Medical Program Specialist

4 hours ago


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

We are seeking a highly skilled Medical Program Specialist to join our team at the Idaho Division of Human Resources. As a Medical Program Specialist, you will play a critical role in ensuring the quality and effectiveness of our healthcare programs.

Job Summary:

The Medical Program Specialist will be responsible for conducting quality assurance and quality improvement activities related to service delivery for individuals with developmental disabilities. This will include participating in on-site reviews of provider agencies and participant programs, promoting best practice models and consumer satisfaction outcomes, and preparing quality assurance survey reports.

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 Qualifications:
  • Good knowledge of developmental disabilities.
  • Some knowledge of investigative methods and standards.
  • Experience planning, organizing, monitoring, and evaluating a healthcare-related program.
What We Offer:

We offer a competitive salary and a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off. We are an equal opportunity employer and welcome applications from diverse candidates.



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