Health Program Associate

3 weeks ago

Hartford, United States State of Connecticut Full time

Introduction
About Us
At State of Connecticut, we are committed to providing exceptional healthcare services to our community. As the Department of Social Services (DSS), our mission is to enhance the quality of life for all residents by ensuring access to comprehensive and cost-effective healthcare programs. We are dedicated to improving the well-being of individuals and families throughout the state.

Benefits

At State of Connecticut, we prioritize the well-being of our employees and recognize the importance of maintaining a harmonious work-life balance. Alongside competitive compensation, we provide a range of benefits, including medical, dental, and vision insurance, retirement plans, paid time off, and professional development opportunities.

Visit our new State Employee Benefits Overview pageWork for a Forbes top company: 'Forbes' State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule.
Responsibilities
As a Health Program Associate in the Division of Health Services, Integrated Care, Pharmacy Unit, you will play a vital role in managing and administering various healthcare programs and projects.
Process pharmacy claims, including Prior Authorization, Medical Necessity review, and Pharmacy Client Lock-ins with exceptional accuracy and efficiency. Manage and administer Opioid Related prescription treatments with flawless attention to detail. Act as the primary contact for providers and members, addressing their healthcare claims and pharmacy access issues promptly and professionally. Listen to complaints, identify the root cause of disputes, and effectively resolve the situation, ensuring member satisfaction. Organize and sustain ongoing activities for implementing and integrating non-clinical aspects of health programs and projects, contributing to their successful implementation. Collaborate with colleagues, share innovative ideas, and maintain flexibility in scheduling to ensure consistent pharmacy coverage.

Position Details

HybridMonday through Friday  40 Hours Per Week, 8:00AM - 4:30PM55 Farmington Avenue, Hartford, CT 06105.

Join Our Team
If you are passionate about making a difference in healthcare and possess the skills and experience, we are looking for, we invite you to apply for the Health Program Associate position at State of Connecticut. Together, we will continue to improve the well-being of our community through exceptional healthcare programs and services.
We deliver and fund a wide range of programs and services to over 1 million residents of all ages across Connecticut. Deploying over $9B in benefits each year, we support the basic needs of children, families, older and other adults, including persons with disabilities. Further we seek to provide person-centered services, streamline access to critical services and maximize economic security and well-being, and opportunity.
Selection Plan


Please visit our 'Applicant Tips on How to Apply' page or view our tutorial.

The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process. In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.  This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting's closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the question's expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user's spam. Note:  At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position.  These documents may include:  a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency.  Applicants must meet the minimum qualifications as indicated to apply for this position. Should you have questions pertaining to this recruitment, please contact Liz Pinette at elizabeth.pinette@ct.gov.This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules.The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period.  It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception.  Requests should be made to DAS.SHRM@ct.gov.For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.Read through this helpful link to prepare for your interview.
PURPOSE OF JOB CLASS (NATURE OF WORK)
In a state health program or project, this class is accountable for performing high level work in the implementation and coordination of the non-clinical aspects of health care programs or projects.
EXAMPLES OF DUTIES
The specific duties and responsibilities of this generic class vary widely depending on the nature of the program and the current stage in its life cycle. Typical examples of duties include the following: serves as regional coordinator for a statewide health program or project with responsibility for developing and maintaining appropriate programs, projects and liaisons in their assigned regions; participates in planning, organization and implementation of a statewide health program by having responsibility for major components of program such as staffing, work assignment and distribution decisions; initiates and oversees public relations efforts; establishes and maintains relationships involved in program within agency and with other state, community or public agencies; assists division head in expediting program; prepares comprehensive reports on planning and progress of program; develops objectives so program functions within cost estimates; analyzes, evaluates and interprets data; advises and participates in formulation of task forces within or outside agency and coordinates activities so program is successfully accomplished; works with federal, state and community agencies on new, proposed or revised programs to clarify or develop objectives, determine method of integrating programs in agency operations and establish cost estimates; provides technical assistance to community agencies; assists in drafting of legislation and regulations; gathers fiscal and programmatic data on programs and participates in planning budget and programmatic aspects of program; may also be assigned to conduct health planning, program monitoring and grants management for particular programs; may be involved in approval of grants or projects; may speak publicly about program issues and develop information for public distribution; performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
Considerable knowledge of purposes, plans, objectives and programs of public health agencies including changing patterns of preventive medicine and environmental health; considerable knowledge of relationships between risk factors and evidence of health problems; considerable knowledge of changing aspects of social-medical philosophies; knowledge of research and evaluation design methodologies; knowledge of state and community organizations and programs involved in field of public health and medical care; considerable oral and written communication skills; interpersonal skills; considerable ability to plan, organize and direct a complex technical program; ability to analyze, evaluate and interpret data; ability to lead and train staff.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Seven (7) years of professional experience in a health organization.
MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE
One (1) year of the General Experience must have been in health care program administration, a health systems agency or other health care organization in at least one of the following areas:

1. grant writing or monitoring;

2. formal program planning, development, management or evaluation;

3. program consultation;

4. public relations activities.

For State Employees, this is interpreted at the level of Health Program Assistant 2.

Note: A health care organization is defined as a large multi-dimensional agency with responsibility for developing health programs.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
1. College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.

2. A Master's degree in health education, hospital administration, public administration, public health or other closely related field may be substituted for one (1) additional year of the General Experience.

3. For State Employees one (1) year as a Health Program Assistant 2 may substitute for the General and Special Experience.
PREFERRED QUALIFICATIONS
Knowledge pf pharmacy claims processing system including Prior Authorization, Medical Necessity review, and Pharmacy Client Lock-ins Knowledge of Opioid Related prescription treatments Serve as the point person for provider and members for concerns relating to healthcare claims related to pharmacy access issues Ability to listen to complaint and establish where the dispute or problem originates and rectify situationResponsible for providing support in organizing and sustaining on going activities for the implementation and integration of non – clinical aspects of health programs and/or projects.Able to collaborate with others, share ideas, and is flexible in scheduling time off to always ensure full pharmacy coverage.
SPECIAL REQUIREMENTS
Incumbents in this class may be required to travel.
Conclusion
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

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