Rate Setting Manager

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 seeking a Rate Setting Manager to join the Division of Rate Setting, working closely with the Director to set Medicaid rates for approximately 45 different providers, some of which are nursing homes and some private non-medical institutions (PNMIs). The Division is responsible for effective policy making, planning, regulation and evaluation for the state’s approximately $195 million annual payment structures for nursing homes and PNMIs. The Division forecasts impacts of changes in occupancy and ownership structures, interprets and promulgates regulations, and establishes Medicaid rates for nursing home and PNMIs.

The Rate Setting Manager is responsible for leading and mentoring a professional staff of five people, developing regulations, complex analyses, and creation and maintenance of data resources required to do the work of the Division.

The idea candidate has experience with a complex array of financial issues and is familiar with the preparation of financial statements; a knowledge of Medicaid rate setting for nursing homes and private non-medical institutions (PNMIs); understands and can interpret regulations; is adaptable in a dynamic and changing health reform environment; can consistently and fairly handle the pressure of appeals; and, is comfortable assembling, developing and using multi-part spreadsheets and interpreting complex data sets.

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

The Department of Vermont Health Access is committed to Diversity, Equity, and Belonging. Our values include transparency, integrity, and service. Through those values, we celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age and gender. Everyone is welcomed and supported here. Our department's Culture Committee is helping to build a more diverse and equitable workforce through recruitment efforts, reducing bias during interviewing and promoting learning opportunities on the topics of diversity, equity, inclusion and accessibility.

Wage or Salary
Starting wage is $33.60/hr which may be negotiable based on experience and qualifications.