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Company State of Utah
Location Salt Lake County, UT
Update 8 Day ago
The Health Program Manager I position within the Bureau of Coverage and Reimbursement Policy develop, manage, and coordinate the resources required to deliver Utah Medicaid programs for the Division of Medicaid and Health Financing. This position has a strong emphasis on technical writing is responsible for reviewing, maintaining and updating the Utah State Plan, Utah Rules and manuals for assigned programs to ensure all are consistent and accurate with one another and to eliminate ambiguity; plans and allocates resources to ensure Department of Health policies and state/federal statues are fully compliant and consistent; provides consultation to public and private health care providers; manages assigned programs as directed and collaborates with other state and county agencies, programs, providers and community-based organizations.

The ideal candidate hired for this position will:
  • Be licensed as a Registered Nurse in the State of Utah, in good standing without restrictions.
  • Have computer software skills, specifically word processing (MS Word, Excel, Access, etc.) and documents management (SharePoint, etc.)
  • Have experience with CPT, HCPCS, ICD-9/10
  • Have previous experience with Medicaid or other government programs

Why work for the Utah Department of Health? In addition to the rich benefits the State of Utah offers, the department offers:
  • UTA Eco Pass, good for all forms of public transportation
  • On-site Fitness Center
  • On-site Day Care Center

For more information on the Utah Department of Health, please click HERE

Example of Duties:
  • Writes and reviews program plans, rules, and manuals.
  • Plans and manages assigned programs.
  • Sets goals, establishes priorities, manages resources, develops concepts and approaches, reviews projects progress and results; makes management decisions.
  • Develops and coordinates policies, resources and mission as well as goals, visions and expectations of programs.
  • Ensures compliance with applicable federal and/or state laws, regulations and/or agency rules, standards and guidelines, etc.
  • Plans and allocates resources to ensure agency policies and state statues are fully implemented.
  • Coordinates and assigns projects; provides assistance in resolving problems; approves system changes and establishes project priorities.
  • Provides consultation, makes recommendations, gives appropriate advice, and/or facilitates decisions.
  • Develops and implements procedures in response to agency policy, state and federal laws, etc.
  • Represents the agency with federal, state and local government units, in the media or with private organizations.

Typical Qualifications:

Preference : Preference may be given to those who are a Registered Nurse, Advanced Practice Registered Nurse, Physician Assistant, or other similarly skilled/credentialed medical professional with medical coding knowledge/experience and strong writing skills. Preference may be given to persons who are certified coders. Preference may also be given to those with a Bachelor's degree (or higher).

(includes knowledge, skills, and abilities required upon entry into position and trainable after entry into position)
  • strong writing skills
  • strong computer skills
  • strong interpersonal, communication, and presentation skills
  • skill and ability to develop and/or implement new policies/procedures/standards and/or rules/regulations
  • knowledge of Medicaid
  • knowledge of agency and organizational programs, agency objectives, organization structure and mission
  • skill to develop approaches for implementation of an idea, program or change in operations
  • ability to comply with federal and state laws and regulations
  • skill and ability to read, interpret and apply laws, rules, regulations, policies and/or procedures
  • knowledge of principles, methods and techniques of management and leadership
  • critical thinking skills
  • ability to control or direct the operation of a program or function
  • ability to provide consultation and/or expert advice
  • skill and ability to plan, organize and prioritize time and workload in order to accomplish tasks and meet deadlines
  • knowledge of ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding

Supplemental Information:
  • 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.