Health Program Representative - State of Utah : Job Details

Salary: $20.89 - $36.94 Hourly Location : Salt Lake County, UT Job Type: Full Time Remote Employment: Flexible/Hybrid Job Number: 46195 Agency: 250 Health & Human Services Unit: 3110 DHHS DIH Managed Healthcare Opening Date: 09/08/2025 Closing Date: 9/17/2025 11:59 PM Mountain FLSA: Non-Exempt Recruiter: Angie Rhodes, [email protected] # of Openings: 1 Background Check: You must successfully pass a criminal history check. Location: Cannon Health Building288 North 1460 WestSalt Lake City UT 84116The Cannon Health Buildilng is proud to be a tobacco free campus. Schedule Code: B - Competitive Career Service - Employment in this position requires a probationary period. Schedule Code Description: There is a 12 month probationary period with this position.DHRM rules apply for promotions/transfers. Benefits: This position is eligible for a full benefits package. See benefits tab below for details. EEO Statement: The State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, dial 711 or TTY: 800-###-####. Job DescriptionSeeking candidate with excellent customer service skills AND medical program experience to join the Office 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. Tobacco cessation phone education and follow-up is provided for pregnant Medicaid members. The job requires continual login to the Genesys phone system to answer calls from members and providers for plan selections and changes, access to care issues, billing problems, MyBenefits registration and eligibility issues, and a variety of other issues. Preference may be given for the following.

• Spanish speaking applicants
• PRISM and eRep experience
• Software proficiency- Word, Excel, PowerPoint, Google Docs
• Medicaid and Chip program knowledge
• Excellent Phone Skills - Call center experience
• For more information on the program, please click

Note: as of April 8, 2024, DHHS employees will be working a hybrid schedule, which includes 2 office days per week and 3 telework days. Why work for the Utah Department of Health and Human Services? In addition to the rich the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee
• UTA Eco Pass, at a discounted monthly rate
• Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-###-#### or

For more information on the Utah Department of Health and Human Services, please click 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 DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.Responsibilities

• 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.

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

• This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time and for any reason.
• Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.

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.

Benefits: 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: To access a Total Compensation Calculator in Excel format click FMLA General Notice: (right click + open link in new tab) (clic derecho + abrir en una pestaña nueva?) 01 The interview selection process is based on your answers to the application questions. Failure to answer the application questions appropriately may result in disqualification. Your answers to the questions on this application must be supported by your work history otherwise you may not receive credit. See work history is not an acceptable answer to any question.

• I acknowledge that I have read the statements above.

02 Please indicate how you heard about this specific job posting.

• State of Utah job site (www.governmentjobs.com/careers/utah)
• Referred by a Friend or Family
• Indeed
• Other External Job Board or Site
• LinkedIn
• Social Media (Facebook, Twitter, etc.)
• DWS job website (www.jobs.utah.gov)
• Advertisement (Digital Ad, Billboard, Print, etc.)
• Professional Network (Association, Membership, Work Colleague)
• University Network (Handshake, School Job Board, Career Center, etc.)
• Contacted by a Recruiter
• Career or Job Fair
• Internship
• Interviewed for different position
• Internal communications (Agency/Division, etc.)
• Jobwise
• Other (not listed above)

03 In applying for this position, I understand that any offer of employment would be contingent upon me successfully completing a background screening as per the Utah Department of Health Background Screening Policy. Link to the policy can be found in the job description.

• Yes

04 Please indicate your years of experience answering continual phone calls to provide customer service. This information must be included in your application.

• None
• Less than 1 year
• 1-2 years
• 2-4 years
• 4 or more years

05 Select the programs which you have moderate knowledge and understanding. This information must be included in your application.

• None
• Medicaid
• CHIP

06 Please describe your experience with the medical programs listed above. If none, please indicate NA. 07 Indicate the years of professional work experience you have in a medical field such as: medical claim submission or resolution, health care case management, eligibility case management for medical cases, etc.? This information must be included in your application.

• None
• Less than 1 year
• 1-2 years
• 2-4 years
• 4 or more years

08 Please describe your experience with the medically-related tasks in the question above. If none, please indicate NA. 09 Please rate your working experience with Medicaid benefits, health plans, community health programs, resource groups or agencies. This information must be included in your application.

• None
• Beginner
• Intermediate
• Advanced

10 Please describe your working experience with Medicaid benefits, health plans, community health programs, resource groups or agencies. If none, please indicate NA. 11 Select the programs you are proficient using.

• None
• eRep
• PRISM

12 Please detail your experience with PRISM and/or eRep. If none, please indicate NA. 13 Preference may be given to candidates who speak Spanish fluently. Can you speak Spanish fluently?

• Yes
• No

Required Question