HIPP Operations Specialist

Are you an energetic and detail-oriented individual with strong organizational and communication abilities? If so, the Department of Human Services has an exciting opportunity for you. We are seeking a motivated candidate to assist medical assistance recipients in enrolling in their employer-sponsored health insurance. Join our HIPP Program team, where we are dedicated to helping clients secure insurance through their employers. If you are committed to service excellence, excel at problem-solving, and enjoy working collaboratively, we invite you to apply for this fulfilling position.

In this position, you will assess and analyze the eligibility of Employer group health insurance. Your responsibilities include evaluating the cost-effectiveness of insurance options purchased through the HIPP program. Strong organizational and prioritization skills are crucial for managing your workload effectively. You will engage in both written and verbal communication with Medicaid recipients, providers, employers, and various interdepartmental and external agencies. Additionally, you will maintain an active caseload, making necessary updates, and addressing any issues related to overpayments made by the department.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days a week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Torrance.
• Salary: In some cases, the starting salary may be non-negotiable.
• FREE parking
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year of experience as a Third Party Liability or Medical Assistance Program Technician (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• Four years of experience in the review and analysis of medical insurance policies and premiums, reviewing and responding to inquiries relating to applicable service or benefits in health care insurance programs, health care services or Medical Assistance program services; or
• Any equivalent combination of experience and training.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Telecommunications Relay Service (TRS):

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.