Company State of Utah
Location Salt Lake County, UT
Update 8 Day ago
The Health Program Manager II position within the Bureau of Coverage and Reimbursement Policy develops, manages, and coordinates the resources required to deliver Utah Medicaid programs for the Division of Medicaid and Health Financing. This position 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; plans and allocates resources to ensure Department of Health policies and state/federal statues are fully compliant and consistent; provides expert 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 a Certified Professional Coder
  • Have experience with CPT, HCPCS, ICD-9/10
  • Have previous experience with Medicaid or other government programs
  • Have experience with government rules, regulations and policies

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:
  • Plans and manages assigned programs.
  • Writes and reviews program plans, rules, and manuals.
  • Sets goals, establishes priorities, manages resources, develops concepts and approaches, reviews projects progress and results, and 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 : Seeking a Registered Nurse, Advanced Practice Registered Nurse, Physician Assistant, or other similarly skilled/credentialed medical professional with medical coding knowledge/experience. 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)
  • 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
  • interpersonal, communication (verbal and written), and presentation skills
  • 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
  • strong interpersonal, communication, and presentation skills

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.