L&I Medical Program Specialist , Bilingual Spanish

Our Mission

Keep Washington Safe and Working!

Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability

Do you read, write, and communicate fluently in Spanish and English? Are you looking for an opportunity to take your experience working in a medical clinic, managing insurance claims or vocational service work to the next level? Do you want to work on a positive, goal-oriented team and focus on improving access to high-quality care for workers with limited English proficiency and/or who experience cultural barriers when using the workers’ compensation system?

• An individual who has experience with quality improvement principles and practices.
• Demonstrated understanding of clinical workflow.
• Ability to read, write, and communicate effectively in both English and Spanish.
• An individual who has experience with care coordination, including collaborating with a variety of provider types.
• Proficiency in cultural mediation and the ability to effectively work with individuals from diverse cultural and linguistic backgrounds.

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers. We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the state's workers' compensation system, we are similar to a large insurance company, providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness.

Our rules and enforcement programs also help ensure workers are paid what they are owed, that children's and teens' work hours are limited, and that consumers are protected from unsound business practices.

Insurance Services is the largest division within the agency and administers one of the premier workers’ compensation organizations in the nation serving over 3.8 million employees working for 260,000 employers.

Within Insurance Services, the Office of the Medical Director (OMD) is responsible for L&I’s statewide health policy to ensure that injured and ill workers have access to high quality, evidence-based care and that services paid for by the workers compensation Medical Aid Fund are clinically appropriate and cost effective.

• Conduct outreach with community healthcare providers in English and/or Spanish.
• Provide English and Spanish customer service to injured workers, providers and health care organizations regarding L&I services and using the workers comp system to improve access to services.
• Collaborate with provider staff and other care team members to develop procedures and care pathways that will reduce potential barriers to treatment.
• Collaborate with appropriate internal programs and units to provide assistance to providers in English and/or Spanish.
• Assess claim-specific issues and provider process support, recommend course of action and seek to ensure high-quality health care delivery.
• Create and implement policies/procedures related to quality improvement, appropriate treatment, and cost containment.
• And much more!

The ability to read, write, and speak fluently in Spanish and English.

One-year of experience as a Medical Program Specialist 1.

A Master’s degree with major study in public health, public administration, nursing, health administration, economics, mathematics, accounting, business administration, or closely allied field, and Two years of supervisory or consultative experience in analysis, research, program coordination, or project management in a health services, medical insurance, social services, or workers compensation program.

A Bachelor’s degree with major study in public health, public…