Program Specialist - DHW - MED

DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS

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THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED.

• The Division of Medicaid, Bureau of Long-Term Care (BLTC) has an exciting opportunity to join our team as Program Specialist - DHW to monitor compliance, performance, and healthcare delivery of our Managed Care Organization (MCO) contracts. Office location options are in Boise-Westgate, Downtown Boise, Burley, Coeur D'Alene, Pocatello, Lewiston and Caldwell field offices. BLTC ensures MCOs provide quality contracted services to participants and providers, and members have access to high quality care and support. These positions work directly with contractors and other contract monitors to evaluate performance and ensure compliance with contract provisions, state and federal regulations, and are responsible for program execution, member and provider support, and internal and external coordination with state and federal partnerships. BLTC is a supportive and dynamic team looking for applicants with a passion to support Idaho citizens by improving systems of care, and are excited to learn about federal and state healthcare systems. A successful candidate will have experience in healthcare delivery systems or Public Health program planning and evaluation, be a solution oriented critical thinker, tactful negotiator, and a skilled communicator both verbal and written. Experience with developing contract oversight and agreements, healthcare policy research and analysis, troubleshooting participant issues, and daily application of program rules are extremely beneficial. If you are a self-starting, critical thinker with an interest in the many moving parts of a complex medicaid program, this may be a great fit for you! The position offers an opportunity to gain a depth of expertise in many aspects of Medicaid, while creating and maintaining relationships with key community partners and stakeholders. This position may be eligible for limited telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time.

BENEFITS

BEST

RETIREMENT AVAILABLE IN THE NATION

The State of Idaho offers a robust total compensation and benefits package, including but not limited to: We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit at retirement. 11 paid holidays Paid sick and vacation that begins accruing on your first day of employment; can be used immediately after accruing (no waiting time) Paid parental leave Medical, vision, and dental insurance benefits that become effective first of the month following your hire date. All contributions can be pre-tax (full-time/30+ hours per week) 2 voluntary supplemental retirement plans including both pre-tax and Roth options Deferred compensation plan Life insurance for self, spouse, and children Short and long-term disability insurance Flexible Spending Accounts (FSA) Wide variety of training opportunities Some positions offer flexible hours and/or telecommuting Additional perks and discounts available through medical provider Public Service Loan Forgiveness (PSLF) Eligibility Employee assistance program Additional information related to benefits and/or State programs can be found here: https://dhr.idaho.gov/StateEmployees/Benefits.html.•

EXAMPLE OF DUTIES

Facilitate clear, timely, and accurate communication between BLTC and the MCO. Track, review, and manage contract deliverables, trends, and timely submissions Identify and escalate issues that impact member care, provider relations, or contract compliance Prepare and review monthly, quarterly, semi-annual, and annual reports Foster collaborative and professional relationship between BLTC, Medicaid leadership, and MCOs Ensure BLTC and MCO teams have access and understand relevant guidance, training, and applicable updates Assist program leadership with preparation, analysis, and delivery of corrective action.

MINIMUM QUALIFICATIONS

You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below. Experience developing, recommending and evaluating operating procedures and recommending changes. Typically gained by approximately one year of experience where this was a primary responsibility of the job. This experience may include participation in a regional or statewide quality assurance team, business change or project team or a similar assignment. Experience developing technical written materials such as policies, technical manuals or rules/regulations. Typically gained by at least one year experience working in a business setting developing training materials, reports, policy and/or procedure manuals, written interpretations of law, rules, or policies, or any related background which would be considered similar. Experience providing technical program assistance to staff. Typically gained by at least one year of experience providing technical assistance to staff in a business setting which could include formal and informal assignments to assist, mentor or train new staff. Learn About a Career with DHW •

PLEASE NOTE

application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 4:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications. If you have questions, please contact us at: Email is the quickest way to get an answer to your questions. (answered Monday through Friday during business hours MST)

EMAIL:

dhwjobs@dhw.idaho.gov

PHONE:

(208) 334-0681

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws. The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (

TTY/TTD:

711), or email ada.coordinator@dhr.idaho.gov. Preference may be given to veterans who qualify under state and federal laws and regulations.