Human Services Program Specialist

THE POSITION

Are you searching for an opportunity to join a great organization and utilize your background in human services? The Bureau of Fee-for-Service Programs, Division of Provider Services is seeking a Human Services Program Specialist in the Enrollment Section. As a member of the team, you will be responsible for approving or certifying providers for enrollment in the Medical Assistance (MA) Program. This position also has responsibilities involving the provider enrollment inquiry line. Advance your professional talents and apply today!

DESCRIPTION OF WORK

As a Human Services Program Specialist, you will review and analyze medical assistance objectives, regulations, and policies as it relates to enrollment. You will have an opportunity to work on special projects assigned to the bureau to include implementation of new federal and state policies affecting the enrollment process. You will conduct research to gain in-depth understanding of medical assistance programs, policies, and procedures to respond to inquiries received from all parties involved, including legislators. In this role, you will collaborate in workgroups and meetings with high-level personnel. You will also provide technical assistance and training as it relates to policies and procedures of enrollment.

In this position, you will engage in general decision making regarding the return of applications to providers for additional verifications and documentation required to meet enrollment requirements. In addition, you will answer incoming provider enrollment calls and provide excellent verbal clarification to providers regarding the completion of provider enrollment applications and forms.

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 4:30 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:

• One year of professional experience developing, implementing, or evaluating human services, social services, health care services, or health care insurance programs.

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:

• 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.

01

Do you possess at least one year of full-time professional experience developing, implementing, or evaluating human services, social services, health care services, or health care insurance programs?

• Yes

• No

02

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

03

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental questions. Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to our FAQ page.

• Yes

04

WORK BEHAVIOR 1 - VERBAL COMMUNICATION

Provide consultative support to others in the organization and the public regarding state and federal laws, regulations, and departmental policies. Communicate policy and procedure updates to all involved parties.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

• A. I have experience providing consultative support and communicating policy and procedure updates to others INSIDE my organization AND to the PUBLIC.
• B. I have experience providing consultative support and communicating policy and procedure updates to others INSIDE my organization. I DO NOT have experience providing consultative support or communicating policy and procedure updates to the PUBLIC.
• C. I have successfully completed college-level coursework related to public speaking or communication.
• D. I have NO experience or coursework related to this work behavior.

05

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

• The name(s) of the employer(s) where you gained this experience

• Your experience providing consultative support and communicating policy and procedure updates to others

• Your level of responsibility

06

WORK BEHAVIOR 2 - WRITTEN COMMUNICATION

Write detailed correspondence regarding human services program enrollment decisions, including presenting data analysis findings supporting the decisions. Write documentation detailing discrepancies found on applications, as well as initial and renewal requirements.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

• A. I have experience writing program enrollment decisions AND presenting data analysis findings supporting those decisions, and writing explanations of enrollment application discrepancies. This is related to HUMAN SERVICES.
• B. I have experience writing program enrollment decisions OR presenting data analysis findings supporting those decisions, and writing explanations of enrollment application discrepancies. This is related to HUMAN SERVICES.
• C. I have experience writing program enrollment decisions OR presenting data analysis findings supporting those decisions, and writing explanations of enrollment application discrepancies. This is NOT related to HUMAN SERVICES.
• D. I have successfully completed college-level coursework related to business writing, technical writing, or English composition.
• E. I have NO experience or coursework related to this work behavior.

07

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

• The name(s) of the employer(s) where you gained this experience

• Your experience writing correspondence to present findings

• Your level of responsibility

08

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

• College/University

• Course Title

• Credits/Clock Hours

09

WORK BEHAVIOR 3 - DATA ENTRY

Enter and extract provider information into/from databases or spreadsheets to create, track, and maintain records. Use software to manipulate data and create reports.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

• A. I have experience entering and extracting provider data into/from the PROMISe database and creating, tracking, and maintaining records. I have experience utilizing PROMISe software to create reports.
• B. I have experience entering and extracting provider data into/from the PROMISe database and creating, tracking, and maintaining records. I DO NOT have experience creating reports in PROMISe.
• C. I have experience utilizing software to enter and extract data, to create and maintain records, and create reports. I DO NOT have experience utilizing PROMISe software.
• D. I have successfully completed college-level coursework related to data entry or database management.
• E. I have NO experience or coursework related to this work behavior.

10

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

• The name(s) of the employer(s) where you gained this experience

• Your experience entering and extracting information into and from databases or spreadsheets and using software to manipulate data and create reports

• Your level of responsibility

11

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

• College/University

• Course Title

• Credits/Clock Hours

12

WORK BEHAVIOR 4 - ANALYSIS OF RECORDS

Analyze provider enrollment applications, agreements, and other required documentation for completeness, accuracy, and compliance with policies, regulations, and waiver guidelines. Determine enrollment approval or denial. Identify any issues with enrollment documentation and make recommendations for resolution.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

• A. I have experience analyzing provider enrollment applications, agreements, and other documentation for compliance with policies, regulations, and waiver guidelines. I have determined enrollment approval or denial.
• B. I have experience reviewing provider enrollment applications, agreements, and other required documentation for compliance with policies, regulations, and waiver guidelines. SOMEONE ELSE was responsible for determining enrollment approval or denial.
• C. I have successfully completed college-level coursework related to data analysis or public administration.
• D. I have NO experience or coursework related to this work behavior.

13

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

• The name(s) of the employer(s) where you gained this experience

• Your experience reviewing provider enrollment applications and ensuring compliance with policies and regulations and determining enrollment approval or denial

• Your specific duties and responsibilities

14

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

• College/University

• Course Title

• Credits/Clock Hours

Required Question

Agency Commonwealth of Pennsylvania

Address 613 North Street

Harrisburg, Pennsylvania, 17120

Website http://www.employment.pa.gov