NY HELPNo

AgencyHealth, Department of

TitleHealth Program Administrator 4- 63111

Occupational CategoryOther Professional Careers

Salary Grade29

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

Salary RangeFrom $118425 to $145039 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

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 Program Review

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Duties Description The HPA 4 incumbent will assist the Director of the Bureau of Program Review (BPR), which is within the Division of Eligibility and Marketplace Integration (DEMI).

BPR performs various types of program integrity and quality control functions for New York’s public health insurance programs. This includes conducting a variety of reviews and data mining activities to evaluate whether Medicaid, Child Health Plus, Essential Plan and Qualified Health Plan eligibility determinations and enrollment practices are performed in accordance with applicable laws, regulations, and policies. Collectively, these programs provide comprehensive health insurance coverage to more than 9 million New Yorkers who enrolled in coverage via NY State of Health (NYSOH) or the state’s Welfare Management System (WMS).

In addition to managing bureau staff that perform a variety of quality control measures, the incumbent will also be expected to assist in the development and implementation of new program integrity review strategies to mitigate incorrect payments and process errors. The incumbent will be expected to skillfully collaborate with Executive management throughout the Department, the 58 local districts, the Child Health Plus plans, and numerous state and federal agencies and their contractors. They will provide technical assistance to local district, NYSOH and other stakeholder staff in conducting root cause analyses, as well as monitor implementation of corrective actions to address deficiencies.

The incumbent will assist the Bureau Director on Centers for Medicare and Medicaid Services (CMS) led workgroups involving select states. In addition, they will present at conferences which assist State, local and federal partners in exchanging ideas, developing new initiatives, and reforming existing programs.

Minimum Qualifications Current Department of Health employee with permanent or contingent-permanent status as a Health Program Administrator 4, G-29 or M-3; OR current NYS or DOH employee with one year of permanent or contingent-permanent service in a G-27 or M-2 or higher title, deemed eligible for transfer under Section 52.6 or Section 70.1 of the Civil Service Law.

Preferred Qualifications: Preferred candidates will have:
Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health plus excellent verbal and written communication skills. Strong analytical skills, attention to detail; and organizational skills. Proficiency in Microsoft 365 (Outlook, OneDrive, Teams, Word, Excel, Visio, PowerPoint, Access). Ample management and supervisory experience. A demonstrated ability to work well independently and as part of a team while managing multiple priorities and meeting challenging deadlines. Experience using electronic data systems, such as eMedNY and NYSOH BackOffice.

Additional Comments 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, SPD/HPA4/63111

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 SPD/HPA4/63111 included in the subject line or by mail to Human Resources Management Group, SPD/HPA4/63111, 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.