This position is the Medicaid and Health Services Executive Director. The position is responsible for medical, rehabilitative, and mental health service programs by overseeing the following Department Divisions: Developmental Services Division, Health Resources Division, Senior and Long Term Care Division, and Addictive and Mental Disorders Division. Included are seven institutional treatment and long term care facilities: Montana Chemical Dependency Center, Intensive Behavior Center, Montana Mental Health Nursing Care Center, Montana State Hospital, and three Montana Veterans Homes. The position directly supervises four division administrators and two Medicaid managers, and indirectly supervises approximately 1400 FTE.
The position also carries the designation of the State Medicaid Director.
Major Duties or Responsibilities:
A. Executive Leadership, Supervision and Management
Provides executive leadership to the agency as member of Senior Management Team that consists of the agency Director, three Executive Directors, fourteen division Administrators, Chief Legal Counsel, Chief Human Resources Officer, Chief Information Officer, Chief Finance Officer and Public Information Officer.
Establishes business plans and objectives and administers, coordinates and evaluates programs and activities.
Implements the agency management plan. Ensures that directives are implemented by agency divisions.
Executes the authority of the agency Director.
Advises the Director concerning agency policies, programs, and activities.
Provides overall policy direction and control and monitors the status of programs to ensure agency goals and objectives are accomplished.
Evaluates existing management systems for improvement. Identifies and promotes needed organizational changes.
Coordinates at the executive level with other state or local agencies, provider groups, and federal agencies to maintain cooperative relationships and solve problems.
Serves as the State Medicaid and CHIP Director. Is the primary state contact for the federal Center for Medicare and Medicaid Services. Approves state plan amendments and waivers.
May act as agency Director in his or her absence.
B. Directs and Controls Division Operations
Provides direction and review of matters dealing with, general administration, contracting, operating procedures, and non-routine or sensitive program matters.
Establishes, directs and monitors implementation of division and program priorities. Ensures resources, including staffing, are available and effectively utilized to insure achievement of goals.
Negotiates and settles disputes between divisions or between the agency and the public.
Oversees health service policy matters of division and major program budgets. Directs policy reviews to verify compliance with agency and federal objectives.
Oversees legislative activity. Reviews legislation and fiscal notes, lobbies, testifies and ensures legislative requests are completed. Liaises with the legislature.
Work with the Departments Chief Innovation Officer to better align clinical and non-clinical supports to address social determinants of health, improve beneficiary outcomes
Liaise with tribal leadership to ensure transparency and coordination on efforts to improve the health outcomes of native populations.
C. Human Resource Management
Determines organizational structure for areas responsible.
Delegates authority to subordinate executive and management employees and holds them responsible for performance of their divisions.
Provides oversight, direction, consultation and assignment of duties to management and executive level employees.
Ensures subordinate compliance with state and Department human resource rules, regulations, policies, and collective bargaining agreements.
Oversees collective bargaining and labor management issues.
Physical and Environmental Demands: Typical office environment. Regular travel throughout the state, with or without advance notice, 10%. Stress and long hours are common to the position.
Minimum Qualifications (Education and Experience):
Bachelors degree in business, public, hospital, or health administration; human services; health-care services; or a directly-related field.
Five or more years of senior-level management and supervisory experience of large programs with substantial staff and budgets.
Other combinations of related education and experience may be considered on a case-by-case basis if the applicant has an unrelated bachelors degree.
Preferred: Specific experience with Medicaid, CHIP or Medicare.
Experience in a medical field such as nursing, mental health, addiction, etc. Experience in health facility administration.