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Program Specialist I

Consultant | Harrisburg, PA | Contract

Job Description
Program Specialist I
Work Location: Harrisburg, PA

Job Summary/Description
To provide managerial leadership and oversight to project and processes for the Office of Medical Assistance. Will be assigned to represent the OMAP on management workgroups and project teams. To Team lead, answer high level claims’ questions and monitoring call center staff. The position is M-F, 8:00 - 4:00 with no travel. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to:

Job Duties/Responsibilities/Functions (including but not limited to)
• Develop utilization specific reporting to identify access patterns, practice styles, accessibility, and configuration of medical services;
• Design and implementation of a proactive Provider Relations process, including provider education and network development;
• Evaluation and implementation of system enhancements for service delivery (including development of RFPs), provider enrollment, provider inquiry, and medical review;
• Analysis of pharmaceutical programs and outcomes impacts;
• Evaluation of currents processes and implementation of recommended process improvements;
• Consult with senior staff within OMAP to outline major operational issues and develop resolutions based on sound data analysis;
• Act as liaison between the Department and external stakeholders (individuals and/or groups);
• Assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators; and
• Assist in determining if any changes should be made to criteria or regulations to better serve their clients.
• Consultant will report to the management staff of the OMAP. Assignments will be received verbally or in writing and will be carried out independently with minimal direct supervision. Work will be overseen through weekly status meetings with management.
• Consultant, when requested, will work at one or more of the Department's work sites. Consultant’s primary workstation will be at the Commonwealth Towers. Consultant will be provided with a desk, computer, phone, and all items necessary for him/her to complete assignments.
• If Consultant is unable to appear at the scheduled work site at the pre-determined times, notification must be made to the Work Site Supervisor either prior to date or on date of absence.
• Consultant may be required to represent the Department at activities outside of Harrisburg. Reimbursement for travel required by the Department, will be made in accordance with the Commonwealth of Pennsylvania’s travel regulations.
• Work Product Deliverables-Verbal or written assignments for on-going processes, standing work groups and projects will include specific and detailed descriptions of deliverables including nature of the work product, expected timeframes, available resources and desired outcomes. Progress towards interim goals and deliverables will be assessed during regular status meetings with the Bureau Director.
• Performs other duties as assigned

Minimum Qualifications
• Bachelor's Degree in Education, Human Services, social work or related field preferred
• Intermediate Computer Skills – familiarity with Microsoft Office programs.
• Strong interpersonal skills for working with contract vendor, agency and other professional personnel
• Ability to learn and apply Commonwealth procedures and regulations and standard business practices related to the operations of the contract.
• Demonstrated ability for written and oral communication, and program development responsibilities.
• Strong organizational skills with attention to details and a demonstrated ability to work independently under general supervision.
• Be available as a consultant on average 37.5 hours per week.
• Possess a documented work history of two or more years of experience performing provider. relations/network management and administration within the previous five years.

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.