Salary: $69,086.00 - $104,959.00 Annually
Location : Dauphin County, PA
Job Type: Civil Service Permanent Full-Time
Job Number:
Department: Department of Human Services
Division: HS Div Prgm Pvdr Anlys
Opening Date: 09/02/2026
Closing Date: 9/16/2026 11:59 PM Eastern
Job Code: 39570
Position Number: 00173153
Union: FOP - Lodge 92
Bargaining Unit: G4
Pay Group: ST08
Bureau / Division Code: 00211792
Bureau / Division: Bureau of Program Integrity / Division of Program and Provider Compliance
Worksite Address: Commonwealth Tower
Worksite Address: 303 Walnut Street
City: Harrisburg, Pennsylvania
Zip Code: 17101
Contact Name: Ricki Paden
Contact Email: [email protected]

THE POSITION
Are you eager to use your clinical expertise in a role that strengthens the integrity of healthcare services as a Medical Records Examiner with the Department of Human Services? This position lets you apply your nursing knowledge to ensure that care provided to recipients meets essential standards. You will help protect program quality by reviewing records and identifying concerns. Join this mission-driven agency and support fair, safe, and accurate medical assistance practices.
DESCRIPTION OF WORK
This position centers on evaluating medical records, analyzing provider practices, and supporting case development to ensure compliance with Medical Assistance regulations. It involves conducting reviews, preparing documentation, and helping guide administrative actions. As a Medical Records Examiner, you will perform the following duties:

• Record Analysis: Review medical records, claims history profiles, and related documents to identify discrepancies
• Case Coordination: Plan and direct case review activities while keeping the supervisor updated on progress
• Provider Evaluation: Conduct on-site visits, interviews, and peer review meetings to assess service quality and detect potential fraud
• Report Preparation: Prepare written reports summarizing reasons for review, findings, violations, and recommendations
• Meeting Participation: Participate in evidentiary meetings and discuss case history, findings, and strategies with agency staff
• Case Testimony: Appear as a witness in hearings or trials to provide information related to case development and evidence handling

Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Free parking is included with this position.
• Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS
Minimum Experience and Training Requirements:

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• An equivalent combination of experience and training.

Special Requirements:

• This position requires active authorization to practice as a Registered Nurse in Pennsylvania.
• All employees possessing an active temporary practice permit must obtain licensure as a Registered Nurse within the one (1) year period defined by the Pennsylvania State Board of Nursing.
• You must be in possession of an active motor vehicle license.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.
• All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

EXAMINATION INFORMATION

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.

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Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance
We know there's more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks
Sometimes, it is the little "extras" that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visit and click on the benefits box.

*Eligibility rules apply.
01

You must complete the supplemental question(s) below. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental question(s). Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.
All information you provide on your application and supplemental question(s) is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty.

Read the question(s) carefully. Determine and select the option that most closely represents your highest level of experience/training/certification. The option you choose must be clearly supported if requested.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to our

• Yes

02

Special Requirement - Do you possess active authorization to practice as a Registered Nurse in Pennsylvania; or do you possess an active temporary permit to practice as a Registered Nurse in Pennsylvania?

• Yes
• No

03

If yes, please list the state that issued your license, your license number, and the expiration date. If you answered no to the question above, please type N/A in the box below.
04

Special Requirement: Do you possess a valid driver's license which is not under suspension?

• Yes
• No

05

If you answered "Yes" to the previous question, please provide the issuing state and license number. If you answered "No" type N/A in the box.
06

How many years of full-time professional experience do you possess in the field of medical assistance, health care services, or human services?

• 3 years or more
• 2 but less than 3 years
• 1 but less than 2 years
• Less than 1 year
• None

07

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.
08

How much graduate coursework have you completed in addiction studies; health and risk communication; health care administration/management; health care informatics/information management; health economics; health education; health insurance studies; health leadership; health policy; health sciences; health services; occupational health and safety; occupational therapy; quality, safety and risk management in health care; physical therapy; psychology; public health; social work; speech therapy; or vocational rehabilitation?
If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable.
You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting and clicking the Evaluation Services Link.

You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

• 60 credits or more
• 45 but less than 60 credits
• 30 but less than 45 credits
• 15 but less than 30 credits
• Less than 15 credits
• None

Required Question