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      • Madison, Wisconsin
      • Temporary
      • $23.00 - $25.00 per hour
      • 8:00 AM - 5:00 PM
      Spherion is working in partnership with the State of Wisconsin Department of Health Services and we are looking for a quality-driven and customer-focused Quality Assurance Program Specialist! This position will work on a major Medicaid-funded program that delivers long-term care to Wisconsin's eligible population of adults with disabilities and frailties of aging. The position collects and evaluates information necessary for performance measurement; ensures the quality of data used for performance measurement, and analyzes results for improvement.The PTO/paid holiday policy for this position mirrors the policy of the State of Wisconsin!Remote/onsite hybrid model!Responsibilities:- The review of the IRIS budget amendment (BA) and one-time expense (OTE) requests- Remediation of Background check appeals- Reimbursement file review- Monitoring and tracking Fair hearing appeals and grievances- Participation in the review of Restrictive Measures requests and the review and approval of designated waiver services prior to plan approval- Compile, aggregate, and analyze the results of the budget amendment and onetime expense requests for quality and process improvement- Represent the department at meetings attended by representatives of the long-term care industry or other special interest groups. Conduct/facilitate workshops and make presentations to such groups relative to the record review process and/or findings- Other duties as neededWorking hours: 8:00 AM - 5:00 PMSkills:- Demonstrated computer and software skills including proficiency with Microsoft Office Suite- Excellent written, verbal, and listening communication skills- Strong organizational and time management skills- The ability to work independently and also cooperatively as part of a team- Flexibility in the work environment and willingness and ability to adapt to changing organizational needsEducation:BachelorsExperience:4-7 yearsQualifications:- Bachelor's Degree preferred- Family care or Medicare background required- Knowledge of the state and federal statutes, regulations, policies, and procedures governing the Medical Assistance program- Knowledge of quality improvement and assurance methods and tools- Comprehensive understanding of protected health information, HIPAA requirements, and confidentiality principles Click the Apply Button in the top right hand corner to apply today!Spherion is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      Spherion is working in partnership with the State of Wisconsin Department of Health Services and we are looking for a quality-driven and customer-focused Quality Assurance Program Specialist! This position will work on a major Medicaid-funded program that delivers long-term care to Wisconsin's eligible population of adults with disabilities and frailties of aging. The position collects and evaluates information necessary for performance measurement; ensures the quality of data used for performance measurement, and analyzes results for improvement.The PTO/paid holiday policy for this position mirrors the policy of the State of Wisconsin!Remote/onsite hybrid model!Responsibilities:- The review of the IRIS budget amendment (BA) and one-time expense (OTE) requests- Remediation of Background check appeals- Reimbursement file review- Monitoring and tracking Fair hearing appeals and grievances- Participation in the review of Restrictive Measures requests and the review and approval of designated waiver services prior to plan approval- Compile, aggregate, and analyze the results of the budget amendment and onetime expense requests for quality and process improvement- Represent the department at meetings attended by representatives of the long-term care industry or other special interest groups. Conduct/facilitate workshops and make presentations to such groups relative to the record review process and/or findings- Other duties as neededWorking hours: 8:00 AM - 5:00 PMSkills:- Demonstrated computer and software skills including proficiency with Microsoft Office Suite- Excellent written, verbal, and listening communication skills- Strong organizational and time management skills- The ability to work independently and also cooperatively as part of a team- Flexibility in the work environment and willingness and ability to adapt to changing organizational needsEducation:BachelorsExperience:4-7 yearsQualifications:- Bachelor's Degree preferred- Family care or Medicare background required- Knowledge of the state and federal statutes, regulations, policies, and procedures governing the Medical Assistance program- Knowledge of quality improvement and assurance methods and tools- Comprehensive understanding of protected health information, HIPAA requirements, and confidentiality principles Click the Apply Button in the top right hand corner to apply today!Spherion is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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