HIPP Operations Specialist

THE POSITION

Are you seeking a rewarding career in public service where you can make a meaningful impact on the lives of people in your community? Join the Department of Human Services as a HIPP Operations Specialist and help families access the coverage they need. In this role, you will support an important program that makes health insurance more affordable for eligible individuals. Your work will strengthen communities and ensure resources are used wisely. This position offers the chance to make a meaningful difference every day.

DESCRIPTION OF WORK

This position supports the Health Insurance Premium Payment (HIPP) Program by determining cost-effectiveness, enrolling eligible applicants, and maintaining accurate case records. The role ensures that individuals receive appropriate coverage while safeguarding program resources. As a HIPP Operations Specialist, you will perform the following duties: Case Evaluation: Review insurance information to determine cost-effectiveness and enroll eligible applicants Program Communication: Respond to inquiries and explain processes for participation, enrollment, and payment Case Maintenance: Complete scheduled reevaluations, update records, and issue notices when coverage changes Policy Review: Analyze employer health plans and negotiate with employers, unions, or insurance carriers to resolve issues Special Program Support: Arrange Medical Assistance for Workers with Disabilities Program payments, process Breast and Cervical Cancer Prevention and Treatment referrals, and determine eligibility for related coverage Collaboration Tasks: Work with internal units and agencies to support efficient program operations Interested in learning more? Additional details regarding this position can be found in the position description. Work Schedule and Additional Information Full-time employment Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch Free parking is included with this position Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days per 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 Torrance. The ability to telework is subject to change at any time. Additional details may be provided during the interview. 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.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements: One year of experience as a Third Party Liability or Medical Assistance Program Technician (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration) ; or Four years of experience in the review and analysis of medical insurance policies and premiums, reviewing and responding to inquiries relating to applicable service or benefits in health care insurance programs, health care services or Medical Assistance program services; or Any equivalent combination of experience and training. Other Requirements: You must meet the PA residency requirement . For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines. You must be able to perform essential job functions. How to Apply: 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. All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information. Veterans: Pennsylvania law 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 and click on Veterans. Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date. The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

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. You may only apply/test once for this posting. Your results will be provided via email. Salary: $51,971.00 - $79,062.00 Annually Location: Westmoreland County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-49722-49230 Department: Department of Human Services Division: HS Div Third Prty Liab Opening Date: 05/18/2026 Closing Date: 6/1/2026 11:59 PM Eastern Job Code: 49230 Position Number: 50459964 Union: AFSCME Bargaining Unit: A4 Pay Group: ST06 Bureau / Division Code: 00211793 Worksite Address: Torrance State Hospital Worksite Address: Barnett Building, Room 0104 City: Torrance, Pennsylvania Zip Code: 15779 Contact Name: Ricki Paden Contact Email: View email address on click.appcast.io Bureau / Division: Bureau of Program Integrity / Division of Third Party Liability / Health Insurance Premium Payment Program #J-18808-Ljbffr Commonwealth Of Pennsylvania