Reference #: 4520646 THE POSITION

Are you looking for meaningful work supporting programs with a positive impact on the lives of others? The Bureau of Data and Claims Management, Division of Managed Care Systems Support is seeking a Medical Assistance Program Technician to oversee the programs administered by the Office of Medical Assistance. These responsibilities will include the compilation, distribution, and tracking of data or requests required for the development of rates and monitoring reimbursement methods for capitation, maternity care, and special incentive payments, as well as the management of membership in Managed Care Plans (MCOs). If you enjoy working as part of a productive team to accomplish goals and tasks, this is the job for you! DESCRIPTION OF WORK

In this position, you will receive electronic requests from Managed Care Organizations (MCOs); County Assistance Offices (CAOs); Enrollment Assistance Contractor (EAC); Health Insurance Premium Payment (HIPP); Living Independence for the Elderly (LIFE); Children, Youth and Families (CYF); and the Bureau of Managed Care Operations (BMCO) to enroll or disenroll recipients from managed care or to correct coverage due to stipulations within the plan agreements for the HealthChoices state-wide managed care programs. You will apply changes to the Client Information System (CIS) relating to managed care coverage and notify the CAO of any changes needed to correct Medical Assistance (MA) eligibility or to add facility or waiver code information. You will process claim adjustments and/or initiate capitation payments to PROMISe when necessary. An ideal candidate for the position will possess knowledge of the HealthChoices contract and have a general knowledge of CIS.

In addition, you will provide technical support related to maternity care payment process and receive requests to enroll newborns. You will be required to perform thorough research in order to process and complete actions necessary in different programs. You will be responsible for reviewing and evaluating incoming information to process claims, as well as determining eligibility of recipients for enrollment or disenrollment.

Interested in learning more? Additional details regarding this position can be found in theposition description. Work Schedule and Additional Information: Full-time employment Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with 60-minute lunch. Telework: You may have the opportunity to work from home (telework) part-time, with a minimum of one day per month in the office. 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 Harrisburg. Salary:In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.   REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS Minimum Experience and Training Requirements: Three years of para-technical experience which involved reviewing and responding to inquiries relating to applicable services 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 thePA residency requirement. For more information on ways to meet PA residency requirements, follow the linkand 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, de ailed 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:

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.

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.

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.