Program Specialist - MED

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

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

The Idaho Department of Health and Welfare is seeking a Program Specialist to support the Division of Medicaid's Bureau of Medicaid Enterprise Systems. The incumbent should possess exceptional critical thinking, problem solving, communication, and interpersonal skills. Applicants who have experience with Medicaid, provider credentialing, medical billing, or with a large claims processing system are encouraged to apply.

This is a statewide position that will report to the nearest DHW office. The assigned work location will depend on workstation availability at a DHW office.

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:

• 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:

• Respond to system user inquiries and offer technical assistance to system users.
• Provide excellent customer service to internal and external customers.
• Act as a liaison between contractors, Medicaid Providers and DHW personnel.
• Interpret and apply laws and regulations.
• Act as the Subject Matter Expert for Provider Enrollment, Claims, Finance, Security or Contract Monitoring.
• Access secure state and federal sites and perform research, screening and reporting activities.
• Develop and recommend system operation policies and procedures.
• Identify and recommend enhancements and modifications to automated systems.
• Provide over-site of, and direction to, the contractors that comprise the Medicaid Enterprise Systems.

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.

• Some knowledge of training methods. Typically gained by successful completion of coursework or workshops of sixteen hours or more covering communication concepts, learning styles, course design, and presentation skills. May also be demonstrated through experience presenting formal training sessions to groups.
• Experience interpreting and applying laws and regulations. Typically gained by at least six months experience utilizing these skills.
• Experience analyzing automated system output data and data integrity. Typically gained by at least six months of work experience utilizing these skills.
• Experience researching, identifying and independently resolving automated case processing problems. Typically gained by at least six months experience demonstrating independent resolution of automated case processing problems through complex analysis corrective actions. Problem solving activities may include: review of screens and system generated transaction and error reports; compiling documentation of actions and results following processing; follow-up actions; system manipulation.
• Experience providing technical assistance to automated systems users. Typically gained by at least six months of work experience in a help-desk role for automated system. Responsibilities must have included providing detailed, technical assistance to program users in areas specific to an automated program such as keying/coding or problem solving.
• Ability to translate technical material into easily understandable oral and written communications. Typically gained by at least six months experience in a program to have gained complete knowledge of the variety of programs involved. Some typical examples would be: experience working with clients explaining how laws, rules and regulations apply to their circumstances (experience should include oral and written responses to client inquiries); speaking before groups explaining program requirements; one-on-one training of new program users; experience providing technical assistance to program users; preparing written responses to requests for program information; preparing written training material.

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.