A-Line Staffing is now hiring a Program Specialist ll. This would be full time / 40+ hours per week.

If you are interested in this Program Specialist ll Opportunity, please contact Michelle at 586-422-1171 or Mmansoor@alinestaffing.com

Program Specialist ll Hours

• Remote, but required in office one day per month.
• Possible travel to Harrisburg/Camp Hill/Mechanicsburg area.

Program Specialist ll Compensation

• The pay for this position is $20.00-22.00 an hour paid weekly
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Program Specialist ll Responsibilities

• Will work with the Enhanced Member Support Unit of the Bureau of Managed Care Operations.
• This role focuses on coordinating services and resolving issues for HealthChoices members with special healthcare needs.
• The position monitors the compliance of Managed Care Organizations (MCOs), coordinates care, and resolves issues related to case management for members, including children in substitute care.
• The Program Specialist also works closely with various DHS offices and external stakeholders to ensure timely, effective service delivery.
• Monitor Compliance: Ensure compliance of Physical Health MCO’s Enhanced Member Support Units (EMSU’s) for assigned MCOs.
• Resolve Member Issues: Facilitate the resolution of member issues referred by various stakeholders, such as legislative offices, hospitals, and doctor’s offices, following through until resolution.
• Collaboration: Work with DHS offices, including the Office of Developmental Programs (ODP), Office of Long-Term Living (OLTL), Office of Mental Health and Substance Abuse Services (OMHSAS), Office of Children, Youth, and Families (OCYF), Adult Protective Services (APS), and Bureau of Fee for Services (FFS) to ensure members receive necessary services.
• Data Sharing and Reporting: Review and analyze reports to identify trends and needs; ensure that MCOs are meeting program standards and report findings to management.
• Contract Management: Participate in contract management activities, including quarterly meetings with MCOs, stakeholder meetings, and related activities.
• Specialized Support: Serve as backup for Resource Facilitation Team (RFT) and age-out issues, providing support as needed.
• Documentation: Maintain accurate documentation of efforts to address member cases, as well as meeting outcomes, ensuring proper tracking and compliance.
• Meetings and Trainings: Coordinate and schedule meetings, participate in webinars, and provide updates to supervisors, managers, and directors.

Program Specialist ll Requirements

• One (1) year of professional experience in developing, implementing or evaluation human services, sociology, public health, health care services, or health care insurance programs
• Bachelor’s degree in human services or education Field
• Medicaid/Medical Assistance is a plus

If you think this Program Specialist ll Position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!