JOB
Are you searching for the chance to begin a meaningful, professional career that supports better health outcomes for families across the state? Apply for this Public Health Program Associate 1 position with the Pennsylvania Insurance Department’s Bureau of Managed Care. This role will rely on you to review various contracts, agreements, and applications; provide technical advice and assistance; and participate in on-the-job training to learn and support our bureau’s processes for health care coverage access, administration, and appeals. We strive to identify problems associated with cost, quality, and access within the health coverage industry and work with consumers and providers to resolve them. If you want to be part of a team that values learning, teamwork, and public service, we invite you to apply.
EXAMPLE OF DUTIES
As a Public Health Program Associate 1, you will learn and participate in the many ways state agencies collaborate on insurer and managed care reporting, enforcement, application reviews, investigations, quality assurance, and other processes. This is your chance to become a key part of how health coverage systems work while contributing to the success of important statewide services. With our team, you will perform the following duties: Application Review: Examine Utilization Review Entity and Independent Review Organization applications, then communicate with applicants to help them make changes needed to meet legal, regulatory, and procedural requirements Information Research: Collaborate with team members to research rules, policies, and records to answer questions and address application issuesPolicy Support: Assist in drafting policy, legislative proposals, and program guidance for bureau operationsInquiry Monitoring: Track incoming questions to identify trends and recommend areas where additional or revised guidance may be helpfulCase Preparation: Learn how to build consumer appeal case files, present cases, participate in case reviews, and draft decision lettersData Support: Become familiar with data collection, baseline statistics, trends, and report processes to prepare summaries and recommendations for program managers regarding enrollment data, complaints and grievances, county level penetration rates, and other similar measuresInterested in learning more? Additional details regarding this position can be found in the position description.Work Schedule and Additional Information: Full-time employmentWork hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.Telework: You may have the opportunity to work from home (telework) part-time, up to three 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 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.
SUPPLEMENTAL 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.
