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| Post Code: D705 |
| Announcement Number: LECB9020 |
| Classification Number: C5248 |
| Open: 06/26/2009 |
| Revised: 08/26/2009 (Close Immediately) |
| Close: 08/26/2009 |
| Location: Salem |
| Availability: Full Time |
COMPLIANCE SPECIALIST 3 |
(Medical Reviewer)
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$49,068 - $71,820 ANNUALLY
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Our mission…
To protect and serve Oregon's consumers and workers while supporting a positive business climate in the state.
Job Information
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Job Description
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Job Class:
C5248 Compliance Specialist 3
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The Department of Consumer and Business Services (DCBS) is a progressive regulatory state agency. Its Workers’ Compensation Division administers, regulates, and enforces the laws and administrative rules governing the Oregon workers’ compensation system.
The division’s Medical Section is charged with administering, regulating, and enforcing the medical component of the workers’ compensation system. The Medical Reviewer resolves disputes using either collaboration to help parties reach agreement on contested issues, or by researching applicable law and rules, making findings of fact, and issuing administrative orders consistent with laws and rules. The Medical Reviewer also assists and instructs medical providers, insurance companies, employers, workers, and others regarding administrative rule application and the dispute resolution process. The Medical Reviewer also participates on projects to innovate the system’s medical component to improve the delivery and affordability of medical services.
INTERESTED? Here’s What You Need:
The successful candidate will have
- a minimum of five years experience doing administrative research that included compiling and evaluating facts to decide compliance or eligibility with program processes, laws and rules. Three of the five years must be above the technical support level and include patient care experience or its equivalent.
College-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years.
Preference may be given to candidates who have patient care experience or its equivalent in the following: providing or monitoring medical care within the scope of a medical license; analyzing medical charts/records to assess patient status; preparing and implementing nursing care/treatment plans. Additional consideration may be given for the following: experience in billing medical services; experience processing payments for medical services; or experience resolving disputes through alternative dispute resolution.
DESIRED ATTRIBUTES
- Demonstrated ability to work collaboratively with diverse groups.
- Demonstrated strong communication skills.
- Demonstrated strong negotiation and mediation skills.
- Competency preparing documents using word-processing software.
- Demonstrated experience communicating orally and in writing with a variety of people and answering questions and explaining information.
SPECIAL INFORMATION
- NOTE: Employment will be contingent upon the passing of a fingerprint-based criminal background check. Conviction of a crime will not automatically disqualify an individual from being considered for employment.
HOW TO APPLY
- Submit the completed "Applicant Information Form" (If clicking the Applicant Information Form link does not open the Word document, you may visit our website or contact us to obtain a copy of this document.).
- Submit your resume, not a State of Oregon Application form (PD100), indicating positions you have held, organizations for which you have worked, complete dates of your employment (month and year), and a detailed description of your duties and level of responsibility.
- Submit photocopies of transcripts, if you are using education to qualify.
- Submit a cover letter, not more than two (2) pages, describing your background in (a) dispute resolution, (b) understanding and interpreting technical/medical information, and (c) preparing documents, such as technical and analytical reports.
- To be considered for this recruitment, HIRE System candidates need to complete the application process described above.
Only Applicants whose background most closely matches the needs and requirements will be contacted for an interview.
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Announcement Number:
LECB9020
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Salary:
$49,068 - $71,820 Annually
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Location:
Salem
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Revised: August 26, 2009
(Close Immediately)
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Closes: August 26, 2009
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Obtain the detailed job description and information about this agency at www.DCBSJobs.org
or by e-mailing
or by calling 503-378-3200.
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Send application materials to:
Department of Consumer and Business Services
Employee Services
PO Box 14480
Salem, OR 97309-0405
For hand delivery, bring to our street address at: 350 Winter Street NE;
Room 150, Salem, OR 97301.
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The State of Oregon does not have procedures or policies in place for VISA sponsorships. Within three-days of hire, you will be required to complete the US Department of Homeland Security’s I-9 form confirming authorization to work in the United States.
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DCBS is an Equal Opportunity, Affirmative Action Employer
Committed to Workforce Diversity
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