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Are you looking to expand your skills while leading an amazing team in a fast-paced environment? If so, this opportunity may be for you. The Office of Medical Assistance Programs in the Bureau of Data and Claims Management is looking to hire a self-motivated and detail oriented Human Services Executive I. As a member of the Department of Human Services team, you work with us in our mission to assist Pennsylvanians in leading safe, healthy, and productive lives. If you are looking for a public service career with an outstanding organization that impacts the lives of so many every day, apply today and take on this exciting new challenge!
DESCRIPTION OF WORK
A Human Services Program Executive ensures the accurate and timely implementation of operational processes in conjunction with claims processing projects related to the Office of Medical Assistance Programs (OMAP) including coordination between bureaus.
Duties include overseeing staff who provide operational support for statewide managed care reimbursement programs. This includes the monthly capitation payments as well as any special capitation cycles for retroactive rate adjustments. Also, you perform oversight for the timely updates of all Medicaid Management Information System (MMIS) reference tables including the Healthcare Common Procedure Coding System (HCPCS) procedure and annual International Classification of Diseases (ICD) diagnosis updates to ensure the appropriate processing of claims/invoices in the MMIS. In addition, you oversee staff responsible for accountability of the financial subsystem of the MMIS claims processing system including the generation and distribution of the annual 1099's, and oversee staff providing operational support for the creation and distribution of data files needed by the managed care organizations to perform their responsibilities related to servicing the Medicaid managed care recipients.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
- Full-time employment, 37.5-hour work week
- Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with 60-minute lunch.
- Telework: You will have the opportunity to work from home (telework) part-time. Currently, you would be required to report to the office one (1) day per month. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg.
- Salary:In some cases, the starting salary may be non-negotiable.
- You will receive further communication regarding this position via email. Please check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
- Two years of experience as a Human Services Program Specialist Supervisor or Human Services Analyst Supervisor (Commonwealth titles;) or
- our years of professional experience in the development, implementation, or evaluation of a Human Services Program or program operations, including two years of supervisory experience; or
- An equivalent combination of professional experience and training that includes two years of professional supervisory experience in the development, implementation, or evaluation of a Human Services Program or program operations.
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 notbe 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 will eliminate you from consideration for this position.
Veterans:
- Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at ra-cs-vetpreference@pa.gov.
Telecommunications Relay Service (TRS):
- 711 (hearing and speech disabilities or other individuals).
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.
EXAMINATION INFORMATION
- 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.
Learn more about our Total Rewards by watching this short video!
Health & Wellness
We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*
Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.
Work/Life Balance
We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*
Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.
Employee Perks
Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.
For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.
- Eligibility rules apply.
