Review Vacancy
TitleMedical Assistance Specialist 2 - 89508
Occupational CategoryAdministrative or General Management
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $86681 to $109650 Annually
Appointment Type Contingent Permanent
Duties Description Within the Division of Health Care Plan Contracting & Oversight, Bureau of Managed Care Certification and Surveillance, the incumbent will assist in ongoing certification and surveillance of Managed Care Organizations (MCOs) to ensure compliance with Public Health Law Articles 44 and 49 as well as 10 NYCRR Part 98 and Model Contracts.
Specific duties and responsibilities may include but are not limited to:
•Manage activities related to Utilization Review (UR) including review of UR applications and UR surveillance of MCOs.
•Analyze state and federal legislation related to managed care and review for impact on existing program operations.
•Draft reports, policies, and procedures for internal and external review and distribution.
•Develop and maintain document library for policies, procedures, and standard guidelines.
•Assist in interpreting and clarifying policy guidelines as well as identifying critical issues for bureau and division leadership.
•Draft, review, and update training and guidance documents.
•Daily supervision of professional staff to ensure efficiency and accuracy of work assignments. Monitor and evaluate staff performance.
Minimum Qualifications Reassignment: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2, G-23.
Transfer:
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, G-23.
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 Application.
Additional Comments This position may require travel throughout New York State including overnights to areas not served by public transportation.
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
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
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.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group
Email Address resume@health.ny.gov
Address
Street Corning Tower, Empire State Plaza, Room 2217
Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference EW/MAS2/89508 included in the subject line or by mail to Human Resources Management Group, EW/MAS2/89508, 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.