NY HELPYes

AgencyHealth, Department of

TitleMedical Assistance Specialist 1 (NY HELPS) - 79981

Occupational CategoryOther Professional Careers

Salary Grade18

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

Salary RangeFrom $66951 to $85138 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 5%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Programs/Division of Eligibility and Marketplace Integration/ Bureau of System Quality Assurance

11Corporate Woods

City Albany

StateNY

Zip Code12211

Duties Description The Medical Assistance Specialist 1 will work within the Division of Eligibility and Marketplace Integration in the Bureau of System Quality Assurance's Eligibility Systems Modernization Group to provide change management support for the rollout of a new Medicaid eligibility system designed for New York’s Complex Medicaid population, as well as for ongoing continuous improvement activities.

Specific duties may include, but not be limited to:

Initiating and completing tasks essential for producing and implementing modifications to business processes. This includes creating and reviewing operational workflows and collaborating with leadership to achieve consensus on organizational changes
Identify stakeholders and business areas affected by changes and assist in the implementation of new business processes.
Coordinating and facilitating workgroup sessions with stakeholders to confirm, amend or develop new business processes.
Assisting in defining process improvements by identifying gaps in policies, processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system design and related business processes.
Clearly documenting and communicating changes in business processes to various stakeholder groups through multiple communication channels.
Collaborating with teams of vendors, Department of Health (DOH) staff, and other stakeholders as necessary to elicit, document, analyze, and resolve issues, while providing technical guidance. For instance, the candidate should possess the ability to comprehend complex business processes and convey these concepts clearly in both verbal and written forms.
Reviewing training materials and assisting with the coordination of Medicaid Modernization training activities.
Submitting, tracking, and managing action items related to communications, training, and change management related to the implementation of the new Medicaid eligibility system.
Participate in special projects and Initiatives, as needed.
This role may necessitate User Acceptance Testing (UAT) of system functionality and documenting the outcomes of such testing.
Coordinating project activities and the resolving action items for multiple stakeholder groups.

Minimum Qualifications Reassignment: Current NYS Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.

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 1, G-18.

NY HELPS: Six years of experience developing public or private health related policy; analyzing AND interpreting public or private health related policy to assist consumers; determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation reimbursement methodologies, and development of fee schedules; performing utilization review of requests for medical treatment including prior approval or authorization activities, adjudication of claims for payment and/or provider credentialing; AND/OR conducting independent examinations of health care facilities or program integrity reviews of health care programs to ensure compliance with laws, rules, and regulations.

Substitution: An associate degree can substitute for two years of specialized experience; a bachelor’s degree can substitute for four years of experience; a master’s degree in a related field can substitute for five years of experience; and a doctorate in a related field can substitute for six years of experience.

Preferred Qualifications: Candidates should possess professional experience in public health insurance programs. Additionally, candidates must demonstrate exceptional verbal and written communication abilities; robust analytical skills along with meticulous attention to detail; strong organizational capabilities; proficiency in Microsoft Office applications (Word, Excel, Access); the capacity to work effectively both independently and collaboratively within a team, while managing multiple priorities to adhere to deadlines; and familiarity with electronic data systems utilized in public health insurance programs.

Additional Comments This position is part of the NYS HELPS program. No examination is required.

This position may require travel throughout New York State including overnights to areas not served by public transportation.

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...

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

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 2217

City Albany

State NY

Zip Code 12237

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 SCD/MAS1/79981 included in the subject line or by mail to Human Resources Management Group, SCD/MAS1/79981, 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.