Management System Contract Manager

Open Until Filled General Description

This position manages and oversees benefit and provider management systems for Wyoming’s statewide Medicaid program, including oversight of the vendors and systems that conduct reimbursement, expenditure management, and communication for programs that comprehensively pay over $500 million annually. This position directly manages the Benefits Management System (BMS) contract to provide vendor oversight and performance monitoring to ensure accurate, appropriate, and efficient processing of over three million claims per year for Medicaid clients and enrolled providers, and a large array of other mission‑critical functions.

Working for the State of Wyoming offers more than a paycheck. Our total compensation package includes:

• Comprehensive health, dental, and vision insurance
• Paid vacation, sick leave, FMLA, and holidays
• Retirement – Pension and 457B plans that help you build a secure future
• Flexible schedules and work‑life balance options
• Meaningful work that makes a difference for Wyoming communities

and MUCH MORE!  for detailed information, or you can watch this short video to learn about our benefit package!

Want to see the full value of your compensation beyond salary? Explore our Total Compensation Calculator: compensation calculator.wyo.gov

Human Resource Contact: wdhrecruit

• Independently directs and oversees the Benefits Management System (BMS) contract and system that processes benefit payments of over $1, ($1 billion) per biennium.
• Collaborate with business owners and policy groups throughout Medicaid and CHIP to support their business needs.
• Directs, approves, and oversees the internal system changes, requests for operation, benefit payment processing, and federal mandate requirements.
• Maintains statistical reporting standards for the Medicaid program and monitors benefit and provider‑related reporting.
• Accounting code determination and financial reporting for the benefit payment processing functions.
• Management and direction of system security for the Division of Healthcare Financing and other programs related to Medicaid payments.
• Coordination and management of the state‑wide annual IT audit and federal audits related to the systems this position oversees.
• Process invoices and other contract materials.
• Manage a system vendor budget of $8 million to $10 million annually. Manage other contracts related to operating the systems, such as additional licensing or services.

Preference will be given to candidates with:

• Bachelor’s degree or equivalent experience and training, typically in business, policy, planning, information technology, public administration, healthcare administration, or other closely related fields.
• Minimum of five years of professional work experience in business, accounting, healthcare administration, insurance, or public administration.
• Five years of experience in managing a budget, reporting, and IT project experience.
• Minimum of three years supervising programs and/or systems.
• Demonstrated ability to balance multiple demands on time and resources when assigning projects or delegating responsibilities to team members. This includes interpersonal relations, team building, consensus building, goal setting, and team motivation.
• Demonstrated ability to research and analyze complex problems and identify options and solutions; decision‑making and evaluation of results. Demonstrated skill in public speaking and oral and written communication at a variety of levels and with multiple audiences.

• Understand how the Benefit Management System (BMS) interacts and interfaces with other Medicaid, Federal, and non‑Medicaid systems.
• State government functions and procedures, including State and federal laws, policies, and procedures.
• Medicaid law and regulatory structure, including State and federal Medicaid statutes, regulations, and policies.
• Knowledge of accounting, budgeting, and data analysis.
• Concepts, principles, and practices of professional healthcare administration; challenges and trends in healthcare and service provision.
• Development, negotiation, and administration of large‑scale contracts and budget determination for federal…