Policy Specialist

State of Utah

Full Job Description
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.

The Utah Department of Health is proud to be a tobacco free campus.

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
Telework optional
On-site day care center with First Steps Day Care – contact for rates and availability, 801-538-6996

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

If offered this position, your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting, which will be available at various UDOH locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking HERE. (Download PDF reader)


Example of Duties

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.

Typical Qualifications

Strong writing, editing and research skills with attention to accuracy and completeness
Knowledge and experience with medical program eligibility policies, rules and procedures
Ability to understand and analyze complex written materials such as laws, regulations and guidance materials and create understandable written explanations and policies
Knowledge 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 processes
Ability to collaborate with other staff members and professionals
Knowledge and experience with the eREP system
Ability to communicate complex information and ideas clearly and concisely both orally and in writing
Proficiency using Microsoft Word, Excel and PowerPoint software
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.
Typical work schedule is Monday through Friday, 8:00 am to 5:00 pm.

To apply for this job please visit www.governmentjobs.com.