State of Utah – Member benefits education

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Job Description


Seeking candidate with excellent customer service skills AND medical program experience to join the Medicaid Bureau of Managed Health Care.  

To provide education to Medicaid and CHIP members regarding their benefits and support members with their health/dental plan enrollments.  Education is completed statewide by phone and group orientations are held throughout Davis, Salt Lake, Utah and Weber counties.  Tobacco cessation phone education and follow-up is provided for pregnant Medicaid members.  The job requires continual login to Avaya phone system to answer calls from members and providers for plan selections and changes, access to care issues, billing problems, 1095-B inquiries, MyBenefits registration and eligibility issues, and a variety of other issues.  

Preference may be given for the following.

  • MMCS, MMIS, and eRep experience
  • Software proficiency- Word, Excel, PowerPoint, Google Calendar
  • Medicaid and Chip program knowledge
  • Excellent Phone Skills- Avaya experience
  • Bachelor’s Degree
  • For more information on the program, please click HERE.

Why work for the Utah Department of Health?  In addition to the rich benefits the State of Utah offers, the department offers:

  • UTA Eco Pass, at a discounted rate
  • On-site Fitness Center, for a minimal membership fee
  • Teleworking opportunities
  • On-site day care center with First Steps Day Care – contact for rates and availability, 801-538-6996.

If offered this position, your employment will be contingent upon passing a background check and review.  There will be no cost to you for this check.  This check will include fingerprinting, which will be available at various UDOH locations for your convenience. Fingerprinting will be completed prior to your first day of employment .  You may review the policy by clicking HERE.
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Example of Duties

  • Provides clients with information concerning rights, options, benefits, services, goals and expectations.
  • Analyzes, summarizes and/or reviews data; reports findings, interprets results and/or makes recommendations.
  • Ensures compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards and guidelines, etc.
  • Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.
  • Decides upon the need for additional data, information, etc, and authorizes the means necessary to obtain the required information.
  • Refers client/inmate/patient to other available services to meet needs where appropriate.
  • Enters data into a computer system and retrieves, corrects, or deletes previously entered data.
  • Counsels clients and prospective clients; screens referrals, provides community outreach.
  • Reviews and/or inspects work for quality, accuracy, and completeness.

Typical Qualifications

(includes knowledge, skills, and abilities required upon entry into position and trainable after entry into position)

  • Medicaid program(s) knowledge
  • community resources and Medicaid services
  • communicate information and ideas clearly, and concisely, in writing; read and understand information presented in writing
  • use logic to analyze or identify underlying principles, reasons, or facts associated with information or data to draw conclusions
  • speak clearly, concisely and effectively; listen to, and understand, information and ideas as presented verbally
  • applicable laws, rules, regulations and/or policies and procedures
  • research methods, techniques, and/or sources of information
  • use automated software applications

Supplemental Information

Working Conditions

  • Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
  • Standard Schedule: Monday-Friday, 8:00 am – 5:00 pm

Physical Requirements

  • Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.

The State of Utah offers eligible employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for a detailed information page: Benefits. To access a Total Compensation Calculator in Excel format click HERE.

FMLA General Notice:

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