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Program Manager - MED

Posting Begin Date: 2025/07/16

Posting End Date: 2025/08/13

Category: Program Management

Work Type: Full Time

Remote: Flexible Hybrid

Minimum Salary: 35.42

Maximum Salary: 37.78

Pay Rate Type: Hourly

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 Idaho Department of Health and Welfare; Division of Medicaid is currently recruiting aProgram Managerto oversee the Medicaid Appeals and Operations and Provider support teams within the Bureau of Clinical and Quality Management. This position will report to the Bureau Chief of the Bureau of Clinical and Quality Management and will have direct oversight of Medicaid appeals and provider support initiatives within the Bureau.

This is a tremendous opportunity for a forward-thinking, innovative leader to provide program management, direction, and guidance. We are searching for individuals with exceptional leadership abilities; critical thinking skills; communication and interpersonal skills; problem solving skills; and systems-thinking and team learning competencies who are committed to the implementation of Division and Department strategic initiatives.

We are seeking an individual who want to make a difference in the lives of Idahoans and is adept at cultivating strong stakeholder relations and managing complex, diverse, and vulnerable populations.

This is a statewide position and will report to their nearest DHW location.

This position may be eligible for telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time.

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 (https://www.persi.idaho.gov/members-1/) (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 (https://dhr.idaho.gov/information-for-state-employees/)

+ 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 (https://www.regence.com/producer/tools-for-members/advantages-discounts) available through medical provider

+ Public Service Loan Forgiveness (PSLF) Eligibility (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service)

+ 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:

+ Provide oversight of Medicaid appeals program and operations and provider support activities within the Bureau.

+ Manage day-to-day tasks, improve workflows, and supervise staff.

+ Develop and recommend program objectives, policies, and procedures and to ensure compliance with state and federal requirements.

+ Review appeal and hearing outcomes as necessary, liaise with Deputy Attorney General's office and provide input and guidance to staff on difficult or controversial subject matter.

+ Participate in the development of operational and organizational standards, business and human resource needs of the unit, maximizing the use of program resources to support program quality and innovation.

+ Provide critical leadership and liaison duties while interacting with Deputy Attorney General's office, external stakeholders and healthcare providers.

+ Communicate essential information about program issues with Division leadership.

+ Prepare data and reports to document and measure program performance towards goals and outcomes.

+ Maximize use of resources through program analysis and staff resource inventory; arrange productive and appropriate staff work assignments ensuring skilled service delivery to support quality outcome.

+ Oversee the timely investigation and response to customer experience concerns.

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 and specialty 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.

Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.

+ Experience managing staff. Typically gained by two years in a role as a direct supervisor of personnel.

+ Considerable knowledge of judicial and administrative hearing procedures, rules of evidence, due process and administrative laws. Typically gained by at least one year in a legal support role.

+ Experience interpreting and applying laws, regulations, and policies.Typically gained by at least three years in a government, policy, compliance or regulatory affairs role.

+ Expertise in Medicaid eligibility or other major health and human service program development and developing or reviewing and evaluating health-related informational material.Typically gained by three years in an administrative role working with Medicaid participants, insurance companies, or within a human services agency.

+ Expertise providing expert testimony before a Commission or in court. Typically gained by experience in a role which required primary participation in hearings.

+ Expertise preparing oral and written reports of findings and recommendations. Typically gained by at least one year of experience researching and compiling information to generate recommendations.

+ Considerable knowledge of Health and Human Service programs. Typically gained by three years in a role working within a human service agency.

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.