Program Manager - MED

State of Idaho

  • Boise, ID
  • 5 days ago

    Highlights

    Communicate with internal and external stakeholders including contractors, auditors, Centers for Medicare & Medicaid Services (CMS), Medicaid systems, internal staff, providers and stakeholders for systems topics. We are seeking a highly organized candidate with experience in medical claims systems and/or billing; supervising staff; communication and interpersonal skills; problem solving skills; critical thinking skills and team building competencies.

    Numbers & Facts

    LocationBoise, ID

    Description

    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 Program Manager oversees Medicaid systems operational needs, which include vendor management, project management, contract management, service desk ticket management, and work closely with Federal and State auditors to complete all mandatory audit tasks. This might include a 'soft' credit pull to verify identity for access to certain Federal systems.

    We are seeking a highly organized candidate with experience in medical claims systems and/or billing; supervising staff; communication and interpersonal skills; problem solving skills; critical thinking skills and team building competencies. This position will be located in Boise.

    This position is not eligible for telework.

    BENEFITS:

    The State of Idaho offers a robust total compensation and benefits package, including but not limited to:

    • 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:

    • Manage team that performs daily responsibilities for the Bureau of Medicaid Enterprise Systems including vendor oversight, contract SLA management, vendor invoicing, and ticket processing.
    • Work closely with Federal and State auditors to complete all mandatory audit tasks.
    • Communicate with internal and external stakeholders including contractors, auditors, Centers for Medicare & Medicaid Services (CMS), Medicaid systems, internal staff, providers and stakeholders for systems topics.
    • Collaborate with policy, other bureaus, vendors, and leadership to draft system impact statements for change requests.
    • Foster professional interpersonal relationships with other intergovernmental professionals, policy analysists, program budgeting, and project managers within the department.
    • Manage, direct, complete, and support projects related to all Medicaid systems as determined by leadership.
    • Support the development and maintenance of policies and procedures, contract management, and procurement activities.
    • Attend hearings and admin reviews for appeals.
    • Complete other duties, tasks, or assignments assigned by management.

    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 management practices as well as experience providing technical proficiency, problem-solving, communication, and program area training. Typically gained by at least one-year experience managing a major Program and providing leadership of professional staff. Candidates may also qualify through completing upper-division college-level management coursework along with experience in a significant Leadership role.

    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 11:59 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.

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