STATE OF HAWAII
Department of Human Services
State of Hawaii
EXEMPT NON-CIVIL SERVICE
Responsible to formulate medical policy, identify, develop and evaluate indicators of quality healthcare (i.e. utilization management and clinical practices for the managed care plans, etc.) and provide consultation on medical issues and clinical practices to staff and providers, including managed care plans, as it relates to the medical assistance programs.
Qualifications: 1) Knowledge of medical principals, techniques, procedures, and best practices especially related to the aged/blind, disable and pediatric populations. 2) Familiar with Medicaid program law and regulations in particular the health coverage and payment rules. 3) Knowledge of health industry, managed care organizations, utilization review firms, or health care claims processing organizations developing and providing coverage of medical necessity policies and guides.
Skills and Abilities: Ability to problem-solve and set goals and objectives; time and project management skills; communicate effectively, both orally and in writing; prepare clear and concise reports and correspondence; establish and maintain effective working relations with others; able to deal with staff and the general public. Additionally, should be computer literate, particularly at a level of competency and comfort with MS Office software, Internet access, and the use of electronic mail.
Education/Experience: Graduation for a medical school recognized by the Hawaii Board of Medical Examiners. Three to five years experience as a practicing physician.
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.
Submit resume with salary requirement by March 14, 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/City & County Jobs
STATE OF HAWAII