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Community Engagement Specialist(Medicare and Medicaid Services)

22nd Century Technologies, Inc.
Pay rate: $25/hour on w2
401(k)
United States, Pennsylvania, Harrisburg
Feb 09, 2026
Job Title: Community Engagement Specialist(Medicare and Medicaid Services) Location: Harrisburg, PA 17101 Duration: Contract Long term Job Mode: On-Site Pay rate: $25/hour on w2 Benefits: Health Insurance + 401k Only Shift hours: 1st Shift - 08:00 a.m. - 4:00 p.m. Job Description: The incumbent will be assigned to the Division of Participant Supports, Critical Incident Management Unit in the Office of Long-Term Living within the Client. The incumbent will be tasked (1) to provide to local agencies effective assistance related to incident management for Home and Community-Based Services (HCBS) program participants; (2) to assist with health, safety, and welfare assurances reports mandated by the Centers for Medicare and Medicaid Services (CMS) guidelines. Review electronically submitted critical incident reports to ensure that service coordinators are effectively supporting the health and welfare of participants receiving home and community based services. As necessary, seek additional information and provide technical support to assist Service Coordinators and Managed Care Organizations (MCO) to complete investigations and establish corrective actions. Follow-up with Service Coordinators and MCOs to ensure that all components of an incident are investigated and acted upon in a timely manner and that the health, safety, and welfare of the participants are ensured. Analyze complex Excel and other reports submitted by MCOs which identify their performance and compliance with CMS' prescribed requirements related to timeliness, completion, investigation, follow up, and closure of critical incident reports. Provide feedback to MCOs on their performance and necessary remediation. Participate in the review of service plans for participants with complex needs, providing technical support and guidance to Service Coordinators, participants, caregivers, and service providers as necessary. Respond orally and in writing to basic inquiries within a reasonable timeframe regarding home and community based programs, participants concerns, and other related matters. Prepare responses to legislative inquiries for review by supervisor. Investigate complaints and critical incident reports reported by participants, service coordinator, or other entities, and provide resolution, seeking supervision when necessary. * Use established precedent and policy to provide guidance, consultation, technical assistance, to enrollment brokers, service coordinators, participants, and caregivers; advise supervisor of problems and/or unusual issues as appropriate. Identify any operational issues which impede the provision of appropriate, cost-efficient services to individuals and recommend remedies/necessary changes to supervisor. As a member of a Team or Division group, participate in developing/revising OLTL home and community-based program policies and procedures. Prepare detailed analysis and summary of current issues, service plan and critical incidents trends, or other statistical data both to support projects as well as on-going management of the program. Participate in developing and presenting training to Division staff, other OLTL staff, key constituents, and providers. Serve on workgroups comprised of staff from within OLTL or stakeholders from outside OLTL. Committee work may include: preparing Medicaid waiver amendments and renewals; evaluating policy recommendations, directives, and regulations; and assisting with the development of operational manuals, program directives, work plans, system changes, regulations, training, and policies and procedures to ensure that home and Dec 2023 community-based waiver and community programs are administered accurately, effectively and efficiently and that services meet participant needs. As needed, accompany team member(s) on field travel to provide on-site technical support, re-mediation, and problem-solving to participants, families, providers and other key stakeholders. Attend and participate in team meetings, Division, and Bureau meetings as scheduled. * Perform other related duties as required. Essential Functions: Have experience in the Human Services field. Understand OLTL Medicaid Home and Community-Based Services Waivers and Act 150 program, regulations, policies, and procedures. Possess strong critical thinking, problem-solving, and decision-making skills. Be knowledgeable of physical disabilities, associated limitations to Activities of Daily Living (ADLs), Instrumental ADLs, and relevant supports. Be technology-savvy and able to work remotely using videoconference and telephonic platforms. OLTL is currently on teleworking status. Ability to work remotely and independently, self-initiator. Ability to follow instructions. Organize and deliver presentations. Ability to prioritize tasks. Ability to explain programmatic requirements to participants, providers, and other stakeholders. Ability to effectively communicate both orally and in writing. Understand and interpret local, federal, and state laws as relevant. Working knowledge of Microsoft Office, HCSIS, SAMS/WellSky, and e-CIS. Travel independently with overnight stays, without available public transportation.