What are the responsibilities and job description for the Medicaid Medical Director position at The State of Kansas?
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 :
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
Bachelor’s degree
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.
Medical Doctor or Doctor of Osteopathy (MD or DO) with past state experience working at a Medicaid managed care organization
Word, Excel, PowerPoint, Access
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
Job Application Process
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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.
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.
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Salary : $150
