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Medical Program Specialist

1 month ago


Idaho Falls, Idaho, United States Idaho Division of Human Resources Full time
Job Title: Medical Program Specialist

Join the Idaho Division of Human Resources as a Medical Program Specialist and contribute to the delivery of high-quality healthcare services to Idahoans.

About the Role:

This position plays a critical role in ensuring the quality and effectiveness of healthcare services delivered to individuals with developmental disabilities. As a Medical Program Specialist, you will work closely with the Bureau of Developmental Disability Services and other agencies to promote service delivery outcomes that focus on choice, empowerment, self-direction, and community involvement.

Key Responsibilities:
  • Conduct quality assurance and quality improvement activities related to service delivery for individuals with developmental disabilities.
  • Participate in on-site reviews of provider agencies and participant programs.
  • Promote best practice models and consumer satisfaction outcomes.
  • Prepare quality assurance survey reports.
  • Conduct interviews and observations with participants, providers, and collateral contacts to ascertain if the provider agency is operating in accordance with state and federal rules and regulations.
  • Assess need for internal and external customer training.
  • Develop training materials and conduct training as identified.
  • Represent the Department's quality assurance/quality improvement perspective on committees, task forces, work groups, and projects.
  • Respond to inquiries from other Department programs, the public, and the provider community concerning program laws, regulations, and guidelines.
Requirements:
  • Good knowledge of medical service delivery systems.
  • Some knowledge of current laws and regulations governing Title XIX Medicaid programs.
  • Some knowledge of training methods.
  • Experience developing instructional materials.
  • Experience evaluating program policies and procedures and recommending changes.
  • Preferred experience in developmental disabilities, investigative methods, and standards, and planning, organizing, monitoring, and evaluating a healthcare-related program.
What We Offer:

The Idaho Division of Human Resources offers a comprehensive benefits package, including a competitive salary, paid holidays, generous vacation and sick leave accrual, medical, dental, vision insurance, and a 401(k) plan.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are passionate about delivering high-quality healthcare services and contributing to the well-being of Idahoans, we encourage you to apply for this exciting opportunity.