Direct Payments Coordinator

$26.57 - $39.86 Hourly

$55,273 - $82,909 Annually

This position is a Pay Band C7

Posting Details

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


This job posting may be used to fill multiple vacancies.


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.

Why does the job exist?

The Direct Payments Coordinator will:

• Assist in the development and implementation of the Health Care Authority (HCA) and Medical Assistance Division (MAD) State Directed Payment (SDP) 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;
• Utilize 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 & Medicaid Services (CMS) Final Rule and H.R .1 Sections 71115, 71116, & 71117 for SDPs.

How does it get done?

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;
• Participating in weekly calls with the agency's external actuaries, Executive Leadership, TC MCOs, CMS (as needed), and participating and or leading 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.

Who are the customers?

• Internal and External Stakeholders throughout Healthcare Authority (HCA), Medical Assistance Division (MAD), Centers for Medicare & Medicaid Services (CMS), Federal Partners, State Legislature, Office of Secretary and all New Mexicans.

Ideal Candidate

The Ideal Candidate has:

• Experience providing attention to detail, well-spoken, organizational expertise, accountability and a proactive approach to managing multiple deliverables and meeting deadlines;
• One to Two (1-2) years knowledge of Medicaid program and or healthcare programs;
• Experience understanding, interpreting and implementing rules, statutes, and directives for HCA/ MAD state directed payments;
• Intermediate to advanced use of Excel and PowerPoint;
• Zero to Two (0-2) years of experience managing healthcare programs and or project management experience;
• Experience articulating clear instructions when working with external and internal partners, with a focus on customer service.

Minimum Qualification

Associate degree in Business Administration, Healthcare Administration, Statistics, Finance, or a related field and two (2) years of experience with a public assistance program, medical, healthcare, educational, or state facility working with policies and procedures, conducting analysis/research, providing or requesting information from the general public, working with communities, working on health or social service related matters, social work/case management, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience.


Employment Requirements

Must possess and maintain a valid driver's license.


Must obtain a Defensive driving certification.


Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage with extended periods of sitting.


Supplemental Information

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Agency Contact Information: Jolene Jaffa, View phone number on click.appcast.io. Email


For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.