Associate Director Of Medicaid And Medicare Policy Coordination

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Associate Director of Medicaid and Medicare Policy Coordination (Office of Medicaid Innovation)

Duties: Responsible for directing policy analysis and compliance requirements for the Office of Medicaid Innovation (OMI). Coordinating the policy, administrative and research needs of the Department of Healthcare and Family Services (HFS) and staying on top of changes in federal and state Medicaid and Medicare policy, legislation and rulemaking; assisting HFS in responding to federal rulemaking and advising on state rulemaking and legislation as needed; and acting as a central resource for advising University of Illinois staff regarding the federal policy and legal requirements applicable to Medicaid and Medicare. Maintain an expertise around Medicaid and Medicare policy, especially as it pertains to coordination of the two programs and changing federal rulemaking environment. Work closely with the Department of Healthcare and Family Services Director and Medicaid Administrator to identify needs and coordinate those needs with the OMI Program. Assist the OMI and the Department of Healthcare and Family Services in developing, writing and/or negotiating technical documents such as state plan amendments, waivers, memorandums of understanding, requests for procurements, contracts, legislation, and administrative rules. Advise on the best practices in the Medicaid and Medicare healthcare field as it relates to implementing federal or state mandates relating to consent decrees, court orders, and federal and/or state law. Consult on the latest developments in efficiently and cost effectively implementing Medicaid and Medicare initiatives such as managed care, other payment and delivery system reforms, and population health and health equity. Provide counsel as needed on provider relations especially in the managed care and litigation context of the Illinois Medicaid program. Maintain knowledge in the compliance best practices and requirements of the Medicaid and Medicare programs with a focus on the Medicare-Medicaid dual eligible population, the Medicare- Medicaid Alignment Initiative, and Medicaid managed care. Research and develop recommendations on a variety of healthcare policy and compliance issues as the needs of the OMI and the Department of Healthcare and Family Services dictate.

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