Director of Medicaid Services

Health Services Advisory Group, Inc. (HSAG)

. Provide strategic and operational leadership for an assigned portfolio of Medicaid Services external quality review contracts, state customers, and programs .

Posted 10/14/2026full-timeRemote • United StatesLead💰 $132,000 - $162,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strategic and operational leadership in managing Medicaid Services contracts, ensuring compliance with state and federal requirements while fostering collaboration and accountability among project teams. Proficient in financial performance monitoring, risk management, and business development activities to drive organizational success.

Highest-signal resume keywords

Medicaid Services ManagementProject Planning and ImplementationLeadership and Staff DevelopmentFinancial Performance MonitoringBusiness Development Activities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare AdministrationQuality ReviewRegulatory OversightAuditingProposal DevelopmentData AnalysisContract ManagementOperational Risk MitigationPerformance ReportingBudget Management

Soft Skills

LeadershipProblem-SolvingDecision-MakingCommunicationInterpersonal Skills

Tools & Technologies

Microsoft WindowsMicrosoft OfficeMicrosoft CopilotSharePoint

Industry Keywords

Managed CareExternal Quality ReviewHealthcare QualityState Medicaid AgenciesHealthcare Programs

About the role

Key responsibilities & impact

Provide strategic and operational leadership for an assigned portfolio of Medicaid Services external quality review contracts, state customers, and programs
Ensure alignment with contract requirements and applicable state and federal requirements
Serve as senior relationship leader for state Medicaid agencies, managed care entities, subcontractors, and other stakeholders
Direct project planning, implementation, and performance monitoring across scope, staffing, schedules, budgets, and deliverables
Lead and coach project managers and assigned staff; set expectations, monitor performance, support development, and foster accountability and collaboration
Manage recruitment, selection, onboarding, training, evaluation, counseling, and corrective action for assigned staff
Ensure customer deliverables are accurate, high quality, internally reviewed and approved, and submitted on time
Use SharePoint and Copilot to streamline workflows and improve deliverable production
Monitor financial performance, staffing plans, labor utilization, budgets, and forecasts
Identify and mitigate operational, contractual, staffing, and customer risks; escalate significant concerns
Advise project leads on project design, data collection and abstraction, analysis, quality review, technical assistance, training, and report development
Advance standardized, scalable processes and continuous improvement, innovation, and knowledge sharing
Coordinate with HSAG departments and shared services to resolve cross-functional issues and support contract execution
Lead or support business development activities, including proposals, presentations, scope development, and pricing assumptions
Support division planning, resource allocation, succession planning, performance reporting, and organizational priorities
Represent HSAG in customer meetings, presentations, conferences, and external forums
Maintain confidentiality and comply with company policies, contractual obligations, and regulatory requirements

Requirements

What you’ll need

Master's degree in healthcare administration, public health, health services, business administration, or a related field, or an equivalent combination of education and relevant experience
Minimum of eight years of progressively responsible experience in Medicaid, managed care, healthcare quality, external quality review, regulatory oversight, auditing, consulting, or related field
Minimum of five years of management or supervisory experience, including responsibility for complex projects, customer relationships, budgets, and staff performance
Demonstrated experience leading multiple contracts or large, complex initiatives or projects and delivering results through other leaders and cross-functional teams
Experience with state Medicaid agencies, Medicaid managed care organizations, external quality review activities, or related state and federal healthcare programs preferred
Experience supporting proposal development and business growth activities preferred
Excellent leadership, judgment, problem-solving, decision-making, and organizational skills
Excellent oral and written communication, presentation, facilitation, negotiation, and interpersonal skills
Ability to establish credibility and effective working relationships with customers, executive leaders, staff, subcontractors, and external stakeholders
Ability to analyze complex operational, contractual, financial, and customer issues; develop practical solutions; and communicate recommendations clearly
Ability to manage competing priorities, multiple projects, and overlapping deadlines while maintaining attention to detail and quality
Proficiency with Microsoft Windows and Microsoft Office applications, including Microsoft Copilot, and ability to learn and use other business software
Ability to maintain confidentiality and consistently represent HSAG in a professional manner
Ability to travel statewide and out of state as needed

Benefits

Comp & perks

Salaried full-time exempt position
Remote work arrangement
Reasonable accommodations for individuals with disabilities
Limited travel, generally less than 5 percent