HIPP Operations Specialist

Are you a resourceful problem-solver who excels in fast-paced environments? The Department of Human Services' Health Insurance Premium Payment (HIPP) program is seeking a dedicated HIPP Operations Specialist to support medical assistance recipients enrolling in employer-sponsored health insurance. In this key role, you will assess cost-effectiveness and facilitate the enrollment of eligible applicants into the HIPP program. This is an outstanding opportunity to grow your career while making a meaningful impact on operational efficiency and providing valuable support across departments.

In this position, you will evaluate and analyze employer-sponsored group health insurance to assess eligibility and determine the cost-effectiveness of the coverage offered through the HIPP program. You will respond to client inquiries, providing accurate information based on medical assistance eligibility, employment status, and benefit details. Your responsibilities will include reviewing policy benefits and deductibles to assess the suitability of the policy for HIPP enrollment. Additionally, you will address issues related to the accurate posting of HIPP resources in the eligibility database. You will also respond to caseworker requests to verify credible coverage, in accordance with HIPAA regulations. Strong organizational and prioritization skills will be essential in managing these duties. This role involves both written and verbal communication with Medicaid recipients, providers, employers, and various agencies.

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 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Free Parking!
• Telework: You may have the opportunity to work from home (telework) part-time up to 3 days per 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 Warren.
• 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.

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.