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Program Specialist II (8232)

Program Manager | Camp Hill, PA | Contract

Job Description
Program Specialist II
Work Location: Camp Hill, PA

InGenesis is currently seeking a Program Specialist II to provide managerial leadership and oversight to projects and processes for a medical assistance office. Your assignments in this role will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects.

If you meet the qualifications outlined below, apply today and we’ll reach out to answer any questions you may have!

Job Duties/Responsibilities/Functions (including but not limited to)
• Review and analyze file submissions.
• Assist in passing edits and audits within department.
• Perform retrospective data reviews to ensure data quality of system contract requirements have been achieved.
• Research and respond to inquiries related to encounter submissions, systems contract monitoring requirements, provider, and reference files.
• Review, analyze, and recommend revisions to existing and proposed policies, regulations, and procedures.
• Identify and submit systems changes/updates to assist in accurate and timely encounter data submissions.
• Participate in monthly calls to discuss system and contractual issues/concerns.
• Perform other duties as assigned.

Minimum Qualifications
• Bachelor’s degree in Education or Human Services, preferred.
• Health Insurance claims processing knowledge/experience, highly preferred.
• Intermediate computer skills, required.
• Effective communication skills (oral/written), required.
• Strong problem-solving skills, required.
• Attention to detail, required.