Labor and Industries Program Specialist II

Title: L&I Program Specialist 2
Type;Hybrid 

Location: Tumwater United States

Salary

$45,024.00 - $60,132.00 Annually

Job Description:

We are looking for the next lead trainer to join our Provider Accounts and Credentialing team as a Program Specialist 2.  In this position you will be responsible for training new and existing staff on how to complete and process provider applications and other administrative tasks that support L&I’s provider credentialing processes .  You will assign work to the team and perform quality control of the work performed by the Medical Program Assistants and Program Assistants to ensure the work meets the quality standards and the unit production goals are met.

Why Work for us:

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 help ensure workers are paid what they are owed, that children 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.

The Insurance Services Health Services Analysis program is comprised of various work units with a shared vision to achieve provider excellence to reduce work disability by ensuring worker access to high quality care.

Here is what we are looking for:

• Strong customer services skills with the ability to listen and connect with others to build and maintain internal and external customer satisfaction by sharing accurate and timely information.
• Strong interpersonal skills with the ability to adapt to changes.

• Ability to understand and communicate processes in a clear, concise and simplified way to others in formal and informal settings.
• Ability to compose clear and concise written communication to customers.
• Ability to lead and train others and create detailed training tools.
• Ability to draw sound, sensible conclusions and make informed decisions.
• Proficient computer skills using Microsoft Office Products (Word, Excel, Outlook).

Duties

Some of what you will do:

• Train new and existing staff.
• Create detailed program specific procedures and training tools.
• Maintain and update training manuals per policy and system changes.
• Assign work and ensure unit work goals are maintained.
• Review and assess provider applications for completeness, accuracy, and adherence to established unit policy, procedure, state laws and regulations.
• Perform ongoing monitoring of renewable licensing, DEA, malpractice insurance and agreements.
• Assist with hiring processes, including interviewing and making hiring recommendations.
• And much more!

Qualifications

Required:

• A Bachelor’s degree in a health-related field. 

AND

• Ability to key 40+ words per minute 

Equivalent education/work experience in healthcare credentialing can be substituted year-for-year for education 

Desired:

• Demonstrated working knowledge of healthcare credentialing processes and procedures.
• Demonstrated working knowledge of credentialing software, such as Vistar, ProviderOne, etc.
• Demonstrated working knowledge of Medical Information Payment Systems (MIPS).
• Proficient in the use of Microsoft Office Products (Word, Excel, Outlook)..
• Possess current Certified Provider Credentialing Specialist (CPCS) or Certified Provider Medical Services Management (CPMSM) certificate or designation.
• Two years’ experience conducting health plan credentialing.
• Demonstrated working knowledge of NCQA credentialing standards.
• Possess ability to enter, update, and manage credentialing database.
• Sound decision-making.  The individual must be able to review information and draw a conclusion.
• Ability to focus on details while responding to multiple tasks simultaneously and work effectively in a team environment.
• Independently manage work assignments to reach desired production expectations.
• Strong interpersonal skills, the ability to adapt to changes.

Supplemental Information

Things You Need To Know

At L&I, your voice matters.  L&I is a diverse state agency dedicated to the safety, health and security of Washington's 3.3 million workers.  Watch this brief video and learn more about why L&I is an employer of choice.

L&I provides a modern work environment and excellent benefits including paid leave, tuition reimbursement, Infants at Work Program and a generous retirement package for qualified employees at the end of their career.  Click on the “Benefits” tab to learn more.

We value our employees and their work-life balance.  We support a hybrid work model and offer flexible custom work schedules.  For this position, teleworking is permitted most of the time.  You will be expected to report to the office to attend meetings, training, or upon business needs. The assigned duty station for this position is Tumwater, Washington.