Health, Department of
Permanent Appointment Transfer Candidates: Current Department of Health (DOH) employees with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 1. For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website.
https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.
Provisional Appointment Candidates : Current Open Competitive Qualifications: Six years of professional experience performing one or more of the following activities in a health care facility, health care agency, health care delivery system, Medicaid program, and/or other public or private health insurance program:
Activities:
1.Establishing, revising, and/or assisting with the implementation of program policies and procedures to meet treatment and/or regulatory requirements of health care.
2.Analyzing State and/or federal health insurance laws to inform the development or modification of program operations.
3.Determining financial eligibility for enrollment in public or private health insurance plans or government funded health services programs. Experience must have included evaluation of individuals’ financial information and/or health condition to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations.
Preferred Qualifications: Knowledge of Medicaid Program, Managed Care Delivery Models, Public Health Law and Regulation with experience in Interpretation of governing laws, regulations, or policy, Project management, Microsoft Office Applications.
Duties Description
The incumbent of this position will provide daily oversight of assigned Managed Care Organizations (MCO) to ensure compliance with Public Health Law Articles 44 and 49 as well as NYCRR Part 98. The incumbent provides MCOs with a NYSDOH liaison to aid and coordinate the following:
Assist with Review and approval of management and provider contracts.
Assist with Provider network review.
Assist with Coordination of transactions including expansions, mergers, or purchas agreements between MCOs.
Assist with Review of Character and competence for MCO personnel or contracted management vendors.
Assist with Operational or targeted survey participation.
Liaison with other DOH bureaus or State partners where applicable.
Other related duties as applicable.
Travel is required.
Additional Comments
“Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
Thirteen (13) paid holidays annually
Up to Thirteen (13) days of paid vacation leave annually
Up to Five (5) days of paid personal leave annually
Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
Up to Eight (8) days of paid sick leave annually for M/C
Up to three (3) days of professional leave annually to participate in professional development
Health Care Benefits
Eligible employees and dependents can pick from a variety of affordable health insurance programs
Family dental and vision benefits at no additional cost
Additional Benefits
New York State Employees’ Retirement System (ERS) Membership
NYS Deferred Compensation
Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
Public Service Loan Forgiveness (PSLF)
And many more.. “
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
To apply for this job please visit statejobs.ny.gov.