StateJobsNY

NY HELPNo

AgencyHealth, Department of

TitleHealth Program Administrator 2 - 46054

Occupational CategoryOther Professional Careers

Salary Grade25

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

Salary RangeFrom $86432 to $108935 Annually

Employment Type Full-Time

Appointment Type 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 OHIP

Riverview Center, 431B Broadway

City Menands

StateNY

Zip Code12204

Minimum Qualifications Current NYS Department of Health (DOH) employee with permanent or contingent-permanent, competitive status as a Health Program Administrator 2, G25 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G23 and deemed eligible for transfer to Health Program Administrator 2, G25 under Section 70.1 or Section 52.6 of the NYS Civil Service Law.


Preferred Qualifications:
Medicaid experience including an understanding of the eMedNY system; experience working with medical claims/prior approvals; policy development/implementation; excellent communication, written and organizational skills; ability to function independently and deal with multiple tasks and priorities

Duties Description The Health Program Administrator 2, G-25, will act as the manager of the Administrative Processes and Support Unit in the Bureau of Medical Review. This unit is responsible for the following: contract utilization and compliance for Bureau operation; communication activities including call center functions, process improvement, modernization, and change management for Bureau activities; data collection for fraud and abuse activities; coordination of policy development and implementation; and document management and publication on the Department’s websites. Responsibilities include providing administrative leadership for day to day operations, personnel management, fiscal management, problem resolution and overall programmatic operation for staff assigned to this unit; data analysis and report generation for unit workload statistics and for potential fraud and abuse to be referred for investigation; policy development for new technologies and evaluation of current policies for appropriateness with current medical practices and guidelines; manage staff responsible for review and updates to unit procedure manuals. provider manuals, and fee schedules; provide policy guidance to OHIP’s Medicaid Managed Care, enrolled providers, manufacturers, and industry advocacy groups; monitor the Fair Hearing request process and make changes to unit policy as necessary from hearing decisions rendered and other duties assigned to support Bureau operations.

Some positions may require additional credentials or a background check to verify your identity.

Name Human Resources Management Group - CAC/HPA2/46054

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street ESP - Corning Tower

Room 2217

City Albany

State NY

Zip Code 12237

Notes on ApplyingSubmit cover letter and resume, preferably in PDF format, to Human Resources Management Group, CAC/HPA2/46054, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or fax to (518)473-3395, or by email to Resume@health.ny.gov, with Reference Code CAC/HPA2/46054 included in the subject line. Failure to include the required information in the subject line of your email or fax may result in your resume not being considered for this position. Resumes will be accepted until December 17, 2021.