Director, Contract Compliance MHT

Job Description

Job Description

Position Summary :

The MHT Director, Contract Compliance and Administration, is responsible for the overall delivery of the WV Medicaid / WVCHIP Mountain Health Trust managed care contract with the WV Bureau for Medical Services (BMS). The Director is responsible for meeting as needed with BMS, legislators, other government bodies, community partners and other stakeholders, as necessary. The Director must maintain a positive client relationship, provide timely and informed responses to operational and administrative inquiries, and ensure compliance with all MHT contractual deliverables, including but not limited to, standard reporting requirements.

Qualifications Required :

• Bachelor's degree or higher;
• Prior experience with health insurance and contract oversight;
• Prior experience working with the public, specifically low-income individuals;
• Must be able to evaluate and analyze regulations;
• Must be able to interpret regulations and make policy recommendations to ensure compliance;
• Knowledge in Microsoft Office programs;
• Must be able to work on multiple projects concurrently;
• Must have excellent organizational and leadership skills, works independently and has the ability to interact well with others;
• Valid driver's license;
• Must be based in West Virginia, preferably Charleston.

Qualifications Desired :

Essential Functions and Responsibilities :

8 : 00am-5 : 00pm

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