Position Information

NY HELPNo

AgencyHealth, Department of

TitleMedical Assistance Specialist 1 –87110

Occupational CategoryOther Professional Careers

Salary Grade18

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $60069 to $76387 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 30%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

Location

County Albany

Street Address 99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

Minimum Qualifications Active list candidate on the New York State Department of Civil Service’s Medical Assistance Specialist 1 eligible list #26-693; OR Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the Civil Service Law.

Preferred Qualifications: The preferred candidate will have experience with Medicaid Managed Care, and surveillance of Health Programs.

Duties Description This position is needed for the OHIP’s Bureau of Managed Care Certification and Surveillance. The incumbent will be employed in the Survey Unit in Albany Central Office, located at 99 Washington Avenue. The general hours are starting between 8amand 9am and completing the day between 4pm and 5pm. Parking is available through the Office of General Services based on seniority and availability. The position includes but is not limited to the daily activities related to ensuring Managed Care Organizations in New York State are compliant in accordance with regulations, statutes, and the Medicaid Contract.Team Member for Surveillance of Managed Care Organizations (MCOs)
Assist Metropolitan Area Regional Office (MARO) with Surveillance of MCOs
Assist in developing and reporting data to Bureau Management, CMS, OPQS and KPMG
Issue External Quality Review Organization (EQRO) Focus Surveys designed to test and confirm access to care.
Review Fair Hearing decisions and ensure timely compliance of the Managed Care Organizations.
Participate in ongoing educational needs, training, and guidance for staff.
Assist in the development of surveillance methodology, tools and protocol.
Communicate with Managed Care Organization staff and management regarding DOH policy changes, guidance, or other applicable correspondence.
Special Projects and other related duties as assigned.
Travel throughout New York State is required.

Additional Comments

Some positions may require additional credentials or a background check to verify your identity.

Contact Information

Name Human Resources Management Group, CAC/MAS1/87110

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Room 2217, Corning Tower Building, Empire State Plaza

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingSubmit cover letter and resume, preferably in PDF format, to Human Resources Management Group,CAC/MAS1/87110, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or fax to (518)473-3395, or by email to Resume@health.ny.gov, with Reference Code CAC/MAS1/87110 included in the subject line. Failure to include the required information in the subject line of your email or fax may result in your resume not being considered for this position. Resumes will be accepted until December 17, 2021.