Rural Health Transformation Office Director

State of Missouri
Jefferson City, Missouri United States  View Map
Posted: Jan 06, 2026
  • Salary: 134,160.21 per Year USD
  • Salary Top:134160
  • Full Time
  • Administration and Management
  • Public Health
  • Job Description

    The MO HealthNet Division has an opening for a Rural Health Transformation Office Director within the Mo HealthNet Division located in Jefferson City, Missouri.

    Semi-monthly salary: The current rate for this position is $5,590.01

    Individual(s) selected for this position may receive a higher rate based on a pay differential (e.g. shift, or time-of-service pay).

    Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO.

    All internal promotional applicants are encouraged to apply as there may be alternate office space available.

    The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives.

    Why you’ll love this position: The position of the Rural Health Transformation Office (RHTO) Director offers a compelling opportunity to build something from the ground up and to make a significant, lasting impact by leading systemic, innovative changes in access to care, health outcomes and provider sustainability for every rural Missourian.

    • What you’ll do:

      The Director of the Rural Health Transformation Program (RHTP) will provide executive leadership, direction, and oversight of the implementation of Missouri’s federally funded health modernization initiative designed to strengthen Missouri’s rural healthcare delivery and outcomes. This role will also establish and lead the new Rural Healthcare Transformation Office (RHTO). The RHTO will be the central team coordinating Missouri’s five-year, $500M-$1B program’s strategy, governance, project, grant, and performance management, capability building, and specialized expertise required to drive successful implementation across all RHTP initiatives. The Director will also serve as the RTHP’s lead integrator within state government and across diverse stakeholders including the Centers for Medicare and Medicaid Services (CMS), health associations and systems, community partners, workforce providers, and higher education institutions.

    • Develop and articulate RHTP’s strategic vision for a sustainable rural health model
    • Develop and lead the RHTO and a high-performing team
    • Coordinate across state agencies to integrate and align shared priorities
    • Establish RHTP’s strategic roadmap , including initiative sequencing and resource allocation
    • Ensure program alignment with Missouri’s broader health equity and access goals, partnering with peer agencies (e.g., Department of Mental Health, Department of Health and Senior Services)
    • Develop and manage governance structures to ensure consistent program implementation, performance monitoring, knowledge sharing, and adaptation
    • Oversee the portfolio of RHTP initiatives including holding Program Managers accountable for reporting, milestone delivery, and measurable impact
    • Communicate and champion the RHTP model for a sustainable rural health model across stakeholder groups
    • Coordinate and advocate for the development of policy, legislative, and budgetary proposals required to support RHTP
    • Convene and drive forums to foster transparency, accountability, and active engagement among stakeholders
    • Other duties related to RHTP


    Minimum Qualifications

    Bachelor’s Degree and six or more years of professional experience, preferably in Medicaid, social services, and/or healthcare.

    Preferred Qualifications

    • Deep knowledge of the rural healthcare landscape (e.g., Critical Access Hospital (CAH) designation, Rural Emergency Hospital models, and specific challenges related to rural workforce and reimbursement)
    • Government sector experiences including program management, policy and budget development, and engagement with elected officials and other stakeholders
    • Demonstrated experience administering or directing large-scale federal cooperative agreements (e.g., CMS innovation models, HRSA grants, ARPA funding)
    • Proven track record of leading organizational change or health system transformation efforts (e.g., involving Value-Based Care, Alternative Payment Models [APMs], or population health strategies)
    • Familiarity with health information technology standards, statewide data-sharing governance, telehealth, and/or the use of analytics to inform policy and program decisions


    The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .

    If you have questions about this position, please contact: Laura Naught at Laura.naught@dss.mo.gov. If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov .

    Recruitment Area: All qualified applicants.
  • ABOUT THE COMPANY

    • State of Missouri
    • State of Missouri

    Build the Missouri of tomorrow.

    Ensure a strong foundation today.

    Join a group of innovative team members focused on driving the State of Missouri forward. As public servants, our team members have the opportunity to produce work that is both lasting and important. This work serves to protect families, communities, and our natural resources.

     No matter where you are in your career, whether entry level or senior level, a career with the State of Missouri will challenge you to grow both personally and professionally. Though one employer, there is no shortage of exciting opportunities as there are many career paths you may take within the State. If you are searching for a job that transforms lives, including your own, a career with the State of Missouri is the perfect fit!

    Show more

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