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Medicaid Medical Director

Company: Kansas Department of Health and Environment
Location: Topeka
Posted on: January 15, 2022

Job Description:

Position Summary:
The position (K0221812): This position is housed within KDHE's Division of Health Care Finance (DHCF), which oversees the state's medical assistance programs, including Medicaid (KanCare) and the Children's Health Insurance Program (CHIP). The Medicaid Medical Director supervises the Clinical and Pharmaceutical teams within DHCF. The position reports to the State Medicaid Director.
The Medicaid Medical Director is responsible for identifying ways to improve health outcomes for beneficiaries, for example, by identifying inefficiencies in current benefit coverage; recommending policy changes to better align state medical assistance programs with evidence-based best practices; and recommending actions to improve quality and access to care for beneficiaries.
Policy Development and Other Oversight: Manages policy development activities of clinical and pharmaceutical teams. Manages oversight of managed care entity utilization management decisions, review processes and quality performance. Works with managed care organizations to address clinical policy issues.
Performs other oversight activities as assigned by Medicaid Director, DHCF Division Director, or the KDHE Secretary. Assists in responding to requests for information from legislators, other state agencies, and stakeholders.
Collaborates with other agencies (e.g. Public Health, KDADS) to identify opportunities to improve healthcare access, health outcomes, and efficiencies in the Kansas Medicaid delivery system.
Quality Improvement: Participates and oversees program reviews through identification and analysis of medical information to develop interventions and policies to improve quality of care and health outcomes. Promote quality improvement by working with KanCare management team to analyze current operations.
Qualifications
Education :
Medical Doctorate
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) 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.
Interest in population health and the link between the social determinants of health (SDH) and clinical outcomes. Interest in the Medicaid program and a desire to help improve clinical outcomes for state medical assistance program beneficiaries.

For full job description and application, please visit:
https://jobs.sok.ks.gov/psp/sokhrprdcg/APPLICANT/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&Action=U&FOCUS=Applicant&SiteId=1&JobOpeningId=199945&PostingSeq=1

Keywords: Kansas Department of Health and Environment, Topeka , Medicaid Medical Director, Healthcare , Topeka, Kansas

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