Senior Medicare Outreach & Programs Leader

A-Line Staffing Solutions; Harrisburg (Dauphin County); Remote; USD 55,000 - 75,000; Full time

Job summary

The Senior Medicare Outreach & Program Specialist will support the Pennsylvania SMP program within the Pennsylvania Department of Aging. This role helps Medicare beneficiaries, families, and caregivers prevent, identify, and report fraud, errors, and abuse while conducting outreach, education, and data analysis.

The position is remote/home-based with approximately 50% travel across Southwestern Pennsylvania; hours are 8:00 AM–4:30 PM, Monday–Friday, 37.5 hours/week.

Qualifications

• Minimum of 2 years of professional human-services experience involving outreach, case management, or social services.
• Direct professional experience working with older adults is required.
• Strong written and verbal communication skills.
• Strong organizational skills and ability to manage multiple priorities.
• Ability to travel extensively throughout the assigned region.

Responsibilities

• Provide one-on-one assistance to Medicare beneficiaries, families, and caregivers.
• Assist beneficiaries with complex questions involving Medicare billing errors, potential fraud, and healthcare abuse.
• Research and interpret Medicare rules and guidelines to help resolve beneficiary concerns.
• Help Medicare beneficiaries understand healthcare statements and bills and identify potential errors or fraudulent activity.
• Coordinate with healthcare providers, government agencies, and other organizations when necessary.
• Refer appropriate cases to federal or state agencies and law enforcement.
• Conduct educational presentations and outreach activities for Medicare beneficiaries, caregivers, and community organizations.
• Educate the public on Medicare fraud, healthcare billing errors, scams, and abuse prevention.

Skills

Strong communication

Organizational skills

Travel ability

MS Office proficiency

Education

Bachelor's degree

Tools

Microsoft Office

Job description

The Senior Medicare Outreach & Program Specialist will support the Pennsylvania SMP program within the Pennsylvania Department of Aging. This role helps Medicare beneficiaries, families, and caregivers prevent, identify, and report fraud, errors, and abuse while conducting outreach, education, and data analysis.

The position is remote/home-based with approximately 50% travel across Southwestern Pennsylvania; hours are 8:00 AM–4:30 PM, Monday–Friday, 37.5 hours/week.