RESPONSIBLE to serve as the section supervisor to ensure that quality standards

are upheld; that Medicaid services provided comply with State/Federal

requirements; and also, to curtail Medicaid fraud and abuse both in the

managed care plans and fee-for-service programs.

Qualifications: Knowledge of: 1) Quality assurance standards for managed

care plans; 2) Various management systems that track medical data from the

managed care health plans and the fee-for-service providers; and 3) Federal

and State laws, rules and procedures regulating managed care plans and

Medicaid services.

Skills and Abilities: Ability to problem-solve and set goals and objectives;

plan and implement training sessions to providers/staff as a means to increase

understanding and compliance with State and Federal regulations; communicate

effectively, both orally and in writing; prepare clear and concise reports

and correspondence; establish and maintain effective working relations with

others; and be able to deal with government and community professionals and

the general public.

Education/Experience: Graduation from an accredited school of nursing,

preferably with a B.S. degree. The applicant must also have three years of

experience in the performance of coordinating and developing quality

assurance/improvement programs for managed care services to individuals

receiving Medicaid.

Employee Benefits include: Paid vacation, paid sick leave, paid holidays,

retirement system, group life insurance, family leave, and employer subsidized

medical, dental, vision and group plans.

STATE OF HAWAII Department of Human Services

Submit resume with salary requirement

by April 11, 2008 to:

DHS/MQD-ADMIN, P. O. Box 700190, Kapolei, HI 96709-0190

If you require accommodations under the ADA, call 586-4959 (voice/TDD)

An Equal Opportunity Employer

State of Hawaii

MED-QUEST DIVISION

Health Medical Professional

EXEMPT NON-CIVIL SERVICE

Kapolei, Oahu

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