Health Program Associate (40 Hour)

• Process pharmacy claims, including Prior Authorization, Medical Necessity review, and Pharmacy Client Lock-ins with exceptional accuracy and efficiency.
• Manage and administer Opioid Related prescription treatments with flawless attention to detail.
• Act as the primary contact for providers and members, addressing their healthcare claims and pharmacy access issues promptly and professionally.
• Listen to complaints, identify the root cause of disputes, and effectively resolve the situation, ensuring member satisfaction.
• Organize and sustain ongoing activities for implementing and integrating non-clinical aspects of health programs and projects, contributing to their successful implementation.
• Collaborate with colleagues, share innovative ideas, and maintain flexibility in scheduling to ensure consistent pharmacy coverage.

• Please visit our 'Applicant Tips on How to Apply' page or view our tutorial. 

• The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified. 
• Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process.  
• In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.   
• This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting's closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the question's expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user's spam.  
• Note:  At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position.  These documents may include:  a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency.  Applicants must meet the minimum qualifications as indicated to apply for this position.  
• Should you have questions pertaining to this recruitment, please contact Liz Pinette at elizabeth.pinette@ct.gov.
• This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. 
• The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class. 
• All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period.  It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception.  Requests should be made to DAS.SHRM@ct.gov. 
• For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.
• Read through this helpful link to prepare for your interview.

One (1) year of the General Experience must have been in health care program administration, a health systems agency or other health care organization in at least one of the following areas:

1. grant writing or monitoring;

2. formal program planning, development, management or evaluation;

3. program consultation;

4. public relations activities.

For State Employees, this is interpreted at the level of Health Program Assistant 2.

Note: A health care organization is defined as a large multi-dimensional agency with responsibility for developing health programs.

• Knowledge pf pharmacy claims processing system including Prior Authorization, Medical Necessity review, and Pharmacy Client Lock-ins
• Knowledge of Opioid Related prescription treatments
• Serve as the point person for provider and members for concerns relating to healthcare claims related to pharmacy access issues
• Ability to listen to complaint and establish where the dispute or problem originates and rectify situation
• Responsible for providing support in organizing and sustaining on going activities for the implementation and integration of non – clinical aspects of health programs and/or projects.
• Able to collaborate with others, share ideas, and is flexible in scheduling time off to always ensure full pharmacy coverage.

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.