Mid Level Lead Direct Support Professional Jobs
Mid level lead direct support professional jobs go to professionals ready to own caseloads, mentor junior staff, and guide daily operations with limited oversight across residential, community, and facility-based settings. Openings are concentrated in 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 Lead Direct Support Professional Jobs: Frequently Asked Questions
How do I get a mid level lead direct support professional job?
Position your experience around ownership, not just task completion. Highlight moments where you led a shift, coordinated care plans, or trained new staff without being asked. Employers at this level want candidates who can operate independently, de-escalate complex situations, and document accurately. Tailor your application to show you have already been functioning above entry level, even if your title has not caught up yet.
Which companies hire mid level lead direct support professionals?
Companies hiring mid level lead direct support professionals 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 group home operators, nonprofit disability service agencies, and regional healthcare networks that need experienced staff who can carry leadership responsibilities without full management titles.
Are there remote mid level lead direct support professional jobs?
Yes, though the role is predominantly in-person given its hands-on nature. About 10% of mid level lead direct support professional openings are remote or hybrid as of November 2026, and those positions typically involve care coordination, case documentation, or training and quality assurance functions rather than direct one-on-one support work.
How do I move up to a mid level lead direct support professional role?
Growth from entry level into a mid level lead direct support professional role comes from building a consistent record of independent judgment, taking on informal leadership during shifts, and deepening your knowledge of person-centered care practices. Earning certifications in medication administration, crisis prevention, or behavior support, and volunteering to train newer colleagues, signals readiness for expanded responsibility to hiring managers.
Which industries hire the most mid level lead direct support professionals?
Mid Level lead direct support professional 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 operate residential programs, day habilitation services, and community integration supports that require experienced staff who can lead without constant supervision.