Director, Medicaid Finance
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Employment Benefits
Comprehensive medical, mental, dental, vision, and additional coverage
Sick & Vacation leave
Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
Paid State Holidays (designated by the Governor annually)
Fitness Centers in select locations
Employee discounts with the STAR Program
Retirement and deferred compensation programs
Visit the Employee Benefits page for more information…
Position Summary & Responsibilities
Position Summary: The Director, Medicaid Finance, position (K0221730) of Kansas Medicaid serves as the senior executive responsible for the financial integrity, sustainability, and strategic fiscal direction of the Medicaid program. The Director oversees a multi-billion-dollar budget, ensures compliance with federal and state reporting requirements, manages provider and vendor payments, oversees vendors, identifies financial risks, and informs major policy and program decisions with rigorous analysis. The Director, Medicaid Finance, will directly oversee four managers, a team of approximately 15-20 staff across budget, payments, and fiscal reporting functions – and work with a range of external contractors. This position will be working closely on a daily basis with the State Medicaid Director and the Deputy Secretary, Fiscal Services.
Job Responsibilities may include but are not limited to the following:
Team Leadership & Capacity Building
• Direct and support a finance team responsible for budgeting, payments, and reporting.
• Document and institutionalize internal processes to increase accuracy, efficiency, and documentation.
• Assess current team capacity, address skill gaps, and foster a culture of accountability, learning, and excellence
Budget Development & Financial Analysis
• Oversee development of the Medicaid agency budget, including narrative justifications, caseload projections, rate assumptions and development, and scenario modeling.
• Collaborate with Medicaid program leaders during budget formulation and review processes, as well as working with the State Budget Office, Legislature, Governor’s Office, and other Kansas state agencies.
• Provide regular updates on expenditure trends, funding gaps, and alignment with agency strategic priorities.
• Provide financial perspective to inform Medicaid program design, policy decisions, and cost-effective strategies.
• Develop and leverage analytic tools to guide decision-making in collaboration with program teams.
• Oversee MCO performance on financial parts of MCO contract, including medical loss ratio (MLR), provider reimbursement standards, etc.
• Proactively identify budgetary risks and propose responsive solutions to leadership
Payment Management & Fiscal Operations
• Oversee payments to providers, managed care organizations (MCOs), contractors, and vendors—ensuring timeliness, accuracy, and compliance with fiscal controls.
• Supervise the fiscal agent and third-party administrators handling claims processing or provider reimbursement.
• Monitor Medicaid administrative and vendor payment streams annually, ensuring sufficient cash flow and fund allocations.
Compliance & Reporting
• Ensure timely and accurate submission of federally required reports, including CMS-37, CMS-64, cost allocation plans, waiver expenditure reports, and corrective action follow-ups.
• Coordinate with the CMS Regional Office and federal and state auditors on financial reviews, guidance interpretation, and compliance improvement efforts.
• Ensure robust documentation and oversight to reduce the risk of audit findings, disallowances, and CMS corrective action plans
Qualifications
Education : High School, GED
Licensing & Certification:
Minimum Qualifications: 4 years direct experience in Business, Finance, Health Care Management or related and 4 years of experience in planning, organizing and directing the work of a department, program or agency.
Preferred Qualifications: Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.8 years direct experience in Public or Business Administration, Finance or relatedKnowledge of Medicaid financing stream. Experience with interpretation of regulations.Experience with budget development, fiscal analysis, and projection.Senior management experience in finance or health care fields. Experience analyzing data and presenting in clear and concise reportsWord, Excel, PowerPoint, AccessProofreading, editing, attention to detailAdvanced problem solving and analytical skillsCommunication skillsIndependent judgmentFamiliarity with audit processesAbility to assess compliance risks
Post-Offer, Pre-employment Requirements: Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions
- Location:
- Shawnee
- Job Type:
- FullTime