Program Specialist - MED

DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS NOTICE: Due to a recent system improvement, if you have previously applied for a position with the State of Idaho, select Reset/Forgot Password and follow the prompts to access your account. For additional assistance, refer to the Candidate Guide located under Candidate Resources on the State of Idaho Careers page. THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED. Are you someone who has strong analytical, organizational, and problem-solving skills? If you are a solution-focused, forward-thinking team player that enjoys working with others toward a common goal for establishing improvements to develop a sustainable medical health delivery system of care, then you should consider joining our collaborative team The Department of Health and Welfare, Division of Medicaid is announcing one (1) opening for the position of Program Specialist in our Medical Care Unit in the Bureau of Clinical and Quality Management. The position will be located in our Central Office/PTC building in downtown Boise. We are seeking applicants with critical thinking skills, developed interpersonal skills, excellent written and verbal communication skills, and who has equal ability to work tactfully as a team player and independently. Experience with healthcare policy research, medical health systems of care, and/or development of contracts and agreements would be valuable. This position may be eligible for limited telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time. BENEFITS: BEST RETIREMENT AVAILABLE IN THE NATION 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: EXAMPLE OF DUTIES: + Customer outreach to both Idaho Medicaid members and enrolled providers via phone calls, emails, and faxes. + Managing and being a Subject Matter Expert (SME) in one or more of Medicaidu2019s many programs such as Preventative Health Assistance (PHA) and the Breast and Cervical Cancer program (BCC). + Research on current trends of medical covered services. + Processing Medicaid covered services in an automated system. + Researching, interpreting and applying rules, policies, and laws. + Develop narrative reports, contract documents, and other technical/professional correspondence within Microsoft applications. + Provide consultation to managers on policy, process, and automated systems issues and program impacts. 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. + Excellent customer service skills and experience. Typically gained by at least (3) years of work in a customer service driven capacity. + Good knowledge and experience working in a healthcare delivery system. Typically gained by at least two (2) years of work in a healthcare delivery system. + Good knowledge and experience working in healthcare coding and billing. Typically gained by at least two (1) years of work in healthcare coding and billing. + Experience working with a major program or project; including direct practice in the planning, development, and implementation of a program with ongoing oversight of contract compliance, performance and improvement, and evaluating outcomes and data and using results to make changes and improvements to the program. Typically gained by at least one (1) year working with a major program or project; including direct practice in the planning, development, and implementation of a program with ongoing oversight of contract compliance, performance and improvement, and evaluating outcomes and data and using results to make changes and improvements to the program. + Experience interpreting, applying, and explaining laws, regulations, and contract terms and evaluating a program's compliance with said laws, regulations, and/or contract terms. Typically gained by at least one (1) year of interpreting, applying, and explaining laws, regulations, and contract terms and evaluating a program's compliance with said laws, regulations, and/or contract terms. 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 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: 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 . Preference may be given to veterans who qualify under state and federal laws and regulations.

Created: 2026-02-05