Vermont Healthcare Service Specialist I

at State of Vermont in Waterbury, Vermont, United States

Job Description

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.
 
JOB DUTIES: 
The Vermont Healthcare Support Specialist I (VHSSI) determine applicant eligibility for Vermont's health care programs including Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSI 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 VHSI regularly processes work in each of the health care programs/subprograms. The majority of VHSSI work is processed off-line with customer outreach completed as needed.

 

The Healthcare Services Specialist I 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.
• Provides excellent customer service

 

Mission:
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.

Diversity, Equity, and Inclusion:
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.

Our State:
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.

Environmental Factors

Duties are performed in an office setting. Workload is consistently heavy with constant need for prompt and accurate data enter and 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. inability to communicate, attempts at falsification, unhappy customers). Work outside of typical business hours may be expected.