Vermont Healthcare Service Specialist II

Overview

The Department of Vermont Health Access (DVHA)'s Health Access Eligibility & Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic team. Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.

The Vermont Healthcare Support Specialist II (VHSSII) determines applicant eligibility for Vermont's health care programs including Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSII reviews and enters applications for Vermont's health care programs to determine eligibility and complete enrollment and plan selection and processes changes with extreme attention to detail to ensure accurate processing. The VHSSII regularly processes work in each of the health care programs/subprograms.

The majority of VHSSII work is processed on the phone with customer calls.

The Healthcare Services Specialist II role has the following responsibilities:

• Researching and resolving discrepancies in healthcare profiles.
• Reviews and enters applications and life changes with accurate eligibility.
• Can work multiple work buckets.
• Subsidy, Coverage Dates and Eligibility Discrepancies.
• Reconciliation of the different systems to ensure all data aligns with the health exchange and our carrier partners.
• Handles a high call volume of customer's needs.
• Provides excellent customer service.

The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission:
Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values:
Transparency, Integrity and Service.

As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.

Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.

This position, Vermont Healthcare Service Specialist II (Job Requisition #54050), is open to all State employees and external applicants. If you would like more information about this position, please contact Deborah Alden en. 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.

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 are performed in an office setting. Workload is consistently heavy with constant need for prompt and accurate decision making. Incumbents must be able to function independently, prioritize their own work and multi-task effectively. Private means of transportation should be available for necessary travel to training and/or meetings. Applicants may provide a variety of challenges including but not limited to highly emotional conditions (i.e., irate customers, inability to…