive Benefits: Yes
Veterans' Preference Eligible: Yes
Compensation:
Comprehensive medical, mental, dental, vision, and additional coverage
Sick & Vacation leave
Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
Paid State Holidays (designated by the Governor annually)
Fitness Centers in select locations
Employee discounts with the STAR Program
Retirement And Deferred Compensation Programs
Visit the Employee Benefits page for more information…
Position Summary & Responsibilities
Position Summary:
The position (K0221829)
MCO Relationship Management: Assesses and manages each assigned Managed Care Organization (MCO) for overall performance by monitoring and measuring key outcomes. Accomplishes assessment and monitoring by examining relevant data and reports, onsite inspections, audits and periodic meetings with MCO management and staff. Manages issues by using/implementing federal, state, and department policies, procedures, and applicable strategic plan actions.
Assurance of Ongoing MCO Improvement: Recommends improvements and implementation of enforcement tools for each assigned MCO to achieve short-term and long-term goals that coincide with the agency’s goals, vision, and strategic plan objectives. Develops recommendations by reviewing and understanding the mission, vision, and strategic plan objectives of the agency to provide the framework for program planning and analyses. Shares technical support and best practices and drives toward standardization of VBP process with MCOs. Partners with cross-contract topic area owners to review relevant data, reimbursement, and coverage issues for effectiveness, efficiency, and quality to drive improvements for MCO activity. Uses various stakeholders for input regarding future services.
Job Responsibilities may include but are not limited to the following:
Managed Care Contract Oversight: Meets regularly with contract topic area teams, collaborates with topic owners to solve persistent issues related to MCOs, and escalates to Managed Care Bureau leadership as needed. Liaises between topic teams and MCOs as needed. Serves as primary engagement point with MCOs on topics related to contract requirements and attends select contract topic area meetings as needed for awareness. Assists with annual contract review by facilitating across MCOs and subject matter experts.
Qualifications
Name: Tracey Benson
Email: Tracey.N.Benson@ks.gov
Mailing Address: 1000 SW Jackson St. Suite 580 Topeka, KS 66612
Job Application Process
Required Documents For This Application To Be Complete
Upload these on the Careers - My Job Applications page
Transcripts
DD214 (if you are claiming Veteran’s Preference)
Upload these on the Attachments step in your Job Application
How To Claim Veterans Preference
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran’s Preference
How To Claim Disability Hiring Preference
Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.
Learn more about claiming Disability Hiring Preference
PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:
ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Landon State Office Building
900 SW Jackson, Rm 401
Topeka, KS 66612
Equal Employment Opportunity
The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
Important Recruitment Information for this vacancy
Job Posting closes: April 08, 2025
Required documents uploaded by: April 08, 2025
Kansas Department of Health and Environment:
Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.
About The Position
Who can apply: External (Open to Anyone)
Classified/Unclassified Service: Unclassified
Full-Time/Part-Time: Full-time
Regular/Temporary: Regular
Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
Eligible to Receive Benefits: Yes
Veterans' Preference Eligible: Yes
Compensation:
- Hourly Pay Range: $27.61-$30.50
- Salary can vary depending upon education, experience, or qualifications.
Comprehensive medical, mental, dental, vision, and additional coverage
Sick & Vacation leave
Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
Paid State Holidays (designated by the Governor annually)
Fitness Centers in select locations
Employee discounts with the STAR Program
Retirement And Deferred Compensation Programs
Visit the Employee Benefits page for more information…
Position Summary & Responsibilities
Position Summary:
The position (K0221829)
MCO Relationship Management: Assesses and manages each assigned Managed Care Organization (MCO) for overall performance by monitoring and measuring key outcomes. Accomplishes assessment and monitoring by examining relevant data and reports, onsite inspections, audits and periodic meetings with MCO management and staff. Manages issues by using/implementing federal, state, and department policies, procedures, and applicable strategic plan actions.
Assurance of Ongoing MCO Improvement: Recommends improvements and implementation of enforcement tools for each assigned MCO to achieve short-term and long-term goals that coincide with the agency’s goals, vision, and strategic plan objectives. Develops recommendations by reviewing and understanding the mission, vision, and strategic plan objectives of the agency to provide the framework for program planning and analyses. Shares technical support and best practices and drives toward standardization of VBP process with MCOs. Partners with cross-contract topic area owners to review relevant data, reimbursement, and coverage issues for effectiveness, efficiency, and quality to drive improvements for MCO activity. Uses various stakeholders for input regarding future services.
Job Responsibilities may include but are not limited to the following:
Managed Care Contract Oversight: Meets regularly with contract topic area teams, collaborates with topic owners to solve persistent issues related to MCOs, and escalates to Managed Care Bureau leadership as needed. Liaises between topic teams and MCOs as needed. Serves as primary engagement point with MCOs on topics related to contract requirements and attends select contract topic area meetings as needed for awareness. Assists with annual contract review by facilitating across MCOs and subject matter experts.
Qualifications
- Education:
- High School, GED
- Licensing & Certification:
- Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State
- Minimum Qualifications:
- One year of experience in planning, organizing and directing the work of a department, program or agency. Education may be substituted for experience as determined relevant by the agency. Two years’ experience in healthcare or the health insurance field (Medicaid, provider relations or member services). Two years of Medicaid, clinical or healthcare administration roles that deal frequently with the public may be substituted for the required experience
- Word, Excel, PowerPoint, Access
- Requires independent judgment
- Advanced problem solving and analytical skills
- Communicate effectively
- Ability to analyze statutes and regulations
- Preferred Qualifications:
- Bachelor’s Degree – Any area of study
- Proofreading, editing, attention to detail
- Experience in providing excellent customer service
- Be able to evaluate alternative solutions to issues/problems
- 1 yr. exp. working in health insurance/healthcare fields in claims or claims processing
- 2 yrs. of experience in Medicaid healthcare or health ins. field either clinical or administrative
- One year Customer Service experience
Name: Tracey Benson
Email: Tracey.N.Benson@ks.gov
Mailing Address: 1000 SW Jackson St. Suite 580 Topeka, KS 66612
Job Application Process
- First Sign in or register as a New User.
- Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications.
- Upload required documents listed below for the Careers> My Job Applications page. *This information is included on all your job applications.
- Start your draft job application, upload other required documents, and Submit when it is complete.
- Manage your draft and submitted applications on the Careers> My Job Applications page.
- Check your email and My Job Notifications for written communications from the Recruiter.
- Email – sent to the Preferred email on the My Contact Information page
- Notifications – view the Careers> My Job Notifications page
Required Documents For This Application To Be Complete
Upload these on the Careers - My Job Applications page
Transcripts
DD214 (if you are claiming Veteran’s Preference)
Upload these on the Attachments step in your Job Application
- Resume
- Cover Letter
How To Claim Veterans Preference
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran’s Preference
How To Claim Disability Hiring Preference
Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.
Learn more about claiming Disability Hiring Preference
PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:
ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Landon State Office Building
900 SW Jackson, Rm 401
Topeka, KS 66612
Equal Employment Opportunity
The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
Salary : $28 - $31
