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Eligibility Policy Manager
Eligibility Policy ManagerDHRM • Richmond, Virginia, USA
Eligibility Policy Manager

Eligibility Policy Manager

DHRM • Richmond, Virginia, USA
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Title : Eligibility Policy Manager

State Role Title : Policy And Planning Manager II

Hiring Range : $120000 - $130512

Pay Band : 6

Agency : Dept of Med Assistance Svcs

Location : Dept of Medical Asst Services

Agency Website :

Recruitment Type : General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Policy Manager. The selected competitive candidate will provide exceptional delivery of services to the Eligibility Policy and Outreach Division.

Job responsibilities will include but are not limited to :

Serve as expert consultant to the Governor the Secretary of Health and Human Resources the Department Director and Management Team on Medicaid and FAMIS eligibility policy.

Ensure that policymakers have full analysis and knowledge of policy options available under Medicaid and other federal programs related to beneficiary entitlements benefit limitations methods of service delivery and financing.

Provide management oversight and strategic direction to the Eligibility Policy Unit.

The business needs for this position have in office requirements to include but are not limited to attending and presenting at Virginia General Assembly meetings.

Located in beautiful Central Virginia the Richmond area puts you just 2 hours from the Blue Ridge Mountains Virginia Beach and Washington DC. To learn more about the Richmond VA area visit :

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service collaboration trust problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are Become who you want to be That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications :

Considerable knowledge of Title XIX and Title XXI eligibility requirements and state level program operations.

Extensive experience in social service and health programs at both the local and state level.

Considerable knowledge of national and state health and social welfare issues.

Experience implementing Medicaid / FAMIS eligibility policy initiative to include the development of training guidance and system modifications.

Extensive experience of systems / programs / computer software to include Microsoft Suites.

Experience interpreting and applying complex federal and state law and regulations.

Experience assuming broad responsibility for complex projects with a minimum of supervision meeting deadlines and managing multiple priorities / initiatives.

Considerable experience collaborating with internal and external stakeholders on large projects.

Experience with project management and planning.

Experience in completing extremely complex and comprehensive program development.

Considerable experience with Virginias Medicaid / FAMIS eligibility and enrollment systems.

Considerable experience supervising staff.

Additional Considerations

Competitive candidates should meet these additional considerations :

Experience with Medicaid administration and legislative analysis.

Special Instructions

You will be provided a confirmation of receipt when your application and / or résumé is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the EVerify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures to include the Commonwealths Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and / or business need. The agency reserves the right to modify or terminate a telework arrangement provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check Education Checks if applicable Work History Verification with references.

This position requires the submission of a Statement of Economic Interest (financial disclosure).

If you wish to apply for a job with the Department of Medical Assistance Services an application and / or resume for employment must be submitted electronically through this website. Mailed faxed emailed or hand-delivered applications / resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and / or resume submitted before the closing date.

Applications and / or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability in the recruitment selection and hiring of its workforce.

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealths Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter use this link : or call DARS at or DBVI at

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and / or National Guard in support of executive order 29 (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name : DMAS Talent Acquisition

Phone : Email :

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS / DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .

Note : Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.

Required Experience :

Manager

Key Skills

Legal Drafting,Communication skills,Computer Operation,Business Management,Pricing,Research Experience,Information Security,Project Management,Administrative Experience,Public Speaking,Data Analysis Skills,Writing Skills

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 120000 - 130512

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