Job Type:

Long term

JOB LOCATION

The incumbent will work from home or be traveling in the field depending on weekly activities. Outreach and education activities are conducted both virtually and in-person. HHQ in one of the counties: Union, Snyder, Northumberland, Schuylkill, Carbon, Monroe, Montour, Columbia, Luzerne, Wyoming, Lackawanna, Pike, Wayne, Susquehanna, Bradford, Tioga, Lycoming, or Clinton. Travel within these counties is required.

Position Background:

This contracted position is responsible for delivering Senior Medicare Patrol (SMP) Services providing group education and one-on-one assistance to Medicare beneficiaries, their families, and caregivers about how to prevent, detect, and report Medicare fraud, errors, and abuse. This position is responsible for collecting and analyzing information to evaluate program administration and to determine compliance with federal, state, and departmental regulations and objectives; researching, analyzing, and reviewing data to develop and recommend policies and procedures; developing reports on program effectiveness; resolving beneficiary complaints and conducting outreach; assisting in program planning, reporting, and compliance efforts; and recruiting, training, and managing volunteers within their assigned region. The incumbent plays an important role by focusing on community outreach and Medicare beneficiary empowerment with the goal of stopping fraud before it occurs. The incumbent consults with the other Regional Program Specialists and the SMP Project Manager housed in PDA's Education and Outreach Office.

MINIMUM QUALIFICATIONS

Required:

Minimum of two (2) years of professional experience in human services providing human services-related research, outreach, or social services to clients, and a bachelor's degree in communications, social work, public health, or a related field. Equivalent experience and training may be considered.

Preferred:

Prior experience working within a statewide human services program as a social worker, outreach specialist, or program specialist. Knowledge of volunteer recruitment, onboarding, and management practices. Knowledge of the goals, objectives, principles, and practices of human services administration and program operations. Success managing multiple priorities through organization and communication.

DUTIES:

Administrative:

Research and analyze program data, issues, and trends to develop recommendations for program improvements. Evaluate regulations, policies, and procedures to ensure conformance with department objectives. Recommend legislative, regulatory, and policy changes to enhance SMP services. Record and enter into SMP's database outreach, interaction, and complex case data following standardized reporting formats. Successfully complete SMP foundations training and SMP group outreach training. Successfully complete SMP complex interactions training and SMP counselor training. Successfully complete required ACL annual privacy and confidentiality training. Other duties as assigned.

Complex Case Work:

Provide one-on-one beneficiary support and resolve beneficiary inquiries for complex cases of healthcare billing errors, fraud, and abuse in all statewide regions. Research and interpret Medicare rules and guidelines, applying knowledge as needed to coordinate with external parties and to resolve complex cases. Facilitate referrals to federal and state agencies and law enforcement when appropriate. Help individuals and their loved ones understand how to review their healthcare statements and bills for accuracy and how to identify and avoid potential fraud schemes.

Volunteer Management:

Recruit, train, and retain a sufficient, effective, and representative volunteer workforce. Utilize Administration for Community Living's (ACL) Volunteer Risk and Program Management (VRPM) in volunteer recruitment, onboarding, and management efforts. Assist volunteers with securing appropriate outreach opportunities to ensure the SMP message is reaching communities throughout the region. Assist in planning and implementing volunteer learning opportunities and training.

Outreach and Partnerships:

Assist with determining state outreach plans, materials, and campaigns, and assist with the development of reporting requirements. Foster cooperative relationships with statewide organizations to raise SMP awareness. Identify and conduct events to educate the public on healthcare fraud, abuse, and errors. Visit Area Agencies on Aging (AAAs) to provide technical assistance and consultation. Provides consultation and develops recommendations concerning aging services proposals from agencies, colleges, universities, and other sources. About our

Company:

- 22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies' delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and

ISO 9001

quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients. Recognized among "Best Company to Work For" by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients' expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated. "22nd Century Technologies is an Equal Opportunity Employer" and "US Citizens & all other parties authorized to work in the US are encouraged to apply." All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. AL_

TSC Pay:

$28.00 per hour

Education:

Bachelor's (Required)

Experience:

Human services : 2 years (Required) Social services to clients: 2 years (Required) Ability to

Commute:

Erie, PA 16501 (Required)

Work Location:

In person