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Review Vacancy

Date Posted 01/05/23

Applications Due02/06/23

Vacancy ID120926

AgencyHealth, Department of

TitleMedical Assistance Specialist 1 - 90663

Occupational CategoryOther Professional Careers

Salary Grade18

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

Salary RangeFrom $61270 to $77912 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 20%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

County Albany

Street Address OHIP Division of Health Plan Contracting & Oversight

99 Washington Ave-Room 1609

City Albany

StateNY

Zip Code12260

Minimum Qualifications Permanent Appointment Transfer Candidates: Current Department of Health (DOH) employees 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 of the Civil Service Law to a Medical Assistance Specialist 1. For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website.
https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.
Provisional Appointment Candidates : Current Open Competitive Qualifications: Six years of professional experience performing one or more of the following activities in a health care facility, health care agency, health care delivery system, Medicaid program, and/or other public or private health insurance program:
Activities:
1.Establishing, revising, and/or assisting with the implementation of program policies and procedures to meet treatment and/or regulatory requirements of health care.
2.Analyzing State and/or federal health insurance laws to inform the development or modification of program operations.
3.Determining financial eligibility for enrollment in public or private health insurance plans or government funded health services programs. Experience must have included evaluation of individuals’ financial information and/or health condition to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations.

Preferred Qualifications: Knowledge of Medicaid Program, Managed Care Delivery Models, Public Health Law and Regulation with experience in Interpretation of governing laws, regulations, or policy, Project management, Microsoft Office Applications.

Duties Description The incumbent of this position will provide daily oversight of assigned Managed Care Organizations (MCO) to ensure compliance with Public Health Law Articles 44 and 49 as well as NYCRR Part 98. The incumbent provides MCOs with a NYSDOH liaison to aid and coordinate the following:
• Assist with Review and approval of management and provider contracts.
• Assist with Provider network review.
• Assist with Coordination of transactions including expansions, mergers, or purchas agreements between MCOs.
• Assist with Review of Character and competence for MCO personnel or contracted management vendors.
• Assist with Operational or targeted survey participation.
• Liaison with other DOH bureaus or State partners where applicable.
• Other related duties as applicable.
• Travel is required.

Additional Comments "Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
• Thirteen (13) paid holidays annually
• Up to Thirteen (13) days of paid vacation leave annually
• Up to Five (5) days of paid personal leave annually
• Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
• Up to Eight (8) days of paid sick leave annually for M/C
• Up to three (3) days of professional leave annually to participate in professional development


Health Care Benefits
• Eligible employees and dependents can pick from a variety of affordable health insurance programs
• Family dental and vision benefits at no additional cost

Additional Benefits
• New York State Employees’ Retirement System (ERS) Membership
• NYS Deferred Compensation
• Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
• Public Service Loan Forgiveness (PSLF)
• And many more.. "

For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm

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

Name Human Resources Management Group, SD/MAS1/90663

Telephone 5184861812

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 ApplyingPlease submit your resume and cover letter, preferably in PDF format, by email to resume@health.ny.gov, with Reference SD/MAS1/90663 included in the subject line or by mail to Human Resources Management Group, SD/MAS1/90663, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.

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