Demo

Medicaid Medical Director

The State of Kansas
Shawnee, KS Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 3/25/2025

Important Recruitment Information for this vacancy

Job Posting closes: January 28, 2025

Required documents uploaded by: January 28, 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.

http://www.kdhe.ks.gov/

About the Position

  • Who can apply: Anyone (External)
  • Classified/Unclassified Service: Unclassified
  • Full-Time/Part-Time: Part-Time
  • Regular/Temporary: Temporary (non-benefits)
  • Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
  • Eligible to Receive Benefits: No
  • Veterans' Preference Eligible: Yes

Compensation:

  • Hourly Pay Range: $150.00 per hour
  • Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

  • Fitness Centers in select locations
  • Employee discounts with the STAR Program

Visit the Employee Benefits page for more information…

Position Summary & Responsibilities

Position Summary:

The position (K0246383) Managed Care Oversight for UM processes: Directs oversight for managed care entity utilization management decisions, review of processes and quality performance. Works with Medicaid Medical Deputy Director, RN Clinical Manager, and managed care organizations to address clinical issues around policy and UM processes. Performs other oversight activities (medical case reviews) as needed/assigned by Medicaid Director or Medicaid Medical Bureau Deputy Director.

Job Responsibilities may include but are not limited to the following: Provides consultation to Medicaid Medical Bureau team for regular review of clinical quality measures submitted by contracted managed care organizations for completeness and adherence to state and contract requirements. May participate in the development of quality requirements for the Medicaid program. Participates in clinical portion of annual MCO performance reviews to ensure KanCare members are provided quality and evidenced based clinical services and coverage.

Qualifications

  • Education:
    • Bachelor’s degree
    • M.D.
  • 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:
    • Medical Doctor or Doctor of Osteopathy (MD or DO) with past state experience working at a Medicaid managed care organization
  • Preferred Qualifications:
    • Word, Excel, PowerPoint, Access
    • Proofreading, editing, attention to detail
  • Post-Offer, Pre-employment Requirements:
    • Preferred: Medical Doctorate and license to practice medicine in the State of Kansas, or ability to obtain a license to practice in the State of Kansas are required; instructional, research, or consultative experience would be a plus.

Recruiter Contact Information

  • Name: Hope Stover
  • Email: hope.stover@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

Helpful Resources at jobs.ks.gov: “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions"

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

Helpful Resources at jobs.ks.gov: “How, What, & Where do I Upload Documents”

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 : $150

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