Spherion, in partnership with the State of Wisconsin Department of Health Services, is seeking Long Term Care Quality Program Specialists. The Program Specialists will focus on the Respect I Self-Direct (IRIS) program, a major Medicaid-funded program that delivers long-term care to Wisconsin’s eligible population of adults with disabilities and frailties of aging. In this role, you will participate in the development and implementation of the Quality Management program and aid the Department in its efforts to monitor and improve the quality-of-care performance of the IRIS program.
Please submit an application for the Long Term Care Quality Program Specialist position today!
Responsibilities:
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- The review of the IRIS budget amendment (BA) and one-time expense (OTE) requests
- Remediation of Background check appeals
- Management of fair hearings and appeals documentation
- Participate in the review of Restrictive Measures requests and review and approve designated waiver services prior to plan approval
- Participate in process improvement activities, policy development, and implementation
- Provide technical assistance to contractors, vendors, and other stakeholders on program requirements, state and federal rule interpretations, and operational issues
Qualifications:
- Bachelor's degree
- A valid driver's license if needed for travel
- Knowledge of the principles of self-determination and supporting community resources
- Extensive knowledge of care management principles and practice for frail elders/adults with disabilities, and of long-term care service delivery systems
- Knowledge of state and federal statutes, regulations, policies, and procedures governing the Medical Assistance program
- Knowledge of quality improvement and assurance methods and tools
- Proficiency with Microsoft Office software
- Ability to maintain a high degree of confidentiality in accordance with HIPAA requirements
- Excellent communication skills and interpersonal skills
- Detail-oriented, organized, and able to problem solve
Benefits: Medical, dental, and vision insurance, paid holidays, and PTO!
Job Type: Indefinite, temporary
Location: Must be onsite 2 days/week in Madison, WI
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).