New York State Department of Health · 14 hours ago
Eligibility Program Manager 2 (NY HELPS) - 79433
Albany, NY
Full-time
Hybrid
Senior Level, Lead/Staff
$118K/yr - $145K/yr
9+ years expThe New York State Department of Health is seeking an Eligibility Program Manager 2 to oversee the administration of the Assistor Program within the Bureau of Consumer Assistance and Training. This role involves managing a team responsible for application assistance and ensuring the training and support of assistors across New York's application assistor programs.
Health Care
No H1B
Responsibilities
Oversee the administration of the Assistor Program in the Bureau of Consumer Assistance and Training within the Division of Eligibility and Marketplace Integration
Support the Bureau in all operations, including providing account set up and maintenance for assistors through NY State of Health and providing technical assistance for eligibility and enrollment concerns submitted by these agencies
Investigate and resolve issues related to applications completed by Application Assistors
Oversee the required training of assistors with a training vendor and ensure the timely development and delivery annual recertification training for assistors
Direct Bureau staff in oversight of the training contract for Local Departments of Social Services
Qualification
Required
Current NYS Department of Health (DOH) employee with permanent or contingent permanent status as a Eligibility Program Manager 2, G-29
Current NYS employee with one year of permanent or contingent permanent competitive service in a title Grade 27 or above eligible for transfer to Eligibility Program Manager 2 under Section 70.1 or 52.6 of the Civil Service Law
Nine years of professional experience, three years of which must have included second-level supervision of professional staff, performing one or more of the following seven activities in a program with one or more of the following functions: Overseeing and directing staff in determining eligibility for a health insurance program or consumer assisted program in which financial eligibility criteria must be met
Overseeing and directing staff in performing utilization review, including prepayment or post-payment review of requested health care services, prior approval or authorization activities, adjudication or pricing of claims for payment, or analysis of patterns of health care
Overseeing and directing staff in developing mechanisms for the reimbursement and financing of health care services, including rate-setting or approval, capitation reimbursement methodologies, fee schedule development, coding constructs for medical goods and services, or application and processing of reimbursement methodologies
Administering and overseeing staff responsible for day to day program operations for budgeting, staffing, or program planning
Overseeing and directing staff in inspecting, assessing, or monitoring health insurance programs or health care facilities for certification, licensure, or adherence to laws, rules, regulations, and policies
Overseeing and directing staff in planning, designing, developing, researching, or evaluating proposals to establish or refine health related programs, with responsibility for interpreting legislation or regulations, defining and describing target populations and local demographics, grant and proposal writing, or developing, reviewing, and evaluating contracts
Administering and overseeing staff responsible for performing quality assurance activities such as ensuring compliance with laws, rules, regulations, and policies, as it pertains to activities 1 through 6
A Bachelor's Degree can substitute for four years of experience; a Master's Degree can substitute for five years of experience
Preferred
Professional experience in health insurance programs, including Medicaid, Child Health Plus, and the Essential Plan
Excellent verbal and written communication skills
Strong analytical skills and attention to detail
Strong organizational skills
Proficiency in Microsoft Office (Word, Excel, Access)
Ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines
Experience using electronic data systems, such as eMedNY and NY State of Health Back Office
Benefits
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...
Company
New York State Department of Health
To protect, improve and promote the health, productivity and well-being of all New Yorkers.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Amy Gildemeister
Associate Director of Nutrition Policy and Partnership
Lindsay Redmond
Administrative Assistant to Medicaid CFO
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