Review Vacancy
TitleMedical Assistance Specialist 2 - 78909
Occupational CategoryOther Professional Careers
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $84156 to $106454 Annually
Appointment Type Contingent Permanent
Street Address Division of Eligibility and Marketplace Integration / Bureau of Program Compliance and Audit
99 Washington Avenue
Minimum Qualifications Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; 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 or Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 2
Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; experience using electronic data systems, such as eMedNY and NYSOH Back Office; and supervisory experience.
Duties Description Within the Division of Eligibility and Marketplace Integration, Bureau of Program Compliance and Audit the Medical Assistance Specialist 2 will serve as a team leader overseeing several types of program compliance and audit reviews for NYS’ public health insurance programs to ensure eligibility and enrollment practices are performed in accordance with applicable federal and State laws, regulations, and policies; assist New York State with timely and efficient implementation of continuous coverage unwind operations; and provide ongoing support for the administration of New York’s health insurance programs.
Specific duties and responsibilities for this position may include but are not limited to:
• Providing supervision to professional subordinate staff; coordinating staff assignments, setting priorities and deadlines associated with the eligibility and marketplace integration functions related to various bureau reviews, quality assurance and/or audit activities, resolving issues as necessary, and reviewing, monitoring, and evaluating staff performance.
• Monitoring the status of all audits and reviews involving DEMI program areas, including ones conducted by the Office of State Comptroller (OSC), the Office of the Inspector General (OIG) and the federally mandated Payment Error Rate Measurement (PERM) audit.
• Liaising with appropriate State and Federal contacts to ensure adequate DEMI attendance at all audits related meetings/conferences. Coordinating DEMI responses to preliminary, draft, and final findings/reports, follow-up questions, and requests for status updates.
• Developing trainings and review protocols and written procedures that are specific to each review project and/or audit, including designing standardized review worksheets.
• Reviewing initial and peer worksheets completed by subordinate staff, performing quality control reviews/writing up findings and assigning finding codes for all cases, as needed.
• Draft correspondence to, and liaise with, local districts and NY State of Health staff, and external auditors concerning their review results; and
• As needed, providing technical assistance to internal review staff, as well as Department management, local social service districts and other State agencies. This includes steps such as assisting with root cause analyses and collaborating with program staff about policy decisions to resolve deficiencies and inconsistencies identified during the process.
Additional Comments We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees’ Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. 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, MVS/MAS2/78909
Email Address resume@health.ny.gov
Address
Street Rm 2217, Corning Tower, ESP
Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference MVS/MAS2/78909 included in the subject line or by mail to Human Resources Management Group, MVS/MAS2/78909, 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.