Review Vacancy
TitleMedical Assistance Specialist 2 - 1406
Occupational CategoryOther Professional Careers
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $84156 to $106454 Annually
Street Address Division of Eligibility and Marketplace Integration / Bureau of Program Review
One Commerce Plaza, 99 Washington Ave
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 Qualification: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid, Child Health Plus, and/or Medicare. 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; and experience using electronic data systems, such as eMedNY and NYSOH Back Office. Supervisory experience is a plus.
Duties Description As part of the Bureau of Program Review within the Division of Eligibility and Marketplace Integration, the Medical Assistance Specialist 2 (MAS 2) will assist with the day to day priorities and deadlines associated with several types of existing eligibility and/or enrollment reviews to evaluate Medicaid and Child Health Plus eligibility determinations, enrollment processes, and/or payments. Duties include:
• Providing supervision to professional subordinate staff, coordinating staff assignments, setting priorities and deadlines, resolving issues as necessary, and reviewing, monitoring and evaluating staff performance;
• Developing trainings, testing and review protocols that are specific to each review project, including designing, updating and/or revising standardized review worksheets, and generating test and/or review samples;
• Conducting policy research and thoroughly reviewing New York State of Health and Welfare Management System (WMS) system sample cases to determine the correct eligibility for review. This includes working with other Department agencies to obtain documentation information pertinent for the review of cases;
• Reviewing initial and peer worksheets completed by subordinate staff, performing quality control reviews/writing up findings and assigning finding codes for all cases, drafting and editing reports that summarize case review results for management review and approval;
• Draft correspondence to, and liaise with CHPlus health plans, local social service districts and NY State of Health staff concerning their review results, and
• Providing technical assistance to BPR review staff, as needed.
Additional Comments 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, WDW/MAS2/1406
Email Address resume@health.ny.gov
Address
Street Room 2217, Corning Tower Building, Empire State Plaza
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 WDW/MAS2/1406 included in the subject line or by mail to Human Resources Management Group, WDW/MAS2/1406, 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.