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Publ Hlth and Prevent Spcl III

Health & Human Services Comm

This is a Full-time position in Austin, TX posted September 8, 2021.

The Medicaid and CHIP Services (MCS) department is driven by its mission to deliver quality, cost-effective services to Texans.

This position makes a significant contribution to MCSs mission by providing oversight to Managed Care Organizations, which deliver covered services, across delivery models, across all populations served by Medicaid and CHIP, and across all services available to individuals served by our programs.

The Public Health & Prevention Specialist III performs moderately complex (journey-level) public health and prevention work related to coordinating the delivery of nonemergency medical transportation (NEMT) services, intake, tracking and resolution of client complaints, scheduling transportation services, quality review and monitoring of the delivery of client services in the newly created Fee For Service Delivery model.

Work involves technical administrative support services in a customer care client services driven environment.

Staff are responsible for scheduling transportation services and providing assistance to the contracted vendors and clients to ensure they receive NEMT services that are timely, appropriate, and delivered in a safe manner.

Staff are responsible for receiving, researching and resolving complaints, reviewing service request calls to ensure quality of service and proper application of program rules and policies.

Work is performed under general supervision with some latitude for independent judgment.

Essential Job Functions:
Assist with the coordination and scheduling of NEMT services for clients that do not have any means to get from their residence to a covered healthcare service.

This same level of service may be extended to clients that need to schedule transportation services, but do not know the scheduling protocols.

Staff will be required to possess skills with operating a 10-digit key system and work at a fast pace.

Knowledge of program policy and agency rules related to transportation services is critical for efficient operation.

The agent is to manage the service delivery request with the most cost effective means of transport and that also meets the clients’ medical needs.

Full knowledge of program policies and rules and State and Federal law is a requirement of this position and is critical to providing technical assistance to contracted brokers.

Staff will participate in technical assistance sessions for Demand Response Transportation Service (DRTS) providers.
The Public Health and Prevention Technician III serves as the liaison between the contracted transportation providers, MTP administrative staff and MTP eligible clients.

The technician provides guidance and direction regarding program policies and protocols and State and Federal laws to ensure consistent statewide application.

Works closely with MTP’s contract management staff to advise of anomalies in service requests, potential misuse or overuse of services that may warrant further examination and in the timely intake, review, assessment and disposition of client complaints.

Participates in discussions with other MTP functional areas regarding pre and post monitoring reviews of the DRTS providers.
Coordinates recipient service needs with medical providers, social workers and or other state agencies and accurately documents information in the client’s case notes.

The Public Health and Prevention Specialist III will participate in other assignments related to validation of transportation service claims and verification of an associated healthcare event, gathering data with respect to the provision of various NEMT services by DRTS providers, complaints trending and analysis, and statistical reports and assessments with respect to call quality and review of call recordings.

Staff may be required to research and develop materials to educate contracted transportation providers on program details and assist with the analysis of data.

Staff will also assist with the planning, organization and delivery of information, brochures and other publications to clients and stakeholders.

Knowledge Skills Abilities:
General knowledge of call center operations and functions
Knowledge of program mission, goals and objectives
Knowledge of State and Federal laws and agency rules, policies and procedures related to NEMT services
Ability to effectively communicate, both orally and in writing
Ability to collaborate in a professional manner with colleagues
Demonstrate excellent interpersonal skills
Knowledge of HIPAA rules and regulations and ability to demonstrate application with client information
Demonstrates courteous, customer-friendly behavior
Skill in researching topics and processing summary of findings
Skill in performing data entry with a high level of accuracy and efficiency
Ability to use personal computer and applicable programs and systems

Registration or Licensure Requirements:
None

Initial Selection Criteria:
Graduation from high school or equivalent experience in customer service preferable.

At least one (1) year of experience in a customer service environment.

Additional Information:
Call Center environment
Long periods of sitting
Professional appearance and attire
Clear communication and writing skills
May be required to work extended hours
Travel requirements 5%

MOS Code:
68S Preventive Medicine Specialist 60C Preventive Medicine Officer HM Hospital Corpsman 230X SC
– Medical Services Corps 870 Health Services Technician MED10 Medical4B0X1 Bioenvironmental Engineering 43EX Bioenvironmental Engineer HS Health Services Technician 4E0X1 Public Health 43HX Public Health 68 Medical 60 Medical Corps Health Care Staff Corps Administrative, Support Services, and Scientific Medical 4B/4E Medical 43 Medical
– Biomedical Specialists

HHS agencies use E-Verify.

You must bring your I-9 documentation with you on your first day of work.

I-9 Form
– Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.

If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747.

If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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