Policy Specialist

Full Job Description

The primary responsibilities include researching and interpreting federal and state statute, rules and regulations and writing medical program eligibility policies. This position provides policy updates and clarifications, reviews and update procedures, and creates publications and training.

Ideal Candidate

• At least 2 years of experience in a Medicaid eligibility position, with a preference of at least 1 year of policy training or development experience.
• Proficiency with Microsoft Suite (Word, Excel, Access, PowerPoint, etc.).
• Professional experience using eREP client information data system.

Why work for the Utah Department of Health and Human Services? In addition to the rich benefits the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee

• UTA Eco Pass, at a discounted monthly rate

• Teleworking opportunities with a minimum 2 office days

• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-382-4012 or firststepschildcareslc@gmail.com

For more information on the Utah Department of Health and Human Services, please click here.

Requirements

Research, develop, write, and modify Medical Program eligibility policy following agency defined processes and time frames to get these updates and changes to workers who use them in determining Medical Program eligibility.Respond to policy questions, complaints, requests for information; explain policy and procedures; facilitate resolutions; conduct trainings for staff and community groups.Provide Medicaid Program oversight which include; working reports, requesting case corrections, visiting other agencies, completing reviews of fair hearings, reviewing insurance policies for Medicaid compliance.Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.Review documents from eligibility staff in response to questions to determine how eligibility policies apply to specific cases.Serves on various committees, panels, and groups.Ensures compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards and guidelines, etc.Consults with individuals from the community to include constituents, advocacy groups, attorneys, and representatives from allied agencies concerning policies governing Medicaid.Coordinates with management and other policy specialists to identify and implement policy modifications and/or staff training.Review draft policies, procedures and trainings.Coordinates with DWS in order to get policy changes and clarifications updated in the policy manuals within designated timelines.

Qualifications Strong writing, editing and research skills with attention to accuracy and completenessKnowledge and experience with medical program eligibility policies, rules and proceduresAbility to understand and analyze complex written materials such as laws, regulations and guidance materials and create understandable written explanations and policiesKnowledge of research methods, techniques and sources Ability to work independently under limited supervision to manage your areas of responsibility, meet required deadlines, and assure proper implementation of policies and processesAbility to collaborate with other staff members and professionalsKnowledge and experience with the eREP systemAbility to communicate complex information and ideas clearly and concisely both orally and in writingProficiency using Microsoft Word, Excel and PowerPoint softwareStrong interpersonal, communication and presentation skills Additional Information Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.This position may currently be a hybrid of both in-office and remote work days.

Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time and for any reason.Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc.

Special physical demands are not required to perform the work.Typical work schedule is Monday through Friday, 8:00 am to 5:00 pm.