NY HELPSNo

55-b/c EligibleNo

AgencyHealth, Department of

TitleHealth Program Administrator 3 - 87744

Occupational CategoryOther Professional Careers

Salary Grade27

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

Salary RangeFrom $111708 to $137590 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

InternshipNo

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 Division of Health Plan Contracting and Oversight

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Duties Description Reporting to the Director of the Bureau of Consumer Services (BCS), the Health Program Administrator 3 will serve as Assistant Bureau Director and assist in managing the Bureau’s planning, implementation, investigation, reporting, and oversight activities. Duties include:
Manage the Medicaid Managed Care complaint process to ensure compliance with health program requirements and applicable financial and managed care statutes, appropriate provider reimbursement, consumer access to quality care, and protection of consumer and provider appeal and due process rights.
Oversee investigations and coordinate timely responses to complex, sensitive, and high-profile complaints.
Provide direction to Bureau staff and unit managers, establish priorities, monitor workload and performance, and support staff training and development.
Analyze complaint and program data, evaluate the impact of audit and surveillance activities, and recommend improvements to program operations and compliance.
Serve as a liaison with Department of Health units, other State agencies, managed care plans, providers, and consumers; coordinate stakeholder workgroups to address program issues.
Oversee procurement activities and contractor performance to ensure compliance with contractual requirements and Bureau operational needs.
Monitor implementation of program initiatives and policy changes, and prepare reports, correspondence, and recommendations for Bureau leadership

Minimum Qualifications Permanent Transfer Candidates: Current NYS Department of Health employee with one year of permanent or contingent-permanent, competitive, service as a Health Program Administrator 3, SG-27, and eligible to transfer under Section 70.1 or Section 52.6 of the NYS Civil Service Law OR Current NYS employee with one year of permanent or contingent-permanent, competitive, service in a title SG-25 or higher and eligible to transfer under Section 70.1 or Section 52.6 of the NYS Civil Service Law.

Preferred Qualifications: Knowledge and experience with NYS Medicaid Program, Health Insurance, Managed Care including Federal and State healthcare rules and regulations. Strong supervisory experience.

Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

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, SPD/HPA3/87744

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/HPA3/87744 included in the subject line or by mail to Human Resources Management Group, SPD/HPA3/87744, 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.