Public Health Program Associate 2

Full Job Description

Do you have strong communication skills and a keen eye for detail?

The Pennsylvania Insurance Department, Bureau of Managed Care is eager to welcome a highly motivated Public Health Program Associate 2 to their team.

In this role, you will have the opportunity to participate in the review process of provider contracts, integrated delivery service arrangements, service area expansions, new applications for HMOs or gatekeeper PPOs, and health insurer network adequacy.

Apply today and take your professional career up a notch!

Requirements

This position prepares certificate of authority applications for review, submitted by health maintenance organizations (HMOs) for licensure in Pennsylvania to ensure compliance with applicable laws, regulations, statements of policy and guidelines.

You will respond to questions by collaborating with the team, researching, and reviewing existing documentation and communicating application deficiencies verbally and in writing to applicants.

You can expect to recommend and assist in creating technical advice to entities, agencies and individuals seeking information on Department of Health and Insurance Department rules and regulations regarding licensure of managed care plans.

You will have the opportunity to coordinate with the team to conduct off-site and/or on-site reviews of health plan applicants as needed to verify operational readiness and obtain a license.

Additional duties:

• Review service area and expansion requests seeking to operate in new geographic regions
• Prepare summarized reports for team to analyze for compliance with state and federal laws
• Coordinate with other bureaus within the Department on necessary corrective action
• Participate in special projects relating to managed care
• Develop data collection methods to report and monitor program activities and analyze data to determine if the service provider meets program requirements

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, 2 days per week in 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. The ability to telework is subject to change at any time.

Additional details may be provided during the interview.

• 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

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year as a Public Health Program Associate 1 (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• A bachelor's degree and one year of professional experience in the development, analysis, or monitoring of programs, grants, or contracts in health, human services, social or behavioral services, health care services, or health insurance; or
• An 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:

• 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.pa.gov/agencies/employment/how-to-apply.html and click on 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.

Additional 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.