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The Contract Manager will develop and maintain business relationships with the State agencies, working under the guidance of the Executive Director to achieve key objectives. This role is central to creating and executing strategies tailored to maintaining and expanding client-specific business. The ideal candidate will have five or more years of account management experience in a managed healthcare setting, preferably within Medicaid and Medicare Advantage, with a focus on dental services. This is a fully remote position that requires this person to reside in the State of the contract.

The Government Account Management Department is dedicated to overseeing and nurturing relationships with Managed Care Organizations (MCOs) and State contracts. This department plays a pivotal role in ensuring the successful execution and management of government-related healthcare programs, with a focus on Medicaid, Medicare Advantage, and other state-funded initiatives.

Our team is responsible for managing day-to-day interactions with MCOs and state agencies, ensuring compliance with contractual obligations, and driving strategic initiatives that align with both client and organizational goals. By closely collaborating with internal departments and external partners, we work to deliver exceptional service, support program implementation, and ensure that our solutions meet the evolving needs of the populations we serve.

The Government Account Management Department is committed to maintaining strong, transparent, and effective partnerships that support the mission of providing high-quality healthcare services through government-sponsored programs.

• Build and maintain collaborative relationships with key stakeholders, including the Executive Director, State Dental Director, and Network Director, to support the successful management of the Medicaid State Dental program.
• Serve as the primary point of contact for state agencies and ensure timely and effective responses to all contractual and program-related inquiries.
• Oversee contract compliance by regularly reviewing agreements and ensuring all deliverables align with state regulations and program requirements.
• Lead client and stakeholder meetings to discuss program performance, contract updates, and evolving state guidelines.
• Collaborate with internal teams to develop presentations and materials for state meetings, ensuring alignment with Medicaid and state dental requirements.
• Conduct regular in-person and virtual meetings with state officials to provide updates on program performance and adapt to shifting market or regulatory dynamics.
• Work closely with the Network Director to develop strategies that address provider network adequacy, compliance, and any contractual obligations related to access to care.
• Coordinate with internal departments to improve program quality, including HEDIS, Stars, or other Medicaid-specific metrics, and adjust costs as needed.
• Facilitate internal meetings to discuss contract status, program deliverables, and strategic initiatives.
• Review and monitor monthly program financials, reporting key insights, trends, and any areas of concern to the Executive Director.
• Manage contract amendments and revisions, ensuring alignment with Medicaid guidelines and the specific needs of the State Dental program.
• Partner with the Implementation team to ensure the seamless execution of new policies, benefit changes, and any program expansions.
• Maintain ongoing communication with state Medicaid officials to ensure high levels of satisfaction and timely delivery of program expectations.
• Provide regular reports to the Executive Director and leadership team, tracking contract performance and key account activities.
• Identify and analyze trends or changes in the Medicaid dental landscape and communicate potential impacts to the leadership team.
• Develop an annual strategic plan for the Medicaid State Dental program and collaborate with the State Dental Director to continuously assess and adjust the plan throughout the year.
• Collaborate with Business Development and other internal teams on any opportunities to expand services or programs within the Medicaid contract.
• Take on additional responsibilities and special projects as needed or directed by the Executive Director.

Functional Competencies:

Administrative and Operational Support

• Demonstrates proficiency in providing high-l