Direct Payments Coordinator (HCA/MAD #10118673)

$27.37 - $41.06 Hourly

$56,931 - $85,396 Annually

This position is a Pay Band C7

Interviews are anticipated to be conducted within two weeks of closing date.

This job posting may be used to fill multiple vacancies.

The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.

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.

The Direct Payments Coordinator will:

• Assist in the development and implementation of the Health Care Authority (HCA) Medical Assistance Division (MAD) State Directed Payment (SDU) pre-prints and corresponding HCA Letters of Direction;
• Collaborate and coordinate information, timelines, and expectations with other bureaus, agencies, data intermediaries, and stakeholders for HCA/MAD state directed payment pre-prints;
• Require Project Management skills and concise communication and understanding of each HCA/MAD SDP, including the SDP payment methodologies, eCFR, and expectations under the Centers for Medicare and Medicaid Services (CMS) Final Rule and House Representative Bill One (H.R .1) Sections 71115, 71116, & 71117 for SDPs.

The Direct Payments Coordinator is responsible for:

• Developing and maintaining internal tracking and reporting tools for HCA/MAD state directed payments, TC MCO Contract updates related to SDPs, and Letters of Direction;
• Stakeholder Engagement and Advisory Services: Participate in weekly calls with the agency's external actuaries, Executive Leadership, TC MCOs, CMS (as needed), and participate and or lead SDP Workgroups;
• Program Planning, Budgeting, and Strategic Alignment: Understanding, interpreting, and implementing rules, statutes, and directives for HCA/MAD state directed payments;
• Communicating and coordinating with internal staff, external stakeholders, hospitals, nursing facilities. emergency ground ambulance services providers, and primary care providers;
• Setting up and maintaining Excel spreadsheets and Access databases;
• Developing and maintaining PowerPoint slides for program updates to stakeholders and Executive Leadership;
• Attention to detail, well-spoken, organizational expertise, accountability, and a proactive approach to managing multiple deliverables and meeting deadlines.

• Internal and external Stakeholders throughout the Health Care Authority (HCA) and Medical Assistance Division (MAD);
• Centers for Medicare and Medicaid Services (CMS), Federal Partners and State Legislature;
• Health Care Authority Office of Secretary (OOS);
• Citizens of New Mexico.

The Ideal Candidate has:

• Attention to detail experience;
• Excellent communication skills;
• Organizational expertise and accountability;
• Proactive approach to managing multiple deliverables and meeting deadlines;
• knowledge of Medicaid program and or healthcare programs;
• Ability to understand, interpret and implement rules, statutes, and directives for HCA/MAD state directed payments;
• Intermediate to advanced Excel and PowerPoint experience;
• Experience managing healthcare programs and or project management;
• Experience clearly articulating instructions when working with external and internal partners, with a focus on customer service.

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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.