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Job Description
The MO HealthNet Division has an opening for a Program Specialist within the Managed Care Unit located in Cole County.
Job Posting Number: 4617 8400017
Semi-monthly salary: $2,322.31
Annual salary: $55,735.47
Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO.
Why you’ll love this position: This position is within a supportive unit that develops and maintains contracts and waivers for the MO HealthNet Managed Care Program. The work is challenging and the rewards are big as we work together to support MHD’s mission to “Empower Missourians to live safe, healthy, and productive lives.” This position offers a unique opportunity to grow personally and professionally within a positive, high performing team.- Ensure compliance of all managed care marketing and member education materials.
- Assist with MO HealthNet contracts including, the managed care contract and the beneficiary support and premium collection solution and services contract.
- Assist with managed care waivers and SPAs, including the 1915(b), 1932a, 1115, and Child Insurance Program (CHIP).
- Analyze reports submitted by contracted entities to ensure compliance with contracts.
- Analyze new legislation for fiscal impact.
- Collaborate with external and internal stakeholders and other divisions within the Department of Social Services or outside agencies.
- Assist with health care policy development and compliance.
- Assist in facilitating proactive regulatory procedures in partnership with other divisional units including policy, readiness, and program reviews.
- Assist with the Premium Collection Program.
- Additional unit duties as assigned.
Minimum Qualifications:
Bachelor’s degree and 1-3 years of relevant experience. (Substitutions may be allowed.)
Preferred Qualifications:
Candidates for this position must have excellent writing and communication skills. Experience with development and compliance activities related to contracts and waivers, and Medicaid participant enrollment is preferred. They must be able to research, have knowledge of, and provide an accurate interpretation of policies, procedures, laws, rules, and regulations. Candidates must be able to work independently, as well as in a team. This unit interacts with multiple agencies including managed care staff, the program’s actuary, the Centers for Medicare & Medicaid Services, the program’s beneficiary support and solution vendor, the external quality review organization, as well as numerous MO HealthNet team members. Professionalism and the ability to build and maintain working relationships is crucial.
Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.
The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .
If you have questions about this position please contact: Courtney Sooter at courtney.sooter@dss.mo.gov . If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov .
Recruitment Area : All qualified applicants.
Application Deadline : August 13, 2025 -
ABOUT THE COMPANY
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State of Missouri
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Join a group of innovative team members focused on driving the State of Missouri forward. As public servants, our team members have the opportunity to produce work that is both lasting and important. This work serves to protect families, communities, and our natural resources.
No matter where you are in your career, whether entry level or senior level, a career with the State of Missouri will challenge you to grow both personally and professionally. Though one employer, there is no shortage of exciting opportunities as there are many career paths you may take within the State. If you are searching for a job that transforms lives, including your own, a career with the State of Missouri is the perfect fit!
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