Explore a Career with the South Dakota State Government
Care Management Program Manager
Sioux Falls, SD
PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE
Job ID: 32946
Agency: Department of Social Services, Division of Medical Services
Location:Sioux Falls or Pierre, SDSalary: $58,129.92 - 68,000.00 annually, depending on qualifications
Pay Grade: J
Closing Date: 09/28/25
This is a Full-Time position with the Department of Social Services. For more information on the Department of Social Services, please visit https://dss.sd.gov/ .
South Dakota Medicaid is seeking a highly motivated individual to serve as a leader in our Care Management Program as DSS strives to add value to SD Medicaid and evaluates enhancements need to our current PCP and Health Home programs.
Licenses and Certifications:
Prefer a Bachelors degree in health care administration, business, health information management, public health, or a similar degree
or
2 or more years of experience in a related field.
The Ideal Candidate Will Have:
Knowledge, Skills, and Abilities:
Additional Requirements: To be considered, please attach your resume.
This position is eligible for Veterans' Preference per ARSD 55:10:02:08.
The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.
The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here . This position is a member of Class A retirement under SDRS.
Must apply online: https://gen-stateofsouthdako-trn.inforcloudsuite.com/hcm/xmlhttp/shorturl.do?key=2FN
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
"An Equal Opportunity Employer"
#LI-Onsite
Job ID: 32946
Agency: Department of Social Services, Division of Medical Services
Location:Sioux Falls or Pierre, SDSalary: $58,129.92 - 68,000.00 annually, depending on qualifications
Pay Grade: J
Closing Date: 09/28/25
This is a Full-Time position with the Department of Social Services. For more information on the Department of Social Services, please visit https://dss.sd.gov/ .
South Dakota Medicaid is seeking a highly motivated individual to serve as a leader in our Care Management Program as DSS strives to add value to SD Medicaid and evaluates enhancements need to our current PCP and Health Home programs.
- Execute routine scheduled processes required of the Care Management programs (PCP, Health Home, & Baby Ready) as needed.
- Assist with initiatives related to existing Health Home Program including but not limited to satisfying program reporting requirements; assisting in developing and conducting training opportunities for Health Home Care Coordinators; creating and implementing quality improvement projects.
- Regularly communicate with vendors, stakeholders, and interested parties to ensure quality assurance, data metrics and reporting, and various external obligations are satisfied as required.
- Assist in creating and/or editing contracts with multiple vendors regarding various aspects of the Care Management programs, including, but not limited to Dual Special Needs Plans; quality review audits; performance outcome measure metrics; and data processing.
- Research and design enhancements to the state's PCCM program to provide effective care management, including evaluating and recommending changes to the State plan as it relates to enhancing our current PCP program; data and population health analysis of current Medicaid recipients and Expansion recipients; conduct a cost benefit analysis; create and project the impact to the South Dakota Medicaid budget; researching best practices in care management and program design and evaluating application to South Dakota; making recommendations to DSS leadership regarding program design and enhancements for the PCCM program; designing a quality program for PCCM program, evaluate and recommend IT and vendor procurement.
- Lead the process to implement enhancements to the PCCM program including but not limited to forming and leading a stakeholder group; creating an application process; conducting outreach regarding the program details; recruiting and educating providers and clinics; designing the attribution process for recipients; defining and leading quality initiatives; working with the IT and Data team to make any necessary enhancements; provide technical assistance and training to DSS staff.
Licenses and Certifications:
Prefer a Bachelors degree in health care administration, business, health information management, public health, or a similar degree
or
2 or more years of experience in a related field.
The Ideal Candidate Will Have:
- motivation and passion for serving the public and displays a high level of effort and commitment toward completing assignments and goals;
- experience successfully planning and organizing large scale projects;
- demonstrated success in establishing effective and collaborative working relationships with a broad variety of internal and external stakeholders and across multiple DSS programs;
- successful project management experience
- strong interpersonal skills and ability to actively listen and assist project teams to solve problems, manage resources, and successfully implement and manage various information technology solutions;
- dedication and a desire to represent the Department of Social Services with integrity and enthusiasm.
Knowledge, Skills, and Abilities:
- analyze and evaluate program plans, and make recommendations for program operation improvement and cost effectiveness of the Care Management programs;
- understanding of or ability to learn Department data and program interface applications (MMIS, Portal applications, BEES, etc...);
- provide leadership, guidance, and direction and establish and maintain effective working relationships with federal, state, local, and other departmental officials, and public and private agencies;
- plan, direct, and develop initiatives and recommendations for program and budgetary modifications for new state initiatives;
- communicate information clearly and concisely;
- experience with various project management;
- ability to work with complex systems, environments, and understand business needs;
- strong problem solving skills and ability to move in fast paced environment;
- skilled user of Microsoft Office suite;
- demonstrated success exercising sound judgment;
- experience in successfully leading large and smaller teams with a variety of knowledge, skills, and abilities.
Additional Requirements: To be considered, please attach your resume.
This position is eligible for Veterans' Preference per ARSD 55:10:02:08.
The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.
The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here . This position is a member of Class A retirement under SDRS.
Must apply online: https://gen-stateofsouthdako-trn.inforcloudsuite.com/hcm/xmlhttp/shorturl.do?key=2FN
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
"An Equal Opportunity Employer"
#LI-Onsite