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HIPP Operations Specialist pay range

Commonwealth of Pennsylvania · class code 49230

$53,008 to $80,646 per year$53,008$80,646MINIMUM · MIDPOINT $66,827 · MAXIMUM

Published per year range, Commonwealth of Pennsylvania

Class code
49230
Pay scale group
ST 06
Pay unit
Year
Bargaining unit
A4
State
Pennsylvania

Class specification

The Commonwealth job specification for this class is published by Commonwealth of Pennsylvania Office of Administration. The passages below are quoted from it as published, not paraphrased, and cut to their opening sentences; the full specification is the authority on duties and qualifications. It was last revised 08/07/1996.

What the state says the job is

This is technical work in determining the cost effectiveness of alternative health care programs for eligible medical assistance recipients under the Department of Public Welfare's Health Insurance Premium Payment (HIPP) Program. Employees in this class are responsible for determining the cost effectiveness of initiating Employer Group Health Program (EGHP) and Medicare Supplement A/(Medigap) Insurance applications, enrolling eligible Medical Assistance recipients into employer group health insurance plans, and for the purchase, administration, and maintenance of the Department's Medigap Insurance Program for cost effective, dually eligible Medicare/ Medicaid recipients.

Examples of the work

Reviews referrals to enroll eligible Medical Assistance recipients into EGHPs or Medigap programs for appropriateness, verifies Medical Assistance eligibility for all potential covered household members, checks for deadlines, and identifies special conditions, SSI related categories and COBRA cases. Develops and documents each referral case, outlining the steps taken to determine eligibility and establish payments to create an audit trail for responses to appeals. Analyzes and evaluates employer group health plans, policies and employee benefit booklets to determine insurance coverage available to Medical Assistance recipients.

Minimum qualifications

One year of experience as a Third Party Liability or Medical Assistance Program Technician; or Four years of experience in the review and analysis of medical insurance policies and premiums, reviewing and responding to inquiries relating to applicable service or benefits in health care insurance programs, health care services or Medical Assistance program services. or Any equivalent combination of experience and training.

Quoted from the Commonwealth job specification, read 2026-10-21.

Where this comes from

Commonwealth of Pennsylvania Office of Administration publishes this figure in Classification and Pay Plan (online, current annual salary ranges). Every number on this page is read from that document; nothing is estimated, modelled or averaged.

The Commonwealth also links this class code to its own job title and specification. That page is the official description of the classification; this page publishes its pay range.

The listed pay scale is available in the Commonwealth's current ST schedule.

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