Provider Management Specialist.

Contract confirmed through December 2025
Medical, dental, and vision insurance, paid holidays, and PTO
Pay rate will be discussed during the interview process ...

Spherion, in partnership with the State of WI Department of Health Services, is looking for a Provider Management Specialist! The Provider Management Specialist processes Wisconsin Medicaid enrollment applications submitted by home and community-based service (HCBS) providers. Under the general supervision of the DMS-BQO Program Participation Oversight (PPO) Manager, the incumbent will 

• Support the implementation of the Medicaid provider enrollment system for HCBS providers
• Interact with the provider community on enrollment-related issues and assist with the enrollment process as needed
• Process applications to ensure required licensing and certification documentation is present, as well as all additional required documentation
• Complete Wisconsin Caregiver Background checks as applicable
• Research and analyze Wisconsin Medicaid HCBS certification processes to clarify policies and processes for decision-makers, HCBS providers, and other analysts
• Provide alerts on decisions needed, issues, and risks to Bureaus throughout DHS
• Analyze and recommend changes in procedures, administrative rules, statutes, and standards relating to HCBS provider certification
• Identify issues and all contributing factors in straightforward situations, assess each using standard procedures and make sound decisions
• Complete deliverables, work plans, schedules, and required documentation

Goals and Worker Activities:

• Collaborate with PPO staff and manager to complete day-to-day activities
• Assist with problem-solving issues as they arise
• Report and escalate issues to PPO manager, or DHS management, as appropriate
• Work within established procedures with a moderate degree of supervision
• Track and report on work completed
• Assist in building a strong team by cultivating relationships between PPO team personnel
• Attend meetings as communicated by PPO manager
• Provide technical assistance to HCBS waiver providers

Qualifications:

• Good working knowledge of Microsoft Outlook, OneNote, Word, Excel, and OnBase
• Experience with LTC Waiver Services and providers
• Excellent organizational and documentation skills
• Ability to be flexible
• Ability to effectively prioritize
• Ability to learn software programs
• Ability to work well independently and with others
• Ability to work simultaneously on multiple tasks, projects, etc.
• Ability to navigate the Internet efficiently and effectively
• Ability to communicate effectively with internal and external stakeholders both orally and in writing

Please apply for the Provider Management Specialist role today!

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Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).