VHC Support Services Specialist
State of Vermont | Essex Junction, VT
The Employer has temporarily removed this posting
Review customer data to ensure eligibility and enrollment is accurate and consistent across all systems. Skills: Above average Excel skills. Knowledge of Medicaid. Will assist the user acceptance testing team to create scripts, seed cases and validate test results during the annual open enrollment user acceptance testing period.
This position is part of the Vermont Health Connect (VHC) team ensuring that Vermonters' have the insurance coverage they need. Duties may include:
Research and re-mediate issues related to enrollment file and premium processing discrepancies.
Assist with identifying trends and opportunities for system and process improvements.
Conduct interactions with carrier/issuers, premium processor, and technical vendors to resolve issues.
Research and address data integrity and integration issues.
Participate in system testing as needed.
This position is a member of the enrollment and premium processing team, and is responsible for working with the premium processor and carriers to ensure Vermonters' have the coverage they need.
Ability to work independently, in addition to collaborating with other team members.
Ability to communicate effectively in writing and orally to a variety of constituents.
Ability to handle sensitive and confidential situations; compliance with HIPPA guidelines.
Ability to work within a fast-paced, quickly evolving organization and manage multiple, complex priorities.
Strong analytical and problem solving skills.
Knowledge of and ability to apply basic computer skills. Proficiency in Excel preferred.
Knowledge of Siebel CRM system preferred.
Knowledge of Medicaid rules a plus.
Who May Apply
This position, VHC Support Services Specialist (Job Requisition #844) , is open to all State employees and external applicants.
If you would like more information about this position, please contact Kathy Prudy at firstname.lastname@example.org .
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
Duties involve extensive interaction with beneficiaries, private insurers, employees and employers. Work is performed under the general direction of the VHC Support Services Manager. This is the second level in the VHC Support Services Specialist series and is distinguished from the first level by a broader scope of program responsibility and the need to function with independence and significant interaction with other division or department staff, other state or outside agencies.
All employees of the Agency of Human Services perform their respective functions adhering to four key practices: customer service, holistic service, strengths-based relationships and results orientation.
Duties are performed in an office setting. Workload usually heavy with constant need for prompt, accurate decisions. Extensive telephone contact.
Bachelor's degree AND one (1) year or more of experience in a healthcare or health insurance field.
Four (4) years or more of experience in a healthcare or health insurance field.
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium
- Dental Plan at no cost for employees and their families
- Flexible Spending healthcare and childcare reimbursement accounts
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
- Low cost group life insurance
- Tuition Reimbursement
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
Equal Opportunity Employer
The State of Vermont is an Equal Opportunity Employer. Applications from women, individuals with disabilities, veterans, and people from diverse cultural backgrounds are encouraged.
The Vermont Agency of Human Services strives to build a diverse and inclusive community. It is our fundamental belief that in order to create and sustain a healthier Vermont, we as an organization must honor the cultures, beliefs and values of those we serve in order to foster an environment of mutual respect, acceptance and equal opportunity. We are committed to building and maintaining a multicultural and diverse workforce which reflects the increasing diversity of Vermont. To view the State of Vermont's Equal Employment Opportunity/Affirmative Action Policy, please click here .
Nearest Major Market: Burlington Vermont