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Medicaid Job Hunter: 4/15/2019

We scour the internets for Medicaid jobs listings to save you time.


In this packet…

  1. Compliance Specialist Job in Detroit, MI at Meridian Health Plan
  2. State of Minnesota hiring Human Services Program Consultant – Mental Health Medicaid Benefits Specialist in St Paul, MN
  3. Fallon Health hiring RN Clinical Manager – Growing Elder Service Program – Lowell MA – Fallon Community Health Plan in Lowell, MA
  4. Director Finance (Medicaid) Insurance – Southfield, MI at Geebo
  5. Centene Corporation hiring Transition Nurse RN in San Bernardino, CA
  6. The Children’s Village hiring Medicaid Behavioral Health Services Manager in Dobbs Ferry, NY
  7. State of Louisiana hiring MEDICAID PROGRAM MANAGER 4 (Medicaid EPO Section Chief) in Baton Rouge, LA
  8. Presbyterian Healthcare Services hiring CLAIMS QUALITY SPEC – MEDICAID CLAIMS in Albuquerque, NM
  9. Centers for Medicare & Medicaid Services hiring Pharmacist in Gwynn Oak, MD
  10. Steward Health Care System hiring Senior Analyst, Medicaid ACO in Needham, MA

Medicaid Industry Jobs Hunter 04.15.2019

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Medicaid Who’s Who Interview: Krista Drobac

Krista Drobac is a Consultant and Lobbyist in Washington, D.C.

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

I am a consultant and lobbyist in Washington, D.C. I represent health plans, Medicaid contractors and vendors interested in advancing value-based care. I analyze Medicaid and Medicare policy issues and advocate for change.

How many years have you been in the Medicaid industry?

My first job involving Medicaid was working on Capitol Hill in 2002. I worked for Senators Stabenow and Durbin, and then moved to Illinois where I was the Deputy Director of the Department of Healthcare and Family Services, which served more than 2 million Medicaid beneficiaries. That number has increased to more than 3 million today. I returned to D.C. in 2008 and served the Medicaid program at CMS. Finally, I led the Health Division at the National Governors Association’s Center for Best Practices where we sought to help Governors improve quality and lower costs in the Medicaid program. 

What is your focus/passion? (Industry related or not)

My passion is social determinants of health. I was deeply influenced by Dr. Jeff Brenner at the Camden Coalition in 2011. He let me spend some time with his integrated team and visit complex Medicaid patients in their homes. I experienced first-hand the challenges of managing housing, nutrition, medication adherence, fall risks, transportation among other things. Through this hands-on experience, I came to the conclusion that to achieve well-being among Medicaid beneficiaries and save money, we must look beyond clinical care. I now lead a coalition called Aligning for Health…trying to do my small part to advance the ball on this topic.

What is the top item on your “bucket list?”

I hope to show my kids the world beyond our neighborhood. They aren’t quite old enough yet, but when they can comprehend a broader world, my husband and I want to take them places that will help them understand and empathize with the daily experiences of others less fortunate, which I hope will energize them to seek solutions as I do now. 

What do you enjoy doing most with your personal time?

Skiing of any kind. I don’t get to do it often enough. Of course, skiing with my family is the perfect combination. 

Who is your favorite historical figure and why?

It sounds so boring, but Abraham Lincoln. He was a courageous leader at a time when we needed it. We could use some of his wisdom, wit, grit, oratory skills, self-deprecation and inspiration today  

What is your favorite junk food?

It’s a tough call between Cheetos and Garrett’s Caramel Corn but if pushed on an answer, it’d have to be the caramel corn.

Of what accomplishment are you most proud?

Helping to change federal policy to allow for coverage of remote patient monitoring in Medicare. In 2018, CMS started paying clinicians for asynchronous monitoring of patient biometric data. The future of health care is in the home, and anything we can do to advance health care services where people live is a great accomplishment.

For what one thing do you wish you could get a mulligan?

High school sports. I didn’t practice enough and rode the bench. But then, I wouldn’t love Garrett’s Caramel Corn so much – life is a series of trade-offs!

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

·         CMMI models testing various approaches

·         Finalizing the MCO rule, and starting the QHP development process

·         Watching North Carolina’s waiver unfold

———————

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews

Posted on

Medicaid Job Hunter: 4/8/2019

We scour the internets for Medicaid jobs listings to save you time.


In this packet…

  1. Care Manager – Medicare/Medicaid | Healthfirst
  2. Home Health Billing Specialist/Medicare/Medicaid Billing Jobs in North Charleston, SC – Interim HealthCare
  3. Medicaid Program Advisor – DPDM-Item 1436 | PCG Staffing Solutions Organization LLC
  4. Medicaid Enrollment Rep I | WellCare Health Plans
  5. Civil Attorney III – Medicaid Investigations
  6. Director, State Behavioral Health – Medicaid LOB | WellCare Health Plans
  7. Sr Advisor SAE – Aetna Medicaid | CVS Health
  8. Program Analyst | Independent Care Health Plan
  9. Application Assistance Specialist – The Health Plan | Texas Children’s Hospital
  10. Nurse Practitioner – Clinic (Everett, WA) | Molina Healthcare

Medicaid Industry Jobs Hunter 4.8.19

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Medicaid Who’s Who Interview: Anne Schwartz

Anne Schwartz is Executive Director at MACPAC – Medicaid and CHIP Payment and Access Commission.

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

MACPAC is a nonpartisan agency of the federal legislative branch, charged with providing data analysis and advice on Medicaid and CHIP policy issues to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states. Although Medicaid is a federal-state partnership and our authorizing statute allows MACPAC to make recommendations for state action, our work has primarily focused on federal policy issues. That said, in the few short years MACPAC has been in existence, we’ve developed an extensive body of work on how federal policy plays out in the 50 states, D.C., and the territories. In my time at MACPAC, our work has focused on a wide range of Medicaid issues from hospital payment to reauthorization of funding for CHIP to streamlining managed care authorities.

How many years have you been in the Medicaid industry?

I have been with MACPAC since 2012 but I have been working in the health policy field for over 30 years, including stints on Capitol Hill, working with health philanthropies, and being an editor for the journal Health Affairs, all of which involved Medicaid to some extent.

What is your focus/passion? (Industry related or not)

Translating research into information that policymakers can use. Researchers and policymakers speak different languages and rarely understand each other. We would be in a much better place if researchers understood the kinds of challenges and questions facing policymakers, and if policymakers used the results from research in crafting policy.

What is the top item on your “bucket list?”

I am more of a fan of being open to new experiences than keeping a bucket list.  This fall, I’m looking forward to a rafting expedition in the Grand Canyon.

What do you enjoy doing most with your personal time?

I love active travel and my best vacations with both family and friends have involved hiking, biking, and kayaking.  When I’m at home, you’ll find me reading, trying new recipes, or going to the movies. 

Who is your favorite historical figure and why?

I am inspired by ordinary people who look around, see what needs to be done to make the world a better place, and don’t wait to ask permission to do it, people like John Snow, who, in the 19th century, took the handle off London’s Broad Street pump to stop a cholera epidemic , and civil rights icon Rosa Parks.  I also admire the fearlessness and tenacity of those who provided shelter to Jews during the Holocaust, and health professionals serving people in war zones.  

What is your favorite junk food?

Sour cream and onion potato chips. Fortunately the street vendors in downtown DC sell these in single portion size.

Of what accomplishment are you most proud?

I defended my doctoral dissertation while working full time and having a five month old baby at home.  My husband and coworkers deserve a lot of credit for supporting me to do this.

For what one thing do you wish you could get a mulligan?

I wish I had taken a semester abroad when I was in college.  Having since had the opportunity to live overseas, I think every young person should take the opportunity to immerse themselves in a different culture even it’s only for a few months.  In the end, it would have been a far more formative experience than staying at my university to write a senior honors thesis.

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

Prescription drug pricing and coverage, work and community engagement requirements, and additional actions to address the epidemic of opioid use and other substance use disorders.

———————

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews

Posted on

Medicaid Job Hunter: 4/1/2019

We scour the internets for Medicaid jobs listings to save you time.


In this packet…

  1. Sr Provider Network Representative – TMHP, TX Medicaid | Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
  2. Public Consulting Group Medicaid Program Director – Medicaid/Medicare Dual Eligibility Job in New York, NY
  3. RN, Care Manager (Meridian DSNP) | Concerto Healthcare
  4. Business Consultant Specialist, Care Coordination, Medicaid and Vulnerable Populations. – Oakland | Kaiser Permanente
  5. Medicaid Medical Management Project Manager | Aetna, a CVS Health Company
  6. Manager of Managed Care & Medicaid Affairs – Aurora | Numotion
  7. AVP, Health Plan Operations | Molina Healthcare
  8. Medical Director, Health Plan | Molina Healthcare
  9. Care Manager – Medicare/Medicaid | Healthfirst
  10. Health Insurance Specialist. | Centers for Medicare & Medicaid Services

Medicaid Industry Jobs Hunter 4.1.19

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Medicaid Who’s Who Interview: Carolyn Yocom

Carolyn Yocom is Director of Health Care at the U.S. Government Accountability Office

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

All of it—and none of it—at the same time.  GAO goes anywhere the federal dollar goes, so we interview CMS and the states regarding their Medicaid programs.

How many years have you been in the Medicaid industry?

If you count my days in direct care, it’s been over 35 years.

What is your focus/passion? (Industry related or not)

Educating, learning, serving, working on the country’s most difficult problems.

What is the top item on your “bucket list?”

Being present in every moment, being the best me possible.

What do you enjoy doing most with your personal time?

Hiking—it’s a family thing—exploring the outdoors.

Who is your favorite historical figure and why?

Harriet Tubman—she was strength and goodness in a time of inhumanity.  She could have run away and been free, but she stayed to help others be free.

What is your favorite junk food?

I have to go with cheese puffs…they’re the best!

Of what accomplishment are you most proud?

My two daughters, one is a teacher, one will be by next fall.  They believe in giving back and helping others. 

For what one thing do you wish you could get a mulligan?

Mostly golf (smile).  I really believe that all my mistakes have made me “me.”

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

This is the toughest question.  I think Medicaid has generally struggled with two broad issues:

(1) the sustainability of the Medicaid program

(2) how to balance flexibility with accountability.

———————

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews

Posted on

Medicaid Job Hunter: 3/25/2019

We scour the internets for Medicaid jobs listings to save you time.


In this packet…

  1. Health Insurance Specialist Job in GWYNN OAK, MD
  2. Director of Managed Care & Medicaid Affairs with Numotion in Dallas, TX
  3. Optima Health hiring Medical Assistant Neurology Specialist – Obici in Suffolk, VA
  4. Monroe Plan for Medical Care hiring Facilitated Enroller in Buffalo, NY
  5. Registered Nurse | Memphis, TN
  6. Jobs @ TheJobNetwork hiring Director Enterprise Clinical Quality (Medicaid) in Philadelphia, PA
  7. UPMC Health Plan hiring Senior Medical Director- Pediatrics in Pittsburgh, PA
  8. UPMC Health Plan hiring AVP Government Products Operations Support in Pittsburgh, PA
  9. Molina Healthcare hiring Medical Director, Health Plan in Oak Brook, IL
  10. PacificSource Health Plans hiring Claims Team Lead Medicaid in Bend, OR

Medicaid Industry Jobs Hunter 3.25.19

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Medicaid Who’s Who Interview: Lauretta Converse

Lauretta Converse is Director of Payment Reform and Financial Analytics at Rhode Island Medicaid Program

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

I am currently working as the Director of Payment Reform and Financial Analytics at the Rhode Island Medicaid program. 

How many years have you been in the Medicaid industry?

I have been in the industry for seven years.  In that time, I have had payer experience inside a Medicaid agency, provider experience at a national pharmacy, and have worked on Medicaid as state legislative staff.  Each experience has given me a distinct perspective on this very complex program and I believe this helps me advocate for strategies and solutions that are workable for all stakeholders.

What is your focus/passion? (Industry related or not)

When it comes to Medicaid, I’m passionate about data and analytics.  Our mission is Goliath-size and our resources are David-size.  There simply aren’t enough resources to go around, so it’s critical that we bring a data-driven discipline to our program so we know what is working and what isn’t- so that we know how to efficiently allocate our very scarce resources.  All of us have our pet initiatives but without data, it’s a free-for-all. It’s like the quote: “If we have data, let’s look at data. If all we have are opinions, let’s go with mine.”

What is the top item on your “bucket list?”

A top item on my bucket list is to visit all of our country’s national parks.  I better get going, though, since I’ve only visited 12 and there are 58.  I love mountains, so my favorite ones so far have been Grand Teton and Hawaii Volcano National Park.

What do you enjoy doing most with your personal time?

Tennis.  It’s both physically and mentally challenging, and people regularly play the game into their 80s!

Who is your favorite historical figure and why?

I recently had the chance to visit in person some of Michelangelo’s work .  I’m not an art aficionado by any means but the beauty, variety, and sheer volume of his work left me breathless.

What is your favorite junk food?

Harvest Cheddar Sun Chips

Of what accomplishment are you most proud?

I have three grown daughters who are among the most amazing and interesting people I know.  That I had a part in that continues to amaze me.

For what one thing do you wish you could get a mulligan?

I wish I could go back and begin working in the healthcare industry earlier in my career.  I spent a decade in a sector of the manufacturing industry that was very stodgy and mature and changed little year to year.  Conversely, the healthcare space is dynamic and will likely look very different in ten years.  The problems we are trying to solve are so difficult that sometimes I think my head will explode, but at the same time I love that part of the work and that I get to be part of creating something new that doesn’t exist yet.

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

That’s hard for me to answer because my perspective is slanted.  Being from a progressive state, I’m somewhat disconnected from the reality that many states are still talking about expansion and work requirements.  Those things aren’t even issues here!  But I’d love to see value-based payment for pharmacy become more important in every state.  And I’m looking for a maturing of actionable ideas around how best to address social determinants of health.  I’m also tracking with the application of blockchain technology to healthcare which would be a total game changer.

———————

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews

Posted on

Medicaid Job Hunter: 3/18/2019

We scour the internets for Medicaid jobs listings to save you time.


In this packet…

  1. Organizational Change Manager – Information Technology | Public Consulting Group
  2. UAS Nurse – Bronx | Fidelis Care
  3. Operations Analyst, Associate Operations Excellence | UPMC Health Plan
  4. Medicaid Billing Specialist | VITAS Healthcare
  5. Health Insurance Marketplace Navigator | Charlotte Center for Legal Advocacy
  6. CHC Service Coordinator RN | UPMC Health Plan
  7. Manager, Care Coordination (Medicaid) Denver, CO
  8. Medicaid Eligibility Specialist | VillageCare
  9. WAVIER MANAGER | Arizona Health Care Cost Containment System (AHCCCS)
  10. Health Insurance Specialist. | Centers for Medicare & Medicaid Services

Medicaid Industry Jobs Hunter 3.18.19