Medical Policy Program Manager

Full Job Description

Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list.

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, is seeking a Medicaid Policy Specialist to lead initiatives focused on Pediatric and Early Periodic Screening, Diagnosis, and Treatment (EPSDT) programs.

This is an exciting opportunity to make a meaningful impact on the health and well-being of Iowa’s children and families.

What’s Required?

• Hours & Location: Monday–Friday, 8:00 AM–4:30 PM, reporting to the Lucas Building in Des Moines two (2) days per week
• Education & Licensure: Nursing degree with eligibility for Iowa licensure.
• Experience: Knowledge of Medicaid policies and processes; clinical experience in pediatric care and treatment planning.
• Skills: Strong analytical, communication, and collaboration skills; ability to present complex information clearly.
• Other Requirements: Valid driver’s license and occasional travel for stakeholder meetings and conferences.

Why Join Us?

• Work on programs that directly improve access to care for children and youth.
• Collaborate with dedicated professionals and community partners across Iowa.
• Enjoy a flexible hybrid schedule with two days per week at the beautiful Capitol Complex in Des Moines.

What You’ll Do

• Develop, review, and implement Medicaid policies for pediatric and EPSDT programs.
• Collaborate with providers, educators, and internal teams.
• Interpret federal and state regulations and recommend program improvements.
• Research best practices and monitor program performance.

Preferred Knowledge

• Applying clinical benefits in practice.
• Assessing and diagnosing medical needs for individuals under 21.
• Communicating technical information to diverse audiences.

Ready to make a difference? Apply today and help shape the future of healthcare for Iowa’s children!

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits click here.

Click here to see how we compare with other employers or offers by using our Total Compensation Calculator.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply.

Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

E-Verify and Right to Work

The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees.

Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States.

The State of Iowa also complies with the federal Right to Work laws, which protect employees’ rights to work without being required to join a labor organization.

For more information, please visitwww.e-verify.gov.

Requirements

872 Registered Nurse
Licensure as Registered Nurse in the State of Iowa by the Iowa Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact Administrator’s Agreement of the National Council of State Boards of Nursing. More information regarding the Nurse Licensure Compact Administrators agreement of the National Council of State Boards of Nursing is available at: Nurse Licensure Compact

Qualifications

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

Graduation from an accredited four-year college or university with a degree in any field, and experience equal to three years of full-time work in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations.All of the following (a and b):Three years of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; and A total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.All of the following (a, b, and c):One year of full-time work experience in project management; management analysis; data science; business systems analysis; or professional-level program administration, development, or operations; andA total of four years of education and/or full-time experience (as described in part a), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; andA total of two years of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business administration, industrial management, statistics, natural science, or a closely-related field equals one year of full-time experience.

Current, continuous experience in the state executive branch that includes six months of full-time work as a Management Analyst 2 or two and a half years as a Management Analyst 1.For additional information, please click on this link to view the job description.