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Medicaid Operations Administrator

State of Vermont • Waterbury, VT, US • published 2026-11-10 00:59:02.481593

Description

**Overview** ------------ Direct and coordinate annual rate updates and/or major policy changes to existing or new payment methodologies for programs administered under the Department of Vermont Health Access (DVHA). DVHA's Reimbursement Unit is seeking a Medicaid Operations Administrator who will have a diverse workload that affects the lives of everyday Vermonters. Have the work/life balance you need with a Monday\-Friday schedule and a supportive hybrid work environment. Twelve paid state holidays, in addition to a robust benefits package. The Medicaid Operations Administrator has the following responsibilities: * Direct annual fee schedule updates for a variety of Medicaid fee schedules and other methodologies, including but not limited to: o Inpatient Prospective Payment System (IPPS). o Outpatient Prospective Payment System (OPPS). o Medicaid Professional fee schedule. o Clinical Laboratory fee schedule. o Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule. o Dental fee schedule. o Various methodologies supporting Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) reimbursement. * Conduct rate/fee schedule update activiti...

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