Director of Member & Provider Services

State of Vermont - Department of Vermont Health Access
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Location: Washington County,
About the Job

The Department of Vermont Health Access (DVHA) is recruiting for a key leadership position within the department. The Director of Member and Provider Services manages a team of twenty-one professionals with a variety of responsibilities including Medicaid provider and member relations, coordination of benefits, and oversight of the non-emergency transportation program. The Director is responsible for managing and maintaining all activities necessary to develop and sustain DVHA’s relationships with the provider community, enrolled members, and key vendors like Gainwell (claims processor) and Maximus (member call center). This position helps to provide guidance and support to the Commissioner’s office regarding specific member and provider issues that have been brought to the Governor’s office, legislators, or other state agencies and departments. This position is often called upon to resolve complex and time-sensitive issues that require immediate action to ensure Vermonters get the care they need in critical moments. This position requires excellent leadership and communication skills to work as part of cross-disciplinary teams.

The Department of Vermont Health Access (DVHA)’s mission is to improve Vermonters’ health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.

The Department of Vermont Health Access (DVHA) supports a hybrid work environment. Upon hire, employees work with their supervisor to create a schedule that aligns with the business needs of the unit. We believe a hybrid work environment promotes autonomy and allows for increased flexibility and greater work/life balance.

Employer's Approach to Diversity, Equity, & Belonging

As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues’ and future colleagues' different abilities, racial identities, sexual orientations, ethnicity, age, and gender. Everyone is welcome and supported here.

Wage or Salary
Starting wage is $39.07/hr which may be negotiable based on experience and qualifications.