Mid Level Direct Care Counselor Jobs
Mid level direct care counselor jobs go to professionals ready to own caseloads independently, mentor newer staff, and guide client care plans with limited day-to-day supervision. Most openings are on-site positions across Banking & Financial Services, Insurance, and Staffing & Recruiting, with employers like Comcast, Northwest Bank, and CrossCountry Mortgage hiring at this level now.
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Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
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 Senior Direct Payments Analyst will:
Provide a high level of understanding of the managed care contracts, amendments, letters of direction, state and federal rules and regulations related to Medicaid.
How does it get done?
The Senior Direct Payments Analyst is responsible for:
Reviewing Managed Care Organization (MCO) financial reports and determining financial contract compliance;
Coordinating activities with the audit agent for UPL demonstration for Centers for Medicare and Medicaid Services (CMS);
Assisting with mail merge to communicate payment to providers letters and distribution of letters;
Assisting with creation of invoices for payment to MCOs, assigned one (1) MCO;
Assisting with the DMZ upload and download of financial reports and other documentation as needed;
Tracking quarterly and annual financial reports received, cost to charge ratio logging, monthly end report, filing contracted account auditors monthly and quarterly reports;
Who are the customers?
Health Care Authority (HCA);
Medical Assistance Division (MAD) staff;
Internal and external stakeholders;
Turquoise Care MCO's;
Other state and federal government agencies.
Ideal Candidate
Health Care Authority (HCA);
Medical Assistance Division (MAD) staff;
Internal and external stakeholders;
Turquoise Care MCO's;
Other state and federal government agencies.
Minimum Qualification
Bachelor's Degree in accounting, economics, finance, or business administration and three (3) years of experience in accounting, finance, economics, and/or statistical analysis. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling seven (7) 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. Some sitting, standing, bending and reaching may be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. 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.
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
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 Senior Direct Payments Analyst will:
Provide a high level of understanding of the managed care contracts, amendments, letters of direction, state and federal rules and regulations related to Medicaid.
How does it get done?
The Senior Direct Payments Analyst is responsible for:
Reviewing Managed Care Organization (MCO) financial reports and determining financial contract compliance;
Coordinating activities with the audit agent for UPL demonstration for Centers for Medicare and Medicaid Services (CMS);
Assisting with mail merge to communicate payment to providers letters and distribution of letters;
Assisting with creation of invoices for payment to MCOs, assigned one (1) MCO;
Assisting with the DMZ upload and download of financial reports and other documentation as needed;
Tracking quarterly and annual financial reports received, cost to charge ratio logging, monthly end report, filing contracted account auditors monthly and quarterly reports;
Who are the customers?
Health Care Authority (HCA);
Medical Assistance Division (MAD) staff;
Internal and external stakeholders;
Turquoise Care MCO's;
Other state and federal government agencies.
Ideal Candidate
Health Care Authority (HCA);
Medical Assistance Division (MAD) staff;
Internal and external stakeholders;
Turquoise Care MCO's;
Other state and federal government agencies.
Minimum Qualification
Bachelor's Degree in accounting, economics, finance, or business administration and three (3) years of experience in accounting, finance, economics, and/or statistical analysis. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling seven (7) 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. Some sitting, standing, bending and reaching may be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. 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.
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Who's Hiring
Top Industries Hiring
- Banking & Financial Services
- Insurance
- Staffing & Recruiting
- Technology & Software
- Government & Public Sector
Mid Level Direct Care Counselor Jobs: Frequently Asked Questions
How do I get a mid level direct care counselor job?
Position your experience around ownership and outcomes. Highlight caseloads you managed independently, behavioral plans you developed or updated, and any informal mentoring you provided to newer staff. Tailor your resume to show progression in responsibility, not just time in role. Certifications like CPR, First Aid, or relevant state credentials strengthen your application, and demonstrated familiarity with documentation systems signals readiness for greater autonomy.
Which companies hire mid level direct care counselors?
Companies hiring mid level direct care counselors right now include Comcast, Northwest Bank, and CrossCountry Mortgage, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from residential treatment facilities, group homes, behavioral health agencies, and nonprofit service organizations that need experienced staff who can operate with limited supervision.
Are there remote mid level direct care counselor jobs?
Yes, though remote options are limited given the hands-on nature of this role. About 10% of mid level direct care counselor openings are remote or hybrid as of November 2026, and those positions typically involve care coordination, case documentation, or telehealth-adjacent support rather than direct in-person client interaction.
How do I move up to a mid level direct care counselor role?
Moving into a mid level direct care counselor role typically means building consistent experience with a defined client population, taking on progressively complex cases, and demonstrating that you can manage responsibilities without close oversight. Counselors who document measurable client outcomes, volunteer for lead responsibilities on a shift, and pursue continuing education or specialized certifications tend to make that transition faster and with more credibility.
Which industries hire the most mid level direct care counselors?
Mid Level direct care counselor roles concentrate in Banking & Financial Services, Insurance, and Staffing & Recruiting, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they serve populations requiring sustained, structured support and rely on experienced counselors to maintain care continuity and program quality.