Title:  Vermont Healthcare Service Specialist II - Limited Service

Overview

The Department of Vermont Health Access (DVHA)'s mission is to improve the health and well-being of Vermonters by providing access to quality healthcare cost effectively. We have three priorities that support us in moving our mission forward: Adoption of value-based payments, management of information technology projects, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service. 
 
DVHA's Health Access Eligibility & Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic call center team. The Vermont Healthcare Support Specialist II (VHSSII) determines applicant eligibility for Vermont's health care programs including: Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSII handles large volumes of incoming calls and 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 VHSII regularly processes work in each of the health care programs/subprograms and processes work offline as needed. This position is responsible for taking incoming customer calls and may be required to make callbacks to ensure the customer's problem is resolved and/or they are on a path to resolution.   This position is funded through 06/30/2022, which may be extended.

Who May Apply

This position, Vermont Healthcare Service Specialist II - Limited Service (Job Requisition #20508), is open to all State employees and external applicants. It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs. 
 
If you would like more information about the duration of this position or other details, please contact tiffaney.fisher@vermont.gov.
Please note that multiple positions in the same work location may be filled from this job posting.
Resumes will not be accepted via e-mail.  You must apply online to be considered.

 

AHS BACKGROUND CHECKS:  Candidates must pass any level of background investigation applicable to the position.  In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Class Definition

Professional and technical health care eligibility and customer service work performed in the matrixed Health Access Eligibility and Enrollment Unit for Vermont Health Connect and Green Mountain Care. These positions determine applicant eligibility for Vermont's health care programs: Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect, in addition to providing ongoing customer service to Vermonters enrolled in these programs and qualified health plans (QHPs) within the Tier 2 call center. This position is responsible for processing applications and making eligibility determinations using the following systems: Siebel, ACCESS, and the Vermont Health Connect portal. A large portion of the work required for this position relies upon the employee's ability to use their independent judgement to make a determination based on complicated policy and rules research. Work is performed under the supervision of a Healthcare Service Supervisor or the unit's Assistant Director.

Environmental Factors

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

Minimum Qualifications

Associate's degree or higher or two (2) years college coursework.

OR

Three (3) or more years of experience in a customer service environment where there was regular use of computer programs, the understanding of, and ability to explain policies/procedures or rules/regulations, and clerical work/data entry.

OR

Six (6) months or more of work experience as a VHSS I.

Preferred Qualifications

Experience within a call center environment.

Total Compensation

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium
• Dental Plan at no cost for employees and their families
• Flexible Spending healthcare and childcare reimbursement accounts
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
• Low cost group life insurance
• Tuition Reimbursement
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.

Equal Opportunity Employer

The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State’s employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.