Program Specialist DHW - Medicaid

Description

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

People Making a Difference!

Applications will be accepted through 4:59 PM MST on the posting end date. 

The Idaho Department of Health and Welfare, Divisions of Medicaid and Behavioral Health are announcing one opening for the position of a Program Specialist - DHW in the Idaho Behavioral Health Plan Governance Bureau for Contract Monitoring. The positions can be Hybrid with approval of a telework agreement and can be located anywhere within the state. We are seeking applicants with critical thinking skills, developed interpersonal skills, excellent written and verbal communication skills, and the ability to work tactfully as a team player. Experience with developing contracts and agreements, healthcare policy research, and excellent problem-solving capabilities would be valuable. Strong math, analytical, organizational, and communication skills are essential. A hybrid schedule of in-office and telework can occur with approval of a telework agreement. Generally, staff should be in office 3 days and can telework 2 days a week.

BENEFITS:

BEST RETIREMENT AVAILABLE IN THE NATION 

We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit. 

OTHER EXCELLENT BENEFITS

• excellent medical, dental and vision insurance- (full-time/30+ hours per week) employee only coverage for PPO $65/month for medical and vision & $11.80/month for dental
• generous vacation and sick leave accrual beginning as soon as you start 
• 11 paid holidays a year 
• paid parental leave
• multiple savings plans, optional 401K, and optional 457
• basic life insurance for employee and family (employee covered at one times annual salary; spouse covered at $10,000; child covered at $5,000)
• wellness programs 
• ongoing training opportunities 
• an opportunity for student loan forgiveness
• and more!

EXAMPLE OF DUTIES:

• Works with Managed Care Organizations to implement and monitor behavioral health best practices.
• Assists in ensuring a cohesive approach to contracted services to serve the Medicaid and non-Medicaid population.
• Provide customer service to members, providers, subcontractors, other stakeholders in coordination with department staff.
• Be familiar with and analyze current, proposed, amended, and new laws and regulations to assess program and/or rules impact.
• Complete accurate and timely analysis of processes and procedures and apply state and federal policies and regulations. 
• Provide consultation to managers on policy, process, and automated systems issues and program impacts.
• Ability to communicate complex issues, policy, and procedures in understandable terms, both orally and in writing.
• Collaborate with DBH and Medicaid management and statewide offices to help improve services, performance, training, and support functions.
• Respond to inquiries from staff and other department units, state officials, and the public.
• Work cooperatively with statewide and central office staff to develop, support, and implement strategies to improve performance.
• Collect, organize, and evaluate data and be able to write narrative reports of findings.

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/or evaluating policy and 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 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.

Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.

• Experience managing complex multimillion-dollar contracts. Typically gained by at least one year of professional experience with responsibilities of writing, evaluating, negotiating, and executing healthcare and/or managed care contracts, or college-level course work/degree in related field.
• Experience interpreting, applying and explaining laws and regulations. Typically gained by at least one year of related professional experience or college-level course work/degree in related field.
• Experience organizing large projects and managing timelines. Typically gained by at least one year of professional experience leading others through the stages of planning, executing and completing a project, or college-level course work/degree in related field.
• Good knowledge of healthcare delivery systems. Typically gained by at least one year of professional experience in an insurance setting with responsibilities in analyzing and evaluating policies and procedures or college-level course work/degree in related field.
• Experience developing or writing grants and/or contracts. Typically gained by at least one year of related professional experience or college-level course work/degree in related field.

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: [email protected] 
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 [email protected].

Preference may be given to veterans who qualify under state and federal laws and regulations.