Director of Managed Care & Medicaid Affairs

Numotion - Dallas, TX2.8

Full-timeEstimated: $65,000 - $89,000 a year
Numotion is the leading provider of Complex Rehab Technology (CRT) in the United States. That means we’re helping thousands of people with individually configured, medically necessary mobility products and services. From manual and powered wheelchairs to disposable medical supplies that serve unique medical and functional needs, we are helping more people live more freely.

Numotion is seeking a Director of Managed Care & Medicaid Affairs to join our growing team. The Director of Managed Care & Medicaid Affairs will be responsible for the following:

Directing and coordinating payer relations team’s involvement in acquisition and integration activity.
Directing and coordinating payer relations team’s involvement in payer audits. Oversight of company relationships with Medicaid.
Mitigating rate reductions with state Medicaid programs.
Efforts to reverse or improve Medicaid policies or regulations that negatively impact Numotion’s ability to provide.
Coordination of efforts to overturn or improve Medicare rules, laws, or procedures that negatively impact Numotion’s ability to provide.
Coordination of legislative, public relations, and customer advocacy efforts as needed for state Medicaid activities.
Coordinating and participating in federal legislative activities relative to CRT coverage and reimbursement as needed.
Training and education for Directors of Payer Contracting.
Onboarding of new Directors of Payer Contracting.
Project management of IT enhancements, tracking, and new policy development to aid in gaining efficiencies for the Payer Relations team.

Essential Functions:
Identifies reimbursement/ coverage problems with Medicare and Medicaid programs and acts accordingly
Coaches and trains the Directors of Payer Contracting on Medicaid policy and regulation
Assists VP of Contracting and EVP of Payer Relations in development of strategies for Commercial Payers and Medicaid
Enlists the help of the Directors of Payer Contracting as needed to resolve Medicaid and Commercial Payer issues
Follows up on escalated Medicaid/ customer complaints which could affect Numotion’s relationship with state Medicaid
Manages ongoing business development with state Medicaid programs (implementation of CEU courses)
Works with RVP/ Area Manager of Sales to build stronger relationship with payer at the local level
Maintains relationships with Medicaid staff
Aids in the contact of legislators, clinicians and consumers to promote passage of the CRT Federal Legislation
Participates in government relations meetings, such as those with legislators, when necessary
Coordinates consumer advocacy efforts as needed
Oversees Numotion attendance at hearings and state association meetings; acts on information obtained at meetings
Evaluates rates and identifies areas of concern
Understands and identifies coverage problems regarding reimbursement and payer processes
Understands impact of Medicaid program changes on Managed Care payers
Capable of executing professional phone calls and emails to legislators and legislative staff
Identifies when CRT coverage and reimbursement issues may require legislative attention
Initiates meetings with legislators and legislative staff when necessary
Liaison for state fair hearings, and additional advocacy efforts related to assisting in obtaining equipment
Perform related duties as required.

Experience working for a CRT provider or manufacturer in a high level position; and/ or
Basic understanding of Medical Equipment billing and collection procedures and Medicare policies; and
Knowledge of HCPC codes and how they are used; and
Experience negotiating with state Medicaid programs; and
Independent thinker; and
Advanced problem solving skills; and
Excellent relationship building skills; and
Ability to work in a fast-paced environment and juggle multiple priorities; and
Able to think quickly, assess a situation and make a sound decision; and
Proficiency in electronic communication including PC, tablet, and smart phone
At Numotion, we are committed to meeting the needs of those we serve, and our employees. Working for Numotion, you will receive a competitive wage and benefits, including medical, dental and vision insurance, short or long term disability, a 401 K plan and life insurance.

Numotion is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status or disability status.

Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Required Skills

Required Experience