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GENERAL SUMMARY OF POSITION: 

Under the general direction of the Director or designee, the SSP Program Coordinator leads benefit eligibility and determination assessments. The Coordinator will assist in the eligibility activities related to benefit issuance to recipients in Massachusetts. The Coordinator is responsible to review and research all demographic information that impacts recipient benefits, to process eligibility transactions and demographic changes, and to coordinate with customer service operations.

The State Supplemental Program (SSP) is a Department of Transitional Assistance and Mass Commission for the Blind program that provides cash benefits to low-income and disables populations. CHCF administers the program on behalf of the state agencies. 

MAJOR RESPONSIBILITIES:

• Complete comprehensive case reviews to determine benefit eligibility by researching, analyzing and validating data, applying knowledge of state and federal regulations.
• Perform complex operational assignments requiring a high degree of independent judgment.
• Work in coordination with the Client Services and Operations staff to troubleshoot escalated Client Services issues.
• Represent the state at SSP hearings, providing a comprehensive explanation of the state determination based on state and federal regulations.
• Coordinate appeal related matters with Division of Hearings, including but not limited to, creating evidence packets.
• Compile operational reports, review outcomes and identify trends in support of program performance reporting.
• Assist in the development policies and procedures to ensure quality and program compliance.
• Assist in the planning, monitoring and deployment of new/changes of system functionality.
• Assist in identifying potential quality assurance and system issues.
• Analyze report data, identify trends and update senior staff.
• Demonstrate the use of quality improvement in daily operations.
• Participate in various analysis and special project assignments as assigned.
• Maintain confidentiality of all business documents and correspondence per UMMS/CWM procedures and HIPAA regulations.
• Comply with all health, safety and program regulations and requirements.
• Perform other duties as required.

REQUIRED QUALIFICATIONS:

• Bachelor’s degree in Business Administration, Management, Accounting or related field, or equivalent experience
• 2 years of related business experience.
• Ability to interpret state and federal laws and regulations.
• Strong attention to detail.
• Assist in the preparation of data and analysis of information as requested for reports.
• Implement and manage tasks in accordance with program objectives.  
• Demonstrated ability to handle confidential information and to exercise judgment and discretion.
• Excellent oral and written communication skills.

PREFERRED QUALIFICATIONS:

• Knowledge of State Health and Human Service programs
• Knowledge of eligibility rules for State Supplemental Program
• Knowledge of Social Security, Medicaid and Medicare programs, policies and procedures