Human Services Program Specialist

As a Human Services Program Specialist with the Department of Human Services, you take on a key role in assisting providers and supporting program operations. This position keeps you engaged as you answer questions, research issues, and ensure claims follow policy. You help maintain smooth processes across multiple systems and programs. Be part of a a team where your contributions make a real difference every day!

This position supports providers and program operations by researching issues, resolving claim errors, and guiding others through billing processes. It helps ensure that payments and procedures follow all regulations and system requirements. As a Human Services Program Specialist, you will perform the following duties:

• Provider Assistance: Support providers by answering questions, troubleshooting claim errors, and offering technical guidance
• System Research: Investigate issues across systems such as Provider Reimbursement and Operations Management Information System (PROMISe), Home and Community Services Information System (HCSIS), and Electronic Visit Verification (EVV) to ensure accurate claim processing
• Regulation Review: Examine policies, codes, and procedures to confirm compliance with state and federal requirements
• Issue Resolution: Identify, research, and recommend solutions to problems found in claims, reference files, or related systems
• Documentation Tasks: Prepare reports, maintain informational materials, and submit required updates to system files
• Meeting Participation: Represent the program in meetings, lead discussions, and provide subject matter expertise when needed

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 Requirement:

• 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.