VT Healthcare Service Specialist II

State of Vermont - Department of Vermont Health Access
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Location: Washington County,
About the Job

The Department of Vermont Health Access (DVHA)’s Health Access Eligibility and Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic call center team. Have the work/life balance you need with a Monday-Friday schedule and a supportive hybrid work environment. Eleven paid state holidays, in addition to a robust benefits


The Vermont Healthcare Service Specialist II (VHSSII) determines applicant eligibility for Vermont’s health care programs including Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSII reviews and enters applications for Vermont’s health care programs to determine eligibility and complete enrollment and plan selection and processes changes with extreme attention to detail to ensure accurate processing. The VHSII regularly processes work in each of the health care programs/subprograms.
The majority of VHSSII work is processed on the phone with customer calls.

The Healthcare Services Specialist II role has the following responsibilities:

· Researching and resolving discrepancies in healthcare profiles.
· Reviews and enters applications and life changes with accurate eligibility.
· Can work multiple work buckets.
· Subsidy, Coverage Dates and Eligibility Discrepancies.
· Reconciliation of the different systems to ensure all data aligns with the health exchange and our
carrier partners.
· Handles a high call volume of customers needs.
· Provides excellent customer service

The Department of Vermont Health Access (DVHA)’s mission is to improve Vermonters’ health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.

Our State:
Vermont is a “small but mighty” state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.

The Department of Vermont Health Access (DVHA) supports a hybrid work environment. Upon hire, employees work with their supervisor to create a schedule that aligns with the business needs of the unit. We believe a hybrid work environment promotes autonomy and allows for increased flexibility and greater work/life balance.

Employer's Approach to Diversity, Equity, & Belonging

As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.

Wage or Salary