HMAP Processor

HMAP Processor

HMAP Processor

State Of North Carolina

Workday

5605 Six Forks Rd Wake

11 hours ago

No application

About

Agency Dept of Health and Human Services Division Public Health Job Classification Title Administrative Specialist I (S) Position Number 60088936 Grade NC08 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The Administrative Specialist I (HMAP Processor) supports the Communicable Disease Branch within the NC Division of Public Health. This role is responsible for processing applications and determining eligibility for the NC HIV Medication Assistance Program (HMAP) and Care Program under Ryan White Part B. The position requires strong organizational skills, attention to detail, and the ability to manage a high volume of work involving sensitive health and financial data. Key Responsibilities: - Process applications and determine client eligibility using the NC REEDS system. - Review and verify supporting documents such as income statements, tax returns, and medical bills. - Communicate professionally with clients, healthcare providers, and insurance representatives. - Confirm medical diagnoses and service details align with program requirements. - Use NC Tracks to verify Medicaid enrollment and benefits. - Maintain and organize detailed case files and assign case numbers. - Cross-reference records for clients participating in multiple programs. - Conduct research and update case histories to ensure compliance and accuracy. - Enter and manage data efficiently while adhering to changing policies and deadlines. - Apply knowledge of medical terminology and healthcare systems in daily tasks. Knowledge Skills and Abilities/Management Preferences Salary Grade Range: $37,782.00-$66,120.00 Recruitment Range: $37,782 - $47,369 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: Experience processing client or patient eligibility or enrollment in a healthcare, public health, or benefits program, using electronic case management or intake system. Demonstrated experience reviewing and interpreting income, insurance, and medical documentation to support service eligibility or billing accuracy in a clinical or administrative setting. Experience using healthcare systems or portals (e.g., Medicaid, insurance verification tools, or EMRs) to confirm coverage, benefits, or patient status. Proven experience managing a high volume of client or patient records data entry / data management while maintaining compliance with program or regulatory requirements. The Posting Will Close At 11:59 P.M. The Night Before The End Date This Position Is Funded In Part Through Federal Funds. This Role Is Eligible To Be Hybrid And Requires Onsite Reporting Located Within Raleigh, NC About the NC Division of Public Health: The NC Division of Public Health works to promote and contribute to the highest possible level of health for the people of North Carolina. Our entire statewide system of public health has dedicated professionals who carry out our mission every day through a wide range of essential and activities touching the lives of everyone in our state. About the Communicable Disease Branch: The Communicable Disease Branch strives to protect and improve the health of people in North Carolina through disease detection, tracking, investigation, control, education, prevention and care activities to reduce morbidity and mortality resulting from communicable diseases that are a significant threat to the public. We he Communicable Disease Branch works with the public, local health departments and other public health agencies, healthcare professionals, educators, businesses, communities and healthcare facilities to ensure that North Carolina is prepared to respond to any communicable disease situation that affects the people who live, work and visit here. Supplemental Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/. DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor’s Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application, to support your answers. If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date. Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members. Degree/College Credit Verification Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations, and cover letters may be uploaded with your application. Veterans’ and National Guard Preference Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application. ADA Accommodations Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below. CONTACT INFORMATION: If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. High school diploma or General Educational Development (GED) diploma and two years of related administrative experience OR equivalent combination of education and experience. EEO Statement The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Tresha Walker Recruiter Email: North Carolina State Government is one of the state’s largest employers, with over 76,000 employees all working toward a common goal: a safer and stronger North Carolina. We are a large organization comprised of various agencies, offices, and universities, each providing important public services. Eligible state employees are entitled to comprehensive benefits, including a variety of leave options, professional development opportunities, insurance, and more. To learn more about the benefits of being a North Carolina state employee, visit the N.C. Office of State Human Resources' website. Permanent, temporary, and time-limited state government jobs can be found from the mountains to the coast. Find your next opportunity today! State Application Resources/Frequently Asked Questions Valuing Education and Experience The State of North Carolina values the knowledge and experience of our jobseekers and current state employees. Approximately 91 percent of state job classifications allow experience to be substituted for education or do not require a post-secondary degree. Learn more about how you may qualify for a position through education or directly related experience, or a combination of both, with the Education and Experience Equivalency Guide. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. If you are already a state employee, please search for jobs by clicking here.