Health Program Representative

Seeking candidate with excellent customer service skills AND medical program experience to join the Office of Managed Health Care.  

To provide education to Medicaid and CHIP members regarding their benefits and support members with their health/dental plan enrollments.  Education is completed statewide by phone.  Tobacco cessation phone education and follow-up is provided for pregnant Medicaid members.  The job requires continual login to the Genesys phone system to answer calls from members and providers for plan selections and changes, access to care issues, billing problems, MyBenefits registration and eligibility issues, and a variety of other issues.  

Preference may be given for the following.

• PRISM and eRep experience
• Software proficiency- Word, Excel, PowerPoint, Google Docs
• Medicaid and Chip program knowledge
• Excellent Phone Skills- Call center experience
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• For more information on the program, please click here.

Note: as of April 8, 2024, DHHS employees will be working a hybrid schedule, which includes 2 office days per week and 3 telework days.

Why work for the Utah Department of Health and Human Services?  In addition to the rich benefits  the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee
• UTA Eco Pass, at a discounted monthly rate
• Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-382-4012 or firststepschildcareslc@gmail.com

For more information on the Utah Department of Health and Human Services, please click here.

If offered this position, your employment will be contingent upon passing a background check and review.  There will be no cost to you for this check.  This check will include fingerprinting, which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment.  You may review the policy by clicking here.

• Provides clients with information concerning rights, options, benefits, services, goals and expectations.
• Analyzes, summarizes and/or reviews data; reports findings, interprets results and/or makes recommendations.
• Ensures compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards and guidelines, etc.
• Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.
• Decides upon the need for additional data, information, etc, and authorizes the means necessary to obtain the required information.
• Refers client/inmate/patient to other available services to meet needs where appropriate.
• Enters data into a computer system and retrieves, corrects, or deletes previously entered data.
• Counsels clients and prospective clients; screens referrals, provides community outreach.
• Reviews and/or inspects work for quality, accuracy, and completeness.

(includes knowledge, skills, and abilities required upon entry into position and trainable after entry into position)

• Medicaid program(s) knowledge
• community resources and Medicaid services
• communicate information and ideas clearly, and concisely, in writing; read and understand information presented in writing
• use logic to analyze or identify underlying principles, reasons, or facts associated with information or data to draw conclusions
• speak clearly, concisely and effectively; listen to, and understand, information and ideas as presented verbally
• applicable laws, rules, regulations and/or policies and procedures
• research methods, techniques, and/or sources of information
• use automated software applications

• This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time and for any reason.
•  Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.

Working Conditions

• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Standard Schedule: Monday-Friday, 8:00 am - 5:00 pm

Physical Requirements

• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.

Salary : $20 - $36