Medicaid Policy & Compliance Program Specialist

State of Nevada; Carson City (NV); On-site; USD 65,000 - 90,000; Full time

Job summary

The State of Nevada is seeking a Social Services Program Specialist II in Carson City or Reno to ensure compliance with contract requirements, interpret policies and federal regulations, monitor reports, resolve complaints, and manage data requests. The role focuses on statewide public assistance and medical programs with opportunities for leadership in meetings and policy updates.

Responsibilities include planning, budgeting, and developing program documentation, as well as training staff and

Qualifications

• Bachelor's degree in a field pertinent to the program assignment and one year of professional experience providing social services to clients or program development and evaluation which required the application of regulations, laws, policies and procedures in making determinations.
• Bachelor's degree in a field pertinent to the program assignment and one year of professional experience providing medical assistance programs, services, or healthcare services to clients or program compliance and evaluation which required the application of regulations, laws, policies and procedures in making determinations.
• One year of experience as a Social Services Program Specialist I in Nevada State service.
• Equivalent combination of education and experience as described above.

Responsibilities

• Plan and develop social services or medical assistance programs; conduct needs assessments and establish committees to assist with development.
• Develop and revise program documentation to include State plans, policy manuals, procedures, and contracts.
• Monitor program quality and compliance; design monitoring instruments and prepare management reports.
• Provide technical guidance to staff; respond to inquiries from agencies, clients, and the public.
• Develop and implement computerized systems to support program operations and test system changes.

Skills

Regulatory interpretation

Policy clarification

Data reporting

Education

Bachelor's degree in a related field

Experience in social services or medical assistance programs

One year as Social Services Program Specialist I (Nevada)

Equivalent combination of education and experience

Job description

The State of Nevada is seeking a Social Services Program Specialist II in Carson City or Reno to ensure compliance with contract requirements, interpret policies and federal regulations, monitor reports, resolve complaints, and manage data requests. The role focuses on statewide public assistance and medical programs with opportunities for leadership in meetings and policy updates.

Responsibilities include planning, budgeting, and developing program documentation, as well as training staff and