Minimum Qualifications Current license and registration to practice medicine in New York State AND board-eligible or board-certified in a medical specialty, and one year of experience in a clinical, hospital, or patient care setting.
Preferred Qualifications: Direct experience in Medicaid or Managed Care, particularly managed long-term care, is preferred. Additionally, experience in primary care and/or geriatric care is desirable
Duties Description The incumbent will be responsible to review and advise on Medicaid Policy including long-term care policy, evaluate the evidence base for new technologies and new codes for coverage by Medicaid, review prior approval requests and appeals related to specific benefits including input on pended medical claims and physician-administered drugs, and consult as needed on issues across the program requiring clinical input. The incumbent will participate in both internal and external committees including the Evidence-Based Benefits Review Advisory Committee, the New Technology workgroup, and value-based payment advisory groups. The incumbent will be a key stakeholder in advancing the Medicaid Program and interacting with the Division Medical Director, other medical and dental directors, and staff within the Office of Health Insurance Programs. The incumbent will also be responsible to participate in Divisional stakeholder engagement activities related to the Medicaid program, support health care transformation initiatives, and promote policies that address health equity. Minimal travel required. This is an Albany based position.
Some positions may require additional credentials or a background check to verify your identity.
Notes on ApplyingSubmit resume, preferably in PDF format, by email to firstname.lastname@example.org, with Reference SC/PHP2HS/87814 included in the subject line or by mail to Human Resources Management Group, SC/PHP2HS/87814, 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. Resumes will be accepted until September 24, 2021.