Human Services Analyst

Are you ready to elevate your career by playing a crucial role in the oversight of programs that ensure health care access for the community? The Office of Long-Term Living is seeking a motivated and self-driven professional to join a small, dedicated team of analysts providing comprehensive oversight of the Community HealthChoices managed care organizations for agreement compliance. This dynamic Human Services Analyst position offers the opportunity to collaborate across every department within the agency and with contractors, ensuring a varied and engaging daily experience. You will work within a closely knit team environment where mutual support is a priority and diverse assignments provide a constant sense of professional accomplishment. By joining this specialized group, you will contribute to the vital mission of assisting vulnerable Pennsylvanians in a role that values flexibility and initiative-apply today!

As a Human Services Analyst, you will play a vital role in overseeing a managed care organization (MCO) to ensure strict adherence to the Community HealthChoices agreement and all relevant regulatory requirements. Working independently and collaboratively, you will contribute to collective team goals by meticulously reviewing participant eligibility within state systems to guarantee the continuity of health care benefits. This responsibility extends to assisting providers in resolving eligibility gaps and coordinating with the MCO to ensure their internal records align perfectly with state data. When discrepancies or record errors arise, you will work closely with internal staff to implement necessary corrective actions. Additionally, you will evaluate the MCO's internal policies and procedures for contractual compliance while reviewing public-facing materials and participant notices to ensure clarity and adherence to established standards. This role requires active engagement in weekly meetings and specialized training sessions, requiring you to apply a deep understanding of the Community HealthChoices agreement to daily operations. Success in this position relies on critical thinking, astute decision-making, and professional communication skills. Furthermore, you will have an opportunity to demonstrate your ability to manage shifting priorities and maintain a timely workload while utilizing proficient computer skills in a variety of Microsoft products.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year of professional experience developing, implementing, or evaluating human services, social services, health care services, or health care insurance programs; and a bachelor's degree; or
• An equivalent combination of experience and training that includes one year of professional experience developing, implementing, or evaluating human services, social services, health care services, or health care insurance programs.

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.
• All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

• Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.