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Medical Program Specialist

1 month ago

Boise, Idaho, United States State of Idaho Full time
Job Summary

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

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.
Requirements
  • Good knowledge of medical service delivery systems.
  • Typically gained by completion of at least two college courses in a medical/health services field, public health, or health care administration or related field (including but not limited to psychology, special education, RN, LPN, medical office assistant, etc.) AND one year of experience applying the knowledge in a medical service delivery system OR at least two years of experience as described.
  • Some knowledge of current laws and regulations governing Title XIX Medicaid programs.
  • Typically gained by one year of experience where knowledge and understanding of Title XIX Medicaid laws and regulations was a job responsibility.
  • Some knowledge of training methods.
  • Typically gained by successful completion of coursework or workshops of 16 hours or more covering communication concepts, learning styles, course design, and presentation skills or experience in presenting formal training sessions to groups.
  • Experience developing instructional materials.
  • Typically gained by one year of experience actually developing (not just presenting) instructional course content and materials.
  • Experience evaluating program policies and procedures and recommending changes.
  • Typically gained by one year of job experience which included the opportunity to evaluate the employer's policies and procedures and provide input and/or recommend changes.
Preferred Qualifications
  • Good knowledge of developmental disabilities.
  • Typically gained by a bachelor's degree or higher in a human services field (including but not limited to psychology, nursing, physical therapy, speech therapy); OR at least two years of experience working with individuals with developmental disabilities.
  • Some knowledge of investigative methods and standards.
  • Typically gained by training or coursework in investigative methodology, conflict management, and de-escalation techniques; OR at least one year of experience conducting fact-finding investigations.
  • Experience planning, organizing, monitoring, and evaluating a healthcare-related program; analyzing cost effectiveness of methods of health care delivery.
  • Typically gained by at least one year of professional experience performing related work such as a Facility Administrator, RN, Qualified Mental Retardation Professional, or Developmental Specialist; OR at least one year of experience as part of a Quality Assurance, Quality Improvement, administrative-directed program (please be specific when describing your experience).
What We Offer
  • Best retirement available in the nation.
  • 11 paid holidays.
  • Generous vacation and sick leave accrual beginning as soon as you start.
  • Paid parental leave.
  • Medical, dental, vision insurance - incredible rates (full-time/30+ hours per week).
  • PERSI Choice 401(k).
  • Deferred compensation plan.
  • Life insurance.
  • Short and long-term disability insurance.
  • Student Loan Forgiveness.
  • Wellness programs.
  • Employee Assistance Program (EAP).
  • Flexible Spending Accounts (FSA).
  • Wide variety of training opportunities.
  • Some positions offer flexible hours and/or telecommuting.