Provider Enrollment Contract Manager/Rate & Actuary Contract Manager 2026-01179

Open Until Filled

GENERAL DESCRIPTION

This position manages and oversees provider enrollment for Wyoming's statewide Medicaid program that comprehensively pays over $500 million annually to ~30,000 providers. This position will oversee all work for Management of Rate Analysis and Reimbursement contractors and Rate Setting and Audit contractors, to include oversight of RFP and preparation of business plan and procurement processes. This position will also supervise the position of HSHP10, Health Program Supervisor- Supplemental Payment Program Manager. Working for the State of Wyoming offers more than a paycheck.

Our total compensation package includes:

Comprehensive health, dental, and vision insurance Paid vacation, sick leave, FMLA, and holidays Retirement - Pension and 457B plans that help you build a secure future Meaningful work that makes a difference for Wyoming communities and

MUCH MORE!

Click here for detailed information , or you can watch this short video to learn about our benefit package! Want to see the full value of your compensation beyond salary? ?? Explore our

Total Compensation Calculator:

https://compensationcalculator.wyo.gov

Human Resource Contact:

wdhrecruit@wyo.gov

ESSENTIAL FUNCTIONS

The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level. Oversees the contract for the provider enrollment vendor to assure that it complies with State and Federal regulations for enhanced Federal Financial Participation. Oversees medical rate analysis and reimbursement assistance service contracts for facilities and providers, and contract for certified public accountants for nursing facilities. Plans, implements, and evaluates program goals and objectives for Department performance reports and strategic plans. Supervises the position of Supplemental Payment Program Manager.

PREFERENCES

Bachelor's degree or equivalent experience and training, typically in business, policy, planning, information technology, public administration, healthcare administration, or other closely related fields. Minimum of five years of professional work experience in business, accounting, healthcare administration, insurance, or public administration. Five years' experience in managing a budget, reporting, and IT project experience. Demonstrated ability to balance multiple demands on time and resources when assigning projects or delegating responsibilities. This includes interpersonal relations, team building, consensus building, goal setting, performance evaluation, and individual motivation. Demonstrated ability to research and analyze complex problems as well as identification of options and solutions; decision making and evaluation of results. Demonstrated skill in public speaking, and oral and written communication at a variety of levels and with multiple audiences.

KNOWLEDGE

State government functions and procedures including State and Federal laws, policies, and procedures. Medicaid law and regulatory structure including State and Federal Medicaid statutes, regulations, and policies. Knowledge of accounting, budgeting and data analysis. Contract procurement, negotiation, and administration. Concepts, principles, and practices of professional healthcare administration. Legal requirements and procedures relating to rule promulgation. Administrative fair hearing process; citation and interpretation of complex legislation.

MINIMUM QUALIFICATIONS

Education:

Bachelor's Degree (typically in Healthcare)

Experience:

1-3 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a

Health Program Supervisor OR Education & Experience Substitution:

4-7 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a

Health Program Supervisor Certificates, Licenses, Registrations:

None

PHYSICAL WORKING CONDITIONS

The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.

NOTES:

FLSA:

Exempt The Wyoming Department of Health is an E-Verify employer. Click here to view the State of Wyoming Total Compensation Calculator. Click here to view the State of Wyoming Classification and Pay Structure.

URL:

http://agency.governmentjobs.com/wyoming/default.cfm The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities. Class Specifications are subject to change, please refer to the

A & I HRD

Website to ensure that you have the most recent version.