NY HELPNo

AgencyHealth, Department of

TitleDental Services Review Assistant 2 - 90643

Occupational CategoryOther Professional Careers

Salary Grade19

Bargaining UnitASU - Administrative Services Unit (CSEA)

Salary RangeFrom $74322 to $89645 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 4 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 Medical and Dental Directors, Bureau of Dental Review

One Commerce Plaza, Floor 12

City Albany

StateNY

Zip Code12210

Duties Description This position is the Office of Health Insurance Programs, within the Division of Medical & Dental Directors, in the Bureau of Dental Reiew Unit. The Dental Services Review Assistant 2 (DSRA) will be responsible for performing and organizing evidence-based research and recommendations to support the development and revision of Medicaid Dental policy. Functions include but are not limited to; create Excel reports utilizing data to support policy initiatives; respond to provider inquiries related to dental issues including interpretation and clarification of Medicaid policies; assist in preparation and presentation of meetings pertaining to Medicaid policy with internal and external stakeholders; assist in data analysis pertaining to Medicaid population, access to care, utilization of dental benefits, provider overview and Medicaid expenditures; assist the supervising dentist with dental projects such as researching of prior approval requests, client or claim histories; assist in budget and oral health initiatives; communicate orally and in writing with the dental provider community, legal staff, independent peers, and other agencies or stakeholders, as necessary, to contribute to projects, audits, or investigations. Analyze dental charts to determine if required documentation supports billed services and meets quality of care provisions of the Medicaid program. Review and assess whether dental care and services rendered were medically necessary and appropriate based on review of x-rays, dental plans, and historical medical records. Prepare written responses for administrative fair hearings and testify as an expert witness at administrative appeal hearings. Perform the full range of supervisory duties such as approve leave and track time and attendance; identify staff development needs; evaluate staff performance; and complete performance evaluations.

Minimum Qualifications Non-competitive: current registration as a licensed Dental Hygienist in New York State
and three years of experience in dental hygiene practice; OR graduation from a school
of dentistry* and one year of dental services experience.
*Individuals completing dental programs outside of the United States must have
completed a program accredited by the World Health Organization.

Preferred Qualifications: The preferred candidate will have strong familiarity with the Medicaid program; excellent organizational skills including the ability to prioritize work assignments; excellent written and verbal communication skills with a focus on attention to detail; proficiency in MS Word, Excel, Outlook, MS Teams, and PowerPoint; ability to be flexible, innovative, and maintain a positive, professional demeanor; ability to work independently, with minimal supervision, as well as with diverse groups of individuals and offices.

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...

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 EW/DSRA2/90643 included in the subject line or by mail to Human Resources Management Group, EW/DSRA2/90643, 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.