Position Information

NY HELPNo

AgencyHealth, Department of

TitleHealth Program Administrator 4 – 46275

Occupational CategoryOther Professional Careers

Salary Grade663

Bargaining UnitM/C - Management / Confidential (Unrepresented)

Salary RangeFrom $97446 to $123166 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

Location

County Albany

Street Address Office of Health Insurance Programs, Division of Health Plan Contracting and Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12237

Job Specifics

Minimum Qualifications Current NYS Department of Health (DOH) employee with permanent or contingent-permanent, competitive status as a Health Program Administrator 4 (HPA 4), G-29/M-3 OR a Current NYS employee with one year of permanent or contingent-permanent service as Medical Assistance Specialist 3, G-27 and deemed eligible for transfer via Section 70.1 of the Civil Service Law OR in a title at or above Grade 27 or M-2, and deemed eligible for transfer via Section 52.6 of the Civil Service Law.
PREFERRED
QUALIFICATIONS
Experience in managed care, health insurance, nursing, patient advocacy, health care management, utilization review, medical/clinical billing, complaint investigation, surveillance, and/or healthcare policy and administration. Superior communication skills and strong management skills preferred.

Duties Description The Bureau of Consumer Services is responsible for investigating complaints against New York State managed care commercial and government-sponsored health plans, ensuring compliance with health program requirements, enrollee access to quality care, protection for enrollee and provider appeal/due process rights, and appropriate provider reimbursement. As bureau director, the incumbent will be responsible for oversight of these activities including: researching issues and developing program response, policy, contract language and/or regulation; setting standards for health care compliance; conducting stakeholder workgroups; integration of consumer-specific stakeholder concerns and regulatory requirements into day to day activities of the division; providing referrals and general consumer assistance; collecting, reporting, and evaluating complaint data and other information to address health plan operational issues, monitoring implementation of program initiatives, and informing health care delivery system reform efforts; developing training protocols and presentations; supervising professional staff and other related tasks as assigned. In this role the incumbent will work directly with staff, managed care plans, advocates, state agencies, provider groups, insurer associations, and other stakeholders to address critical health care issues and implement division goals such as Medicaid Redesign Team initiatives and legislation related to managed care grievance systems, external appeal and fair hearing protocols.

Additional Comments Contingent-Permanent, full time appointment.

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

Contact Information

Name Human Resources Management Group, SP/HPA4/46275

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Room 2217, Corning Tower Building, Empire State Plaza

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingSubmit resume, preferably in PDF format, to Human Resources Management Group, SP/HPA4/46275, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or by fax to (518) 473-3395 or by email to resume@health.ny.gov, with Reference Code SP/HPA4/46275 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 accepted until June 8, 2018.