A new and exciting career awaits you! If you enjoy investigative and recovery work, the Department of Human Services (DHS), Division of Third Party Liability in the Bureau of Program Integrity, has an opportunity for you! We are searching for a Third Party Liability Program Investigator to join their team. If you are a motivated individual and feel this would be the job for you, don't delay, apply today!

In this position, you will recover medical assistance expenditures that were incorrectly or provisionally paid on behalf of DHS benefit recipients. You will work in conjunction with other department units as well as the Office of the Inspector General to review and analyze referrals received from county assistance offices, medical providers, attorneys, insurance carriers, probate estates, other Commonwealth agencies to determine if DHS benefits were inappropriately granted, and to identify the responsible obligor. You will negotiate settlements by using sound judgment and skilled diplomacy in order to maximize collections and maintain the best interest of the department. You will review payments received and resolve any discrepancies, as well as process payment notices accurately. This is a role which requires the use of sound verbal and written communication skills in order to effectively outline the department's clams and to defend the department position if necessary, which may include testifying in hearings and court appearances.

Interested in learning more? Additional details regarding this position can be found in the position description.

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 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time up to 3 days a 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.
• Free parking!
• 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 Requirements:

• Four years of experience in the investigation of Health Care and personal injury records, correspondence and documents used in establishing legal liability, or determining approval of health care and personal injury insurance claims; or
• One year of experience as a Third Party Liability Program Technician; or
• Any equivalent combination of experience and training.

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• 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).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• 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.

• 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.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans' Preference tab or contact us at ra-cs-vetpreference@pa.gov.

• 711 (hearing and speech disabilities or other individuals).

• 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.