Public Health Program Manager

Do you have strong administrative experience and proven organizational skills? If so, consider starting a rewarding career with the Pennsylvania Insurance Department, Bureau of Managed Care, as a Public Health Program Manager. This position gives you the opportunity to utilize your strengths to supervise a team responsible for overseeing the independent external review requests, prior authorization, and/or network adequacy submissions. If you believe you have what it takes to succeed in this position, apply today to make your career aspirations a reality!

As a Public Health Program Manager, you will be responsible for supervising a team that is responsible for the oversight of managed care organizations and commercial health insurers' compliance with laws and regulations regarding consumer access to provider networks. Work involves reviewing and analyzing multiple contracts, applications, payor provider arrangements, and certifications; processing appeal requests for independent external review; as well as addressing health coverage quality, questions, complaints, or issues with insurers, consumers, and other bureaus. You will have the opportunity to assist in providing information in response to press inquiries or draft press releases related to the Bureau of Managed Care coverage access, administration, and appeals. Additional responsibilities include:

• Assigning tasks and ensuring compliance with federal and state statutory and regulatory requirements
• Analyzing reports, data, and processes to determine if there are health coverage quality or compliance issues
• Hiring and training employees
• Researching laws, regulations, legal decisions, positions, and historical data
• Succession planning as it pertains to the retention of key resource knowledge
• Assisting with the preparation of information and testimony to be used in administrative hearings and court proceedings as well as appearing as a witness if necessary

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

Work Schedule and Additional Information:

• Full-time employment
• Work hours are flexible, 7:30 AM to 4:00 PM, 8:00 AM to 4:30 PM, or 8:30 AM to 5:00 PM Monday - Friday, with a 60-minute lunch.
• Telework: You may have the opportunity to work from home (telework) full-time. You will be required to report in-office one day per month. 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.
• 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 as a Public Health Program Administrator; or
• Seven years of professional experience in development or evaluation of grants, contracts or programs for the provision of social, employment , environmental health or health related services, which includes one year of administrative, supervisory or consultative experience; or
  
• An associate's degree in allied health sciences or nursing and five years of professional experience in the development or evaluation of grants, contracts or programs for the provision of social, employment, environmental health, or health related services, which includes one year of administrative, supervisory or consultative experience; or
• A bachelor's degree and three years of professional public health, health, allied health sciences, drug and alcohol or related experience, which includes one year of administrative, supervisory or consultative experience; or
• A bachelor's degree and three years of professional experience in the development or evaluation of grants, contracts or programs for the provision of social, employment, environmental health, or health related services, which includes one year of administrative, supervisory or consultative experience; or
  
• A master's degree in public health, health services administration, health care administration, health education, public health administration, public administration, nursing, epidemiology, social work, nutrition, hospital administration, physical therapy, occupational therapy, business administration, or education and two years of professional experience in the development or evaluation of grants, contracts or programs for the provision of social, employment, environmental health or health related services, which includes one year of administrative, supervisory or consultative experience.

Other Requirements:

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

How to Apply:

• 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).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• 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.

Veterans:

Telecommunications Relay Service (TRS):

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.