Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Medicaid Program Coordination Manager will:
Oversee integration of the YESNMConnect.gov closed loop referral system in support of new Medicaid work and community engagement requirements;
Coordinate partnerships between Medicaid, workforce agencies, volunteer organizations, education and training providers, and community-based organizations to help members connect with employment, volunteer, and support services needed to meet federal reporting requirements;
Ensure referral pathways, data tracking, reporting processes, and member communications are implemented effectively within the closed loop system to improve compliance, reduce administrative barriers, and support continued Medicaid eligibility for qualified New Mexicans.
How does it get done?
The Medicaid Program Coordination Manager is responsible for:
Ensuring successful integration of YESNMConnect.gov with external partners, establishing referral workflows and reporting processes, monitoring member referral activity, service connections, and outcomes to support compliance with federal requirements;
Developing and maintaining operational procedures, business processes, and system requirements, identifying barriers that prevent members from completing work or volunteer requirements and coordinating solutions with community partners and support service providers;
Ensuring accurate data collection, tracking, documentation, and reporting outcomes;
Collaborating with internal teams to support system enhancements and process improvements, providing technical assistance, training, and guidance, supporting member communication and outreach efforts;
Preparing reports, presentations, and status updates for stakeholders, and managing vendor contacts.
Who are the customers?
Internal and external stakeholders in the Health Care Authority (HCA), Medical Assistance Division (MAD), Centers for Medicare and Medicaid Services (CMS), federal government, state legislature, communities and the general public.
Ideal Candidate
Internal and external stakeholders in the Health Care Authority (HCA), Medical Assistance Division (MAD), Centers for Medicare and Medicaid Services (CMS), federal government, state legislature, communities and the general public.
Minimum Qualification
Bachelor's Degree in a relevant field of study from an accredited college or university and six (6) years of professional level experience with a tactical impact directly related to the purpose of the position defined by the agency at the time of recruitment. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling ten (10) years may substitute for the required education and experience
Employment Requirements
Must possess and maintain a valid driver's license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage with extended periods of sitting. Some standing, bending and reaching may be required.
Supplemental Information
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Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is not covered by a collective bargaining agreement.
