Program Support Specialist

Program Support Specialist
Work Hours:- 9-5
Location:- 7 Quakerbridge Plaza, 2nd Floor Hamilton, NJ 08619
Lunch:- 1 hour Unpaid

Unwinding justification for Unwinding Capacity team: Related to the end of the Covid-19 public health emergency (PHE), the Centers for Medicaid and Medicare Services (CMS) has mandated the return to Medicaid Redeterminations, also referred to as the PHE Unwinding, which spans a 14-month period. In order for New Jersey (NJ) to comply with the CMS guidelines for Unwinding and to complete redeterminations for the largest Medicaid population ever covered by NJ, it is essential to expand our staff for the business areas impacted most by Unwinding for the period of Unwinding and any closeout requirements that may follow. This staffing position requested is a vital part of the Unwinding business needs and is critical to maintaining business operations.

Job Description:

· · Assists in researching laws, rules, and regulations necessary to fair hearings.

· Manages rapid and extensive incoming correspondence and appeal requests, per member redetermination.· Reviews and processes fair hearing documentation for submission to the Office of Administrative Law.· Coordinates and documents legal processes in order to facilitate the Appeals process efficiently and accurately.· Responds to inquiries regarding program activities or requirements; refers the more complicated inquiries to senior level staff.· Generate and issue monthly reports detailing outstanding appeal requests as well as both accepted and declined requests.· Prepares charts, tables, and other graphic representations needed for the planning, operation, and implementation of program activities.· Ensures compliance with federal mandates relevant to PHE Unwinding.· Establishes processing timelines for all appeal requests in coordination with legal team.· Utilizes various types of electronic and/or manual recording and information systems used by the agency, office or related units
Duties/Responsibilities: Full-time, high-level admin, legal experience preferred, problem solving and analytical skills, Microsoft Office Suite proficient, Prepare detailed reports showing case status, data entry, phone/customer service experience.

Desired skills:

1. Committed to serving people the best way possible through government healthcare programs.

2. Excellent communication and interpersonal skills with demonstrated ability to build bridges of understanding with all levels of stakeholders.

3. Positive energy and eagerness to embrace diverse colleagues and communities.

4. Motivated to work independently and in teams towards shared goals.

5. Curiosity and positive energy to learn and grow in the organization

Job Type: Contract

Pay: $25.00 - $26.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $25 - $26