Job Details

CONTRACTS SPECIALIST (MED-QUEST) - OAHU

State of Hawaiʻi

Recruitment Number OHHI-25024

Salary: $4,858 to $5,918 per month

Responsibilities

• Coordinate and participate in the administration of contracts entered into by the State's QUEST medical assistance program.
• Establish contracts with assigned health plans and individual providers to provide comprehensive medical, dental and behavioral health services to eligible individuals and families.
• Work closely with divisional staff and representatives of the health plans to monitor and evaluate the performance of contracted parties to assure compliance with the terms and conditions of the contracts.
• Serve as a liaison for the State's medical assistance program with contracted parties, recipients and other programs, agencies and/or individuals.
• Coordinate and participate in the evaluation of contract proposals and recommend additional terms and conditions, if necessary, and participate in rate negotiations.
• Participate in assessing administrative requirements and contribute in other areas based on the ongoing monitoring and evaluation of assigned health plans.
• Potentially engage in the development of new medical assistance programs and perform other related duties as assigned.

Minimum Qualifications

• Legal Authorization to work in the United States – citizen, national or permanent resident alien, or eligible under federal law for unrestricted employment.
• A bachelor's degree from an accredited four‑year college or university.
• One and one‑half (1.5) years of progressively responsible professional work experience in the development and/or administration of contracts involving healthcare services.
• Experience must include preparing proposals or formal requests for proposals, evaluating, developing, negotiating, or revising contract content, and monitoring and evaluating the performance of contracted parties for compliance.
• Specialized experience of one year for the administration of contracts for health care services. A law degree may substitute for one year of specialized experience.
• Knowledge of health care delivery systems, principles and practices of contract administration, and related policies and procedures.
• Ability to obtain pertinent factual data, analyze and make sound recommendations, communicate effectively in writing and orally, and establish and maintain effective working relationships.
• One year of experience specifically in the development and/or administration of contracts for health care services.
• Substitutions allowed for one year of specialized experience – a law degree from a nationally recognized specialized accrediting body may be accepted.

Employment Type

Other – Mid‑Senior level