Professional Worker Iii; Med-Quest; Oahu; Ohhi

This recruitment is being conducted under the Operation Hire Hawaii (OH-HI) project, a targeted outreach initiative featuring an expedited hiring process, fast-tracking qualified applicants into job opportunities throughout Hawai’i.

Applications received for this recruitment will be reviewed for Legal Authorization to work in the US. All applicants who pass the Legal Authorization review will be referred to the hiring department for consideration and an initial review of the application.

Applicants who meet the initial review requirements at the departmental level may be contacted by the hiring program for an interview. All applicants interviewed by the hiring program will be notified of their selection or non-selection by the department.

The application referral and potential interview conducted at the departmental level does not imply that applicants have met all Minimum Qualification Requirements. A thorough review of all applications received will be conducted by the Department of Human Resources Development and all applicants will be notified of the final disposition.

Salary: $5,107 to $6,221 per month (SR-20, Step D to I)

Note:

Hiring rates will be based on availability of funds, the applicant's qualifications, and other relevant factors.

A continuous recruitment may be closed at any time. The notice of the last day to file applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. The Professional Worker III reflects the first independent worker level in a series of professional work. Work assignments routinely encompass problems of average difficulty and complexity, requiring the application of technical knowledge, skills and sound judgment in applying the fundamental principles, techniques, standards, policies, procedures, rules and regulations pertinent to the occupational specialty and program area.

Problems encountered are usually those which can be resolved by direct application of specific standards, regulations or other similar guides. Additional assignments are selected to develop the employee for eventual progression to the fully independent worker level.

Contracts Specialist (MED-QUEST) - position is a fully independent worker level, coordinates and participates in the administration of contracts entered into by the State's QUEST medical assistance program, including establishing contracts with assigned health plans and individual providers to provide comprehensive medical, dental, and behavioral health services to eligible individuals and families. Responsibilities also include working closely with divisional staff and representatives of the health plans in monitoring and evaluating the performance of contracted parties to assure compliance with the terms and conditions of the contracts;

serving as a liaison for the State's medical assistance program with contracted parties, recipients, and other programs, agencies and/or individuals; coordinating and participating in the evaluation of contract proposals and recommending additional terms and conditions, if necessary; and participating in rate negotiations. This position also participates in assessing administrative requirements and contributes in other areas based on the ongoing monitoring and evaluation of assigned health plans;

is involved in the development of new medical assistance programs; and performs other related duties as assigned.

The State of Hawaii requires all persons seeking employment with the government of the State shall be citizens, nationals, or permanent resident aliens of the United States, or eligible under federal law for unrestricted employment in the United States.

Research methods and techniques; report writing, problem solving methods and techniques; principles, techniques, standards, policies, procedures, rules and regulations pertinent to the occupational specialty and program area (e.g., knowledge of health care delivery systems; current principles and practices in health care financing; principles and practices of contract administration; various provisions found in service provider contracts; evaluative techniques; problem solving methods and techniques;

and report writing).

Obtain pertinent factual data; analyze and make sound recommendations as to the action to be taken; successfully…