VHC Support Services Specialist

State of Vermont • Waterbury, VT

3d • Hybrid

About The Position

The Department of Vermont Health Access (DVHA)'s Health Access Eligibility & Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic team. Have the work/life balance you need with a Monday-Friday schedule and a supportive hybrid work environment. Eleven paid state holidays, in addition to a robust benefits package. We currently operate on a hybrid model with three days in-office. This in office schedule is not guaranteed.
Job Duties: The position plays an integral part for the Medicaid Reconciliation Group which is a part of the Health Access Eligibility and Enrollment (HAEEU) Data Team. The VHC Support Services Specialist (Medicaid Reconciliation) serves as a subject matter expert in researching and resolving discrepancies between healthcare systems. Additionally, this position provides back-end support for accurate customer eligibility determination, defect identification and tracking, and testing program deployments. The VHC Support Services Specialist works closely with various internal groups to accomplish our mission statement.

Requirements

• One (1) year or more of experience in a healthcare or health insurance field.

Nice To Haves

• Excel Proficient
• Basic Understanding of Transactional Relationships Between Multiple Systems
• Knowledge of Customer Relationship Management Software
• Knowledge of Medicaid for Children and Adults (MCA) Rules and Regulations
• Time Management
• Problem Solving
• Analytical
• Continuous Improvement Mindset
• Knowledge of health insurance operations and federal health care reform.

Responsibilities

• Reviewing/Resolving discrepancies relating to VT Medicaid between multiple systems
• Identifying defects and providing solutions
• Utilizing business intelligence tools such as Tableau
• Assisting with Vermont Medicaid Renewals

Benefits

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed