Medical Assistance Specialist 1 (NY HELPS) -90687

Reassignment : Current NYS Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.

Transfer : 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 or Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 1, G-18.

• NY HELPS : Six years of experience developing public or private health related policy; analyzing AND interpreting public or private health related policy to assist consumers;
• determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and / or federal laws, rules, and regulations;
• establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation reimbursement methodologies, and development of fee schedules;
• performing utilization review of requests for medical treatment including prior approval or authorization activities, adjudication of claims for payment and / or provider credentialing;

AND / OR conducting independent examinations of health care facilities or program integrity reviews of health care programs to ensure compliance with laws, rules, and regulations.

Substitution : An associate degree can substitute for two years of specialized experience; a bachelor's degree can substitute for four years of experience;

a master's degree in a related field can substitute for five years of experience; and a doctorate in a related field can substitute for six years of experience.

Preferred Qualifications : NYS Medicaid eligibility and eligibilty system experience, Managed Long term Care benefit knowledge.

Duties Description This Medical Assistance 1 position will work within the Bureau of Managed Long Term Care (BMLTC) on the System's Team.

Responsibilities will include, but will not be limited to : 1) Monitoring the System's Team BML 2) Tracking and learning to process eligibility / systems transactions, including coordination with the enrollment broker (New York Medicaid Choice) 3) Communicating with local districts 4) Documenting internal processes and procedures 3) Assisting the with other special projects as needed.

Additional Comments This position is part of the NYS HELPS program. No examination is required.

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...

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.

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

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

Name Human Resource Management Group, WDW / MAS1 / 90687

Telephone 518-486-1812

Fax 518-473-3395

Email Address [email protected]

Address

Street Room 2217, Corning Tower Building

Empire State Plaza,

City Albany

State NY

Zip Code 12237

Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.

ny.gov, with Reference WDW / MAS1 / 90687 included in the subject line or by mail to Human Resources Management Group, WDW / MAS1 / 90687, 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.