Long-Term Care Quality Program Specialist

Spherion, in partnership with the State of Wisconsin Department of Health Services, is seeking a Long-Term Care Quality Program Specialist. The Program Specialist position is remote (open to WI residents only), includes a benefits package (health, dental, vision, PTO, and paid holidays), and is an indefinite contract role. Pay rate will be discussed during the interview process.

The Program Specialist will focus on the Respect I Self-Direct (IRIS) program, a major Medicaid-funded program that delivers long-term care to Wisconsins eligible population of adults with disabilities and frailties of aging. As a Program Specialist, 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.

Responsibilities

• Coordinate and conduct a 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 before 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
  
  

Working hours: 8:00 AM - 5:00 PM

Skills

• Excellent communication skills and interpersonal skills
• Detail-oriented, organized, and able to problem solve
  
  

Education

Bachelors

Experience

1-4 years

Qualifications

• Bachelors degree required
• A valid drivers 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 per HIPAA requirements
  
  

Please apply for the Long-Term Care Quality Program Specialist opening today!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff 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, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

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).