State of New Mexico
$26.57 - $39.86 Hourly
$55,273 - $82,909 Annually
This position is a Pay Band C7
Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system. Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services. Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce. Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives. Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information. Build the best team in state government by supporting employees' continuous growth and wellness. Why does the job exist?
The Senior Healthcare Program Coordinator will:
Ensure Medicaid quality and compliance oversight with responsibilities that include:
Compiling, analyzing and trending data and reports Developing audit tools; compile and write analysis of audit findings
Actively participating in the monitoring, reviewing and management of performance measures and outcomes, as well as track and analyze data to identity trends and patterns both case specific and systemic; Implementing and monitoring corrective action as needed; Managing contracts requiring technical writing and research ensuring adherence to State and Federal Regulations. How does it get done?
The Senior Healthcare Program Coordinator is responsible for:
Reviewing and studying statutes, regulations, and policies to assure compliance with State and Federal Regulations; Conducting reviews of quality assurance activities that align with the State's Medicaid Program; Analyzing data to evaluate access, timeliness and quality of healthcare services provided to Medicaid Beneficiaries; Monitoring and oversight of Managed Care Organizations (MCO) to ensure improved healthcare outcomes; Utilizing research results to write reports, reviews and present findings to internal and external stakeholders and present at conferences; Managing external quality review and evaluating contracts; Collaborating with State agencies and stakeholders on the quality of care received by the State's Medicaid Beneficiaries; Compiling and tracking trends and analyzes data and reports on access to care; Data Validation and Quality Control Review; Working collaboratively with staff in the division to analyze implications of identified trends; Developing written analysis of findings; Preparation, development, and delivery of assigned reports; Assisting in preparing needed documents and material for multiple meetings and trainings; Assisting in ensuring MCO compliance with contract and policy requirements; Strong analytical and communication skills to stakeholders and the agency. Who are the customers?
edicaid recipients, providers and other government and regulatory agencies and stakeholders. Ideal Candidate
The Ideal Candidate has:
Exceptional time management and organizational skills including strong attention to detail and accuracy; Experience analyzing, interpreting and reporting data applying findings in an accurate manner; Experience developing, reviewing, and communicating technical comprehensive findings to both internal and external stakeholders; Ability to develop and conduct presentations; Experience in contract management and oversight; Proficient with Microsoft applications with ability to learn new systems quickly; Ability to develop, review, and communicate technical comprehensive findings; Experience in data analysis is highly preferred; Strong sense of urgency and ability to shift tasks quickly in order to fulfill changing priorities for the agency.
Minimum Qualification
Associate degree in Business Administration, Healthcare Administration, Statistics, Finance, or a related field and two (2) years of experience with a public assistance program, medical, healthcare, educational, or state facility working with policies and procedures, conducting analysis/research, providing or requesting information from the general public, working with communities, working on health or social service related matters, social work/case management, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain valid drivers license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
$55,273 - $82,909 Annually
This position is a Pay Band C7
Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system. Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services. Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce. Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives. Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information. Build the best team in state government by supporting employees' continuous growth and wellness. Why does the job exist?
The Senior Healthcare Program Coordinator will:
Ensure Medicaid quality and compliance oversight with responsibilities that include:
Compiling, analyzing and trending data and reports Developing audit tools; compile and write analysis of audit findings
Actively participating in the monitoring, reviewing and management of performance measures and outcomes, as well as track and analyze data to identity trends and patterns both case specific and systemic; Implementing and monitoring corrective action as needed; Managing contracts requiring technical writing and research ensuring adherence to State and Federal Regulations. How does it get done?
The Senior Healthcare Program Coordinator is responsible for:
Reviewing and studying statutes, regulations, and policies to assure compliance with State and Federal Regulations; Conducting reviews of quality assurance activities that align with the State's Medicaid Program; Analyzing data to evaluate access, timeliness and quality of healthcare services provided to Medicaid Beneficiaries; Monitoring and oversight of Managed Care Organizations (MCO) to ensure improved healthcare outcomes; Utilizing research results to write reports, reviews and present findings to internal and external stakeholders and present at conferences; Managing external quality review and evaluating contracts; Collaborating with State agencies and stakeholders on the quality of care received by the State's Medicaid Beneficiaries; Compiling and tracking trends and analyzes data and reports on access to care; Data Validation and Quality Control Review; Working collaboratively with staff in the division to analyze implications of identified trends; Developing written analysis of findings; Preparation, development, and delivery of assigned reports; Assisting in preparing needed documents and material for multiple meetings and trainings; Assisting in ensuring MCO compliance with contract and policy requirements; Strong analytical and communication skills to stakeholders and the agency. Who are the customers?
edicaid recipients, providers and other government and regulatory agencies and stakeholders. Ideal Candidate
The Ideal Candidate has:
Exceptional time management and organizational skills including strong attention to detail and accuracy; Experience analyzing, interpreting and reporting data applying findings in an accurate manner; Experience developing, reviewing, and communicating technical comprehensive findings to both internal and external stakeholders; Ability to develop and conduct presentations; Experience in contract management and oversight; Proficient with Microsoft applications with ability to learn new systems quickly; Ability to develop, review, and communicate technical comprehensive findings; Experience in data analysis is highly preferred; Strong sense of urgency and ability to shift tasks quickly in order to fulfill changing priorities for the agency.
Minimum Qualification
Associate degree in Business Administration, Healthcare Administration, Statistics, Finance, or a related field and two (2) years of experience with a public assistance program, medical, healthcare, educational, or state facility working with policies and procedures, conducting analysis/research, providing or requesting information from the general public, working with communities, working on health or social service related matters, social work/case management, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain valid drivers license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.