Job Listing
Director, Medicaid Benefits and Health Program Group
Centers for Medicare & Medicaid Services · Posted 25 days ago
Hybrid Atlanta, GA $152K – $228K Apply by Jun 30, 2026 Program Management ENTJESTJINTJISTJ Operations
Apply for this job → About the Role
This position is located in the Center for Medicaid and CHIP Services (CMCS), Office of the Center Director, Disabled & Elderly Health Programs Group, Centers for Medicare and Medicaid Services (CMS). As Director of the Medicaid Benefits and Health Program Group, you will lead national Medicaid policy and operations for benefits, coverage, pharmacy programs, the Medicaid Drug Rebate Program, and long-term services and supports, including home and community-based services.
What You'll Do
- →Develops, monitors, and evaluates regulations, policies, procedures, and other guidelines for States in the design and implementation of their Medicaid programs in key program areas and provides technical assistance to support states.
- →Develops and monitors Medicaid pharmacy policy, including the Medicaid Drug Rebate Program, classification of drugs, Federal Upper Limits, drug utilization review, prior authorization, Federal offsets/recapture, and preferred drug lists.
- →Establishes, implements, and oversight for the Medicaid program policy for the Health Homes, and Program for All Inclusive Care for the Elderly (PACE) programs.
- →Reviews, and approves, benefits/coverage and State Plan Amendments, and 1915(c) waivers.
- →Administers and monitors systems transformation grants, including Money Follows the Person.
- →Assists the States in the design and implementation of their community-based long-term care support systems.
- →Establishes policy regarding program monitoring, performance management, quality improvement, and consumer protections for programs and services administered by MBHPG.
- →Leads national Medicaid benefits and coverage policy, including behavioral health, long-term supports, home health, and clinical care.
- →Provides national leadership on the development and management of Medicaid program policy related to benefits and coverage.
- →To include mental health, substance use disorder services, long-term supports, home health, and clinical/facility care, ect.
Personality Fit
Job ID: a2f9ec89-61d7-492c-b7f1-4e9382de438f
Posted via USAJobs