Medicaid Eligibility Program Manager - WEL

The Medicaid Eligibility Program Manager at the State of Idaho is responsible for overseeing Idaho's Medicaid program, ensuring compliance with regulations, and directing policy implementation. The role requires strong leadership, communication, and strategic planning skills. While the position is based in Boise, it may allow for telework after probation and training. Benefits include a robust retirement system, paid leave, and flexible working options.
Description

DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS

Applications will be accepted through 4:59 PM MST on the posting end date.

The Medicaid Eligibility Program Manager plays a crucial leadership role in overseeing a major statewide program that supports the Department’s mission, vision, and values. This position is responsible for directing policy implementation, ensuring compliance with federal and state regulations, and guiding eligibility operations for Idaho’s Medicaid program. This position is located in downtown Boise.

The ideal candidate will be highly skilled in legislative processes, IDAPA rules, business operations, strategic planning, and change management. This role requires a proactive, collaborative, and innovative leader with exceptional communication skills, both written and verbal. The Program Manager will work closely with state and federal agencies, legislators, and stakeholders to align Idaho’s Medicaid program with federal and state policy requirements.

In addition, we are looking for an individual who possesses the following strengths to join our team.
• Autonomous and Visionary Leadership – Ability to empower teams and envision long-term growth.
• Political Savviness – Professional diplomacy and confidence in working with diverse stakeholders.
• Financial and Business Acumen – Skilled in planning, operations, finance, and strategy.
• Critical Thinking – Ability to evaluate complex scenarios and determine strategic solutions.
• Quality Assurance – Commitment to maintaining high standards in program operations.
• Adaptability and Flexibility – Comfortable in a fast-paced, evolving work environment.
• Analytical and Communication Skills – Skilled at translating complex issues into easily digestible information for stakeholders.
• Exceptional Interpersonal and Problem-Solving Abilities – Strong relationship-building skills.
• Excellent Organizational and Multi-Tasking Proficiency – Ability to prioritize competing demands effectively.

This position may be eligible for telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time.

BENEFITS:

We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit.

OTHER EXCELLENT BENEFITS
• 11 paid holidays
• Generous vacation and sick leave accrual beginning as soon as you start
• Paid parental leave
• Medical, dental, vision insurance - incredible rates!(full-time/30+ hours per week)
• PERSI Choice 401(k)
• Deferred compensation plan
• Life insurance
• Short and long-term disability insurance
• Student Loan Forgiveness
• Wellness programs
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSA)
• Wide variety of training opportunities
• Some positions offer flexible hours and/or telecommuting

EXAMPLE OF DUTIES:
• Lead and direct Medicaid program policies, ensuring alignment with federal and state regulations.
• Provide strategic oversight to guide program operations and compliance initiatives.
• Collaborate with Department leaders, agencies, and stakeholders to develop and implement legislation and IDAPA rules.
• Establish and maintain program goals, policies, and procedures that enhance program effectiveness.
• Act as a liaison between the Department and federal/state public officials.
• Oversee quality control measures to maintain program integrity and efficiency.
• Handle inquiries, complaints, and requests for technical assistance from stakeholders and the public.
• Provide organizational leadership, supervising program staff and fostering a positive workplace culture.
• Ensure effective policy communication across all levels of the organization.

MINIMUM QUALIFICATIONS:

You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below.
• Some knowledge of management practices as well as experience providing technical proficiency, problem-solving, communication, and program area training.Typically gained by at least one-year experience managing a major Program and providing leadership of professional staff. Candidates may also qualify through completing upper-division college-level management coursework along with experience in a significant Leadership role.

Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.
• Experience developing technical written materials such as policies, technical manuals, or rules/regulations and presenting policies to executive-level decision makers for discussion and approval. Typically gained by at least one year of experience developing rules and policies and presenting proposals, changes, or new designs for decision-making; OR by a Bachelor's or Master's degree in business management, public administration, or related fields.
• Experience managing and driving program performance and subsequently creating and implementing changes to improve program performance from a design and program development perspective. Typically gained by experience in management and leadership roles where you were directly responsible for program outcomes and for creating solutions for improved performance.
• Experience developing and maintaining budgets across various spending categories to support block grant fiscal management. Typically gained by at least one year of experience developing and maintaining program budget spreadsheets to ensure accurate fiscal management.

Learn About a Career with DHW
• **PLEASE NOTE: application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 4:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications.

If you have questions, please contact us at:

Email is the quickest way to get an answer to your questions.

(answered Monday through Friday during business hours MST)

EMAIL: dhwjobs@dhw.idaho.gov
PHONE: (208) 334-0681

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email ada.coordinator@dhr.idaho.gov.

Preference may be given to veterans who qualify under state and federal laws and regulations.