Medical Program Specialist - MED

IdahoPTV; Coeur d'Alene (ID); Hybrid; USD 37,000 - 39,000; Full time

Benefits offered by this job

Paid sick leave

Paid vacation

Retirement plans

Life insurance

Disability insurance

Flexible spending accounts

Training opportunities

Telework possible

Job summary

IdahoPTV is seeking a Medical Program Specialist to strengthen quality assurance in Idaho's Medicaid division, based in the Coeur d'Alene field office. The role reports to the Quality Assurance Supervisor and collaborates with the Bureau of Developmental Disability Services to advance outcomes emphasizing choice, empowerment, and community involvement.

The position may include hybrid telework after probation and training.

Qualifications

• Knowledge of Medicaid policies and Title XIX laws and regulations.
• Ability to interpret policies and provide technical assistance.
• Experience developing instructional materials or training content.
• Experience evaluating program policies and suggesting changes.
• Familiarity with quality assurance/improvement in developmental disability services.

Responsibilities

• Serve as a quality assurance/quality improvement specialist.
• Collaborate with BDDS and other agencies to improve service delivery outcomes.
• Provide policy interpretation and technical assistance to stakeholders.
• Assist in drafting and reviewing policies and procedures.

Skills

Medicaid knowledge

Policy interpretation

Training methods

Instructional materials

Quality assurance

Job description

Medical Program Specialist - MED - 25848

27.12 - 27.70 USD per hour

Posted 2 weeks ago | Apply before September 13, 2026

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 Division of Medicaid is currently filling a Medical Program Specialist position to work in our Coeur d'Alene field office. This position will report to the Quality Assurance Supervisor, and serve as a quality assurance/quality improvement specialist. The incumbent will work with the Bureau of Developmental Disability Services (BDDS) and other agencies to promote service delivery outcomes that focus on choice, empowerment, self-direction, and community involvement. The primary duties will also have duties related to policies and procedures as well as policy interpretation and technical assistance responsibilities. There may be opportunity for a hybrid office/telework arrangement. If you are interested in impacting the lives of people with developmental disabilities in a positive way, this is the job for you!

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.

The Idaho Department of Health & Welfare is a drug-free workplace.Any applicant offered employment in this position at the Idaho Department of Health and Welfare will be required to pass a pre-employment drug test.In addition, successful candidates will be required to complete a criminal history background investigation. Employment is dependent upon satisfactory results of the investigation.

BENEFITS:

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

• Paid sick and vacation that begins accruing on your first day of employment; can be used immediately after accruing (no waiting time)
• 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
• Quality assurance/improvement activities related to service delivery for individuals with developmental disabilities.
• Participate in on-site reviews of provider agencies and participant programs.
• Promote best practice models and consumer satisfaction outcomes.
• Prepare quality assurance survey reports.
• Conduct interviews and observations with participants, providers and collateral contacts to ascertain if the provider agency is operating in accordance with state and federal rules and regulations.
• Provide ongoing quality oversight and technical assistance to providers and participants.
• Timely investigations, referral and/or resolution of complaints and critical incidents related to individuals with developmental disabilities.
• Process intake applications.
• Represent the Department's quality assurance/quality improvement perspective on committees, task forces, work groups, and projects.
• Respond to inquiries from other Department programs, the public, and the provider community concerning program laws, regulations and guidelines.

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.

• Good knowledge of medical service delivery systems. Typically gained by completion of at least two college courses in a medical/health services field, public health or health care administration or related field (including but not limited to psychology, special education, RN, LPN, medical office assistant, etc.) AND oneyear of experience applying the knowledge in a medical service delivery systemORat least two years of experience as described.
• Some knowledge of current laws and regulations governing Title XIX Medicaid programs. Typicallygained by one year of experience where knowledge and understanding of Title XIX Medicaid laws and regulations was a job responsibility.
• Some knowledge of training methods. Typicallygained by successful completion of coursework or workshops of 16 hours or more covering communication concepts, learning styles, course design, and presentation skills or experience in presenting formal training sessions to groups.
• Experience developing instructional materials. Typicallygained by one year of experience actually developing (not just presenting) instructional course content and materials.
• Experience evaluating program policies and procedures and recommending changes. Typicallygained by one year of job experience which included the opportunity to evaluate the employer’s policies and procedures and provide input and/or recommend changes. Experience comparing employer’s policies and procedures to Medicaid or other governmental regulatory requirements would qualify as experience.

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

• Good knowledge of developmental disabilities. Typically gained by a Bachelor's Degree or higher in a human services field (including but not limited to psychology, nursing, physical therapy, speech therapy); OR at least two years of experience working with individuals with developmental disabilities.
• Experience planning, organizing, monitoring, and evaluating a healthcare related program; analyzing cost effectiveness of methods of health care delivery. Typically gained by at least one year of professional experience performing related work such as a Facility Administrator, RN, Qualified Intellectual Disability Professional, or Developmental Specialist; OR at least one year of experience as part of a Quality Assurance, Quality Improvement, administrative-directed program (please be specific when describing your experience).
• Some knowledge of investigative methods and standards. Typically gained by training or coursework in investigative methodology, conflict managements and de-escalation techniques; OR at least one year of experience conducting fact finding investigations.

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: [e-mail] PHONE: [phone]

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 [phone] (TTY/TTD: 711), or email [e-mail].

Preference may be given to veterans who qualify under state and federal laws and regulations.