Program Officer 1

The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Office of Inspector General/Program Compliance Division.

This position works as part of a team that identifies, negotiates, and collects funds from liable third parties, estates, and public assistance members to ensure the integrity and cost-effectiveness of programs administered by the department. Responsibilities include examination of paid claims, contacting appropriate parties for information, calculating liability and financial recovery. Other responsibilities include tracking and reporting recovery funds into software systems, filing claims and liens, negotiating settlements, and determining the cost effectiveness of Medicaid members having private insurance via the Health Insurance Premium Program (HIPP).

Why Join DPHHS

Our mission at DPHHS is to serve Montanans in their communities to improve and protect the health, safety, and well-being, and to empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents.

The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience.

Qualifications for this Career Opportunity

• General understanding of the Medicaid program to include public assistance eligibility, claims processing, cost-avoidance functions, and insurance resources.

• Interpersonal, oral, and written communication skills and techniques.

• Ability to gather, verify, and analyze claims and financial data.

• Ability to analyze claims, insurance policies, benefits, and apply third party liability procedures to resolve complex problems.

• Ability to use reason and logic to identify and solve problems.

• Ability to interpret complex policies, laws, and rules.

• Ability to operate a personal computer and general office equipment including using spreadsheets, word processing, database, email, internet, and other computer programs.

• Meet minimum qualifications:

o Bachelor's degree in social sciences, accounting, healthcare, business, or related degree.

o Two years of experience with health care reimbursement, analyzing cost reports, interpreting, and analyzing laws, rules, regulations, and standards affecting reimbursement and recovery.

o Equivalent combinations of directly related education and experience may be considered on a case-by-case basis.

How to Apply

To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position.

• Resume

• References

• Cover Letter-In your cover letter please include answering the following questions:

1.What is the difference between organizing and planning? How do you use these methods?

2.Describe your experience with group health and casualty insurance plans?

Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process, contact DPHHS Human Resources listed below.

Additional Information

This position may be eligible for partial telework within the state of Montana. Specific conditions will be provided by the supervisor and must adhere to state policy.

This position may be eligible for a statutory $1.50 an hour base pay increase effective July 1, 2024.