Medicaid Billing Program Planning Manager

Program Planning Manager

The UNM Office for Community Health is seeking a program planning manager to support the development of a new community resource project that will support Community Health Worker (CHW) Medicaid Billing and Reimbursement among community agencies new to Medicaid Reimbursement for the work of CHWs.

This position will collaborate with OCH teams, stakeholders, state agencies, and community partners to develop toolkits, establish workflows and systems, and oversee data collection and reporting. The project will provide training and technical support to ensure successful billing, coding, and reimbursement. The goal of this project is to support community agencies in creating an internal infrastructure to bill Medicaid for CHW work and generate sustainable revenue. Qualified applicants will have demonstrated experience with Medicaid processes, billing, and infrastructure, community based organization/non-profit systems, professional oral and written communication skills, and a passion for community health.

Minimum Qualifications:

Successful completion of at least 60 college-level credit hours; at least 4 years of experience directly related to the duties and responsibilities specified. Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Preferred Qualifications:

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Skill in budget preparation and fiscal management.
• Program planning and implementation skills.
• Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Skill in organizing resources and establishing priorities.
• Strategic planning skills.
• Ability to develop, plan, and implement short- and long-range goals.
• Knowledge of Medicaid and CMS policies, procedures, and administration.
• Program management and administrative skills.
• Advanced grant writing and preparation skills.
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
• Ability to foster a cooperative work environment.
• Knowledge of Smartsheets and principals of organization.
• Excellent time management.

Campus: Health Sciences Center (HSC) - Albuquerque, NM

Department: VP for Comm Health Administration (196A)

Employment Type: Staff

Staff Type: Term - Full-Time

Term End Date: 06/30/2026

Status: Exempt

Pay: Monthly: $4,236.27 - $5,950.53

Benefits Eligible: This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs.

Background Check Required: Yes

For Best Consideration Date: 8/22/2025

Eligible for Remote Work: Yes

Eligible for Remote Work Statement: This position is eligible for a remote work agreement (RWA), to include Hybrid, In-State, and Out-of-State. For more information about Remote Work Agreements, please refer to UAP 3245, Remote Work, Section 5, Establishing a Remote Work Agreement and Section 6, Out-of-State Employee Responsibilities. All Regular employees hired for an Out-of-State RWA must agree to an employee status of Term Appointment and subject to regular renewals no longer than yearly, in accordance with UAP 3200, Employee Classification. Renewal of Term Appointments is not guaranteed; the remote work arrangement, operational, and business needs will be considered in determining whether to renew the Term Appointment.

Application Instructions:

Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job advertisement on a 3rd party site, please visit UNMJobs to submit an application. Please include a resume detailing all of your past work experience.

Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details. The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.

The University of New Mexico requires all regular staff positions successfully pass a pre-employment background check. This may include, but is not limited to, a criminal history background check, New Mexico Department of Health fingerprint screening, New Mexico Children, Youth, and Families Department fingerprint screening, verification of education credentials, and/or verification of prior employment. For more information about background checks, visit https://policy.unm.edu/university-policies/3000/3280.html.