Fiscal Agent Services, VP

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Vice President, Medicaid Fiscal Agent Operations to join our growing team.

Job Summary:

The Vice President of Medicaid Fiscal Agent Operations is responsible for the overall leadership and performance of Medicaid fiscal agent operations supporting state and federal healthcare programs. This role provides executive oversight of administrative, financial, technical, and operational functions delivered through internal teams and external partners. The position is accountable for operational effectiveness, regulatory compliance, financial integrity, and consistent service delivery across multiple programs and jurisdictions.

This role leads the development and execution of a standardized operating model for fiscal agent services, ensuring alignment across processes, governance, technology, and workforce structures to support scale, quality, and long-term sustainability.

***This position is remote***

Responsibilities:

• Provide executive leadership for end-to-end fiscal agent operations, including claims and encounter processing, provider enrollment and management, member eligibility and buy-in operations, prior authorization, financial operations, data and analytics, print and mail center operations, MMIS operations, and program integrity and compliance.
• Lead the centralization and standardization of fiscal agent operations across state and federal programs, including onboarding of new contracts and partner-delivered services.
• Establish and maintain operational governance, performance metrics, dashboards, and reporting to ensure SLA achievement, compliance, and effective risk management.
• Oversee vendor and partner performance, ensuring alignment with contractual requirements, service standards, and operational expectations.
• Manage operational budgets, cost models, forecasting, and contract compliance; support rebid strategies and operational solution design.
• In partnership with other senior leaders, serve as a primary operational point of contact for state and federal clients and represent operations during audits, oversight reviews, and program modernization efforts.
• Partner with internal stakeholders to support regulatory compliance, policy interpretation, continuous improvement, and operational modernization initiatives.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Required Qualifications:

• Bachelor's degree OR (The Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree is typically required, the company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidates has an Associate's degree, the company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree).
• Minimum of 15 years of progressive leadership experience in Medicaid operations, MMIS or fiscal agent environments, or federal healthcare operations.
• Demonstrated experience leading complex, multi-program or multi-state operations and standardizing delivery models.
• Strong background managing vendors, partners, and global delivery models in highly regulated environments.
• Proven ability to engage effectively with state and federal government stakeholders.

Preferred Qualifications:

• Master's degree.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.