Shift: Monday-Friday 37.5 hours (8:00am-4:30pm with one hour lunch 12pm-1pm)
Job Type: Long Term Contract
Mode: Hybrid
Note: Candidate will work from home or be traveling depending on determined activities. Activities are conducted both virtually and in-person
Summary:
This contracted position is responsible for delivering Senior Medicare Patrol (SMP) Services providing group education and one-on-one assistance to Medicare beneficiaries, their families, and caregivers about how to prevent, detect, and report Medicare fraud, errors, and abuse. This position is responsible for collecting and analyzing information to evaluate program administration and to determine compliance with federal, state, and departmental regulations and objectives; researching, analyzing, and reviewing data to develop and recommend policies and procedures; developing reports on program effectiveness; resolving beneficiary complaints and conducting outreach; assisting in program planning, reporting, and compliance efforts; and recruiting, training, and managing volunteers within their assigned region. The incumbent plays an important role by focusing on community outreach and Medicare beneficiary empowerment with the goal of stopping fraud before it occurs. The incumbent consults with the other Regional Program Specialists and the SMP Project Manager housed in PDA's Education and Outreach Office.
Major Responsibilities:
- Research and analyze program data, issues, and trends to develop recommendations for program improvements.
- Evaluate regulations, policies, and procedures to ensure conformance with department objectives.
- Recommend legislative, regulatory, and policy changes to enhance SMP services.
- Record and enter into SMP's database outreach, interaction, and complex case data following standardized reporting formats.
- Successfully complete SMP foundations training and SMP group outreach training.
- Successfully complete SMP complex interactions training and SMP counselor training.
- Successfully complete required ACL annual privacy and confidentiality training.
- Provide one-on-one beneficiary support and resolve beneficiary inquiries for complex cases of healthcare billing errors, fraud, and abuse in all statewide regions.
- Research and interpret Medicare rules and guidelines, applying knowledge as needed to coordinate with external parties and to resolve complex cases.
- Facilitate referrals to federal and state agencies and law enforcement when appropriate.
- Help individuals and their loved ones understand how to review their healthcare statements and bills for accuracy and how to identify and avoid potential fraud schemes.
- Recruit, train, and retain a sufficient, effective, and representative volunteer workforce.
- Utilize Administration for Community Living's (ACL) Volunteer Risk and Program Management (VRPM) in volunteer recruitment, onboarding, and management efforts.
- Assist volunteers with securing appropriate outreach opportunities to ensure the SMP message is reaching communities throughout the region.
- Assist in planning and implementing volunteer learning opportunities and training.
- Assist with determining state outreach plans, materials, and campaigns, and assist with the development of reporting requirements.
- Foster cooperative relationships with statewide organizations to raise SMP awareness.
- Identify and conduct events to educate the public on healthcare fraud, abuse, and errors.
- Visit Area Agencies on Aging (AAAs) to provide technical assistance and consultation.
- Provides consultation and develops recommendations concerning aging services proposals from agencies, colleges, universities, and other sources.
- Oversee volunteer recruitment, onboarding, and management within identified region.
- Conduct complex casework in all statewide regions.
- Utilize a variety of computer software programs, including PDA's standardized documentation system (Microsoft Office Suite) with a secure internet connection.
- Demonstrate excellent verbal and written communication skills.
- Accurately and timely record information and meet all legal and statutory timeframes.
- Travel within identified region, approximately 50% of business hours.
Qualifications:
- Minimum of two (2) years of professional experience in human services providing human services-related research, outreach, or social services to clients, and a bachelor's degree in communications, social work, public health, or a related field. Equivalent experience and training may be considered.
- Prior experience working within a statewide human services program as a social worker, outreach specialist, or program specialist.
- Knowledge of volunteer recruitment, onboarding, and management practices.
- Knowledge of the goals, objectives, principles, and practices of human services administration and program operations.
- Success managing multiple priorities through organization and communication.
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About our Company: -
22nd Century Technologies Inc., (TSCTI) is one the fastest growing healthcare staffing companies in the United States. With presence in all 50 States and 6000+ employees nationwide, we have been providing unparallel healthcare and technology staffing services to Public and Private sectors for over 26 years.
Started as a technology staffing company in 1997, we have significantly expanded our healthcare practice to both Clinical and Non-Clinical staffing, serving various facilities, healthcare organizations and government agencies. Our ISO certified staffing practices and technology driven staffing procedures – from recruitment to onboarding, along with an internal pre-vetted resume database of healthcare professionals, enable us to serve our customers with their immediate staffing needs.
TSCTI has extensive experience providing Physicians, Nurses, Pharmacists and other Allied Health professionals to various states – California, Connecticut, District of Columbia, Florida, Michigan, Minnesota, New Jersey, New York, Texas, Vermont, Virginia to name a few, and Our valued relationships with employees as well as commitment to meet and exceed clients’ expectations through our exemplary employees proves our competency in today’s healthcare staffing industry.
Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Pay: $30.00 per hour
Education:
Experience:
- Professional human services: 2 years (Required)
- human services program projects: 2 years (Required)
- working with elderly population: 1 year (Required)
Ability to Commute:
- Harrisburg, PA 17101 (Required)
Work Location: In person
