Medicare Enrollment Coordinator - Human Services Program Specialist 2 - Remote Eligible

Medicare Enrollment Coordinator

Job Class: Human Services Program Specialist 2

Agency: Human Services Dept

Location: St. Paul

Telework Eligible: Yes

Full/Part Time: Full-Time

Regular/Temporary: Temporary

Who May Apply: Open to all qualified job seekers

Salary Range: $26.43 - $38.55 / hourly; $55,185 - $80,492 / annually

Classified Status: Classified

Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE

End Date: This position is expected to last up to 6 months.

FLSA Status: Nonexempt

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

This is a temporary position that is expected to last up to 6 months.

This posting may be used to fill multiple openings.

This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

This position reports to the TPA Medicare Enrollment Team within the Managed Care Contracting and Rates unit of DHS. This individual is responsible for evaluating and assigning the correct managed care product for consumers who are dually-eligible for Medical Assistance and Medicare. The individual will be familiar with eligibility requirements and policies as they relate to the Minnesota Senior Health Options (MSHO) or Special Needs BasicCare (SNBC) program(s).

Main responsibilities:

Process enrollments/dis-enrollments, monitor and account for and, if needed, correct transactions relating to MSHO, SNBC and Medicare enrollments and payment. Within specified timelines, ensure that enrollment data and appropriate Medicare notices are submitted in an accurate manner and in accordance with contract and/or Federal requirements.

Minimum Qualifications

One (1) year professional experience working with Minnesota Health Care Programs or Managed Care Policy

OR

Three (3) years advanced technical experience working with Health Care Programs or Managed Care Policy

AND

Experience must demonstrate the following:

Working knowledge of medical program eligibility, benefits, managed care policy and payment process.

Ability to analyze data, trends, prepare statistical reports, and enter data accurately to multiple systems.

*Bachelor's degree or higher degree in human services, business, healthcare or related field may substitute one year of professional experience.

Preferred Qualifications

Knowledge of the state's automated eligibility system for public assistance programs (MAXIS) and the Medicaid Management Information System (MMIS).

Knowledge of the Prepaid Minnesota Health Care programs, specifically related to Minnesota Senior Health Options (MSHO) and Special Needs Basic Care (SNBC) programs and their integration with Medicare enrollment requirements.

Understanding of the roles and relationships of county, state, federal agencies and health plans with whom the department contracts.

Ability to interpret policy and procedure manuals.

Experience enrolling consumers in a health plan and reviewing enrollment applications.

Experience with the workflow component of FileNet.

Variety of experiences working effectively with others from different backgrounds and cultures.

Ability to organize data and maintain accuracy in a high-volume work setting.

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

A writing sample may also be requested upon completion of an interview.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us. Please indicate what assistance is needed.