Contact Representative (PRC)

The Indian Health Service; Town of Manlius (NY); On-site; USD 45,000 - 78,000; Full time

Job summary

The Indian Health Service in New York seeks a Contact Representative to support eligibility, medical authorizations, referrals, and healthcare benefits for American Indian communities. This federal role focuses on helping patients access essential services and navigate complex programs.

You will review documents, determine funding, issue determinations, and coordinate with providers and agencies to ensure continuity of care.

Responsibilities

• Apply and interpret federal, state, Tribal, and private-sector regulations to determine patient eligibility and funding for healthcare programs.
• Analyze medical, financial, and eligibility documentation to resolve complex benefit, authorization, and coverage issues.
• Issue medical authorizations or denial determinations and coordinate with patients, providers, and agencies to support continuity of care.
• Maintain fund control records, monitor expenditures, apply accounting codes, and resolve program or funding discrepancies.
• Compile and analyze reports related to program operations, funding, and utilization.

Job description

• Department: Department of Health and Human Services

Join the Indian Health Service as a Contact Representative and support access to healthcare services for American Indian communities. Assist patients with eligibility, medical authorizations, referrals, and healthcare benefits while building a rewarding career in public service and healthcare administration. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Key Responsibilities

Apply and interpret federal, state, Tribal, and private-sector regulations to determine patient eligibility and funding for healthcare programs. Analyze medical, financial, and eligibility documentation to resolve complex benefit, authorization, and coverage issues. Issue medical authorizations or denial determinations and coordinate with patients, providers, and agencies to support continuity of care.

Maintain fund control records, monitor expenditures, apply accounting codes, and resolve program or funding discrepancies. Compile and analyze reports related to program operations, funding, and utilization.

Which agency is hiring for this position?

This position is with Indian Health Service, Department of Health and Human Services.

What is the salary for this position?

The posted pay range is $45409 – $78272/yr.

What security clearance is required?

This position requires a Other security clearance.

What is the application deadline?

Applications close on 2026-11-16.

How many openings are available?

There are 4 openings for this position.

Who is eligible to apply?

This position is open under the 'Native' hiring path.

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Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-29 · Not affiliated with or endorsed by OPM or USAJOBS.gov