Program Specialist DHW - MED Posting Begin Date: 2025/02/11 Posting End Date: 2025/03/04 Work Type: Full Time Remote: Flexible Hybrid Location: Boise, ID, United States Minimum Salary: 28.00 Maximum Salary: 28.00 Pay Rate Type: Hourly Description DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS Applications will be accepted through 4:59 PM MST on the posting end date . The Idaho Department of Health and Welfare, Division of Medicaid is announcing one opening for the position of aProgram Specialist - DHWin the Idaho Behavioral Health Plan (IBHP) Governance Bureau's Contract Monitoring Team. The position is located in Central Office in downtownBoise. 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 healthcare policy research, behavioral health systems of care, and/or development of contracts and agreements would be valuable. Strong analytical, organizational, and problem-solving capabilities are essential. This position may be eligible for telework after successful completion of probation and necessary training. If you have previously applied for this position and wish to be considered for one of the current vacancies, you must reapply under this announcement. Previous scores will not be used. BENEFITS: BEST RETIREMENT AVAILABLE IN THE NATION We have one of the Nation's best state retirement systems (https://www.persi.idaho.gov/members-1/) (PERSI) that offers a lifetime benefit. OTHER EXCELLENT BENEFITS + 11 paid holidays + Generous vacation and sick leave accrual beginning as soon as you start + Paid parental leave (https://dhr.idaho.gov/information-for-state-employees/) + 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 (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service) + Wellness programs + Employee Assistance Program (EAP) + Flexible Spending Accounts (FSA) + Wide variety of training opportunities + Some positions offer flexible hours and/or telecommuting EXAMPLE OF DUTIES: + Work with the contracted Managed Care Organization to monitor compliance with contractual, state, and federal rules and regulations. + Assist in ensuring a cohesive approach to contracted services to serve both Medicaid and non-Medicaid populations. + Develop narrative reports, contract documents, and other technical/professional correspondence. + Be familiar with and analyze current, proposed, amended, and new rules and regulations to assess program impacts. + 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. + 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 evaluating operating 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 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 multi-million-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, regulations, and contract terms as well as evaluating a program's compliance with said laws, regulations, and/or contract terms.Typically gained by at least one year of related professional experience 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 as well as professional correspondence.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 (https://healthandwelfare.idaho.gov/about-dhw/dhw-careers) ***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.