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Program Support Specialist
Shift timing: 09:00 am to 05:00 pmlunch:1 hour (unpaid)Assignment location: 6QuakerbridgePlaza, Hamilton, NJ 08619(Onsite Role)Contract Duration: 06/30/2024
Job Description:
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 maintain 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.
Job Type: Contract
Salary: $21.00 - $26.00 per hour
Expected hours: 35 per week
Schedule:
License/Certification:
Ability to Commute:
Ability to Relocate:
Work Location: In person
Contractor
$52k-65k (estimate)
04/07/2024
08/03/2024
The job skills required for Program Support Specialist include Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be a Program Support Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Program Support Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Program Support Specialist positions, which can be used as a reference in future career path planning. As a Program Support Specialist, it can be promoted into senior positions as an Administrative Assistant III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Program Support Specialist. You can explore the career advancement for a Program Support Specialist below and select your interested title to get hiring information.