Review Vacancy
TitleHealth Systems Specialist 1/Trainee 1 (NY HELPS) - 77402, 90808, 87440, 87906, 90500
Occupational CategoryOther Professional Careers
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $47925 to $80248 Annually
Minimum Qualifications Permanent transfer candidates: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Health Systems Specialist 1 (G18); 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, or Section 70.4 of the Civil Service Law to a Health Systems Specialist 1 (G18), Health Systems Specialist Trainee 1 (NS), or Health Systems Specialist Trainee 2 (NS). You may be asked for a Social Security Number to verify your transfer eligibility. 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.
NY HELPS Non-Competitive Minimum Qualifications:
Health Systems Specialist Trainee 1:
A bachelor's degree or higher.
Health Systems Specialist Trainee 2:
A bachelor's degree and one year of professional experience in accounting, auditing and finance; administrative operations; budgeting; communications, marketing and public relations; corrections and criminal justice; economics, research and statistics; environment; health and human services; human resources and training; information technology; natural and physical sciences; service regulation and compliance; transportation.
Health Systems Specialist 1:
A bachelor's degree and two years of professional experience in accounting, auditing and finance; administrative operations; budgeting; communications, marketing and public relations; corrections and criminal justice; economics, research and statistics; environment; health and human services; human resources and training; information technology; natural and physical sciences; service regulation and compliance; transportation.
Substitution: A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.
Preferred Qualifications: Prior healthcare experience
Prior experience with Medicaid
Experience with eMedNY and navigating government databases
Knowledge of various Medicaid provider types
Duties Description This is a full-time position with NYS Medicaid, within the Division of Health Plan Contracting and Oversight, Bureau of Provider Enrollment (BPE). The bureau is responsible for enrolling, reinstating, and revalidating providers in NYS Medicaid and maintaining provider records using the eMedNY enrollment system
The incumbent will perform duties and responsibilities related to the enrollment of New York State Medicaid providers. Working with BPE’s senior staff, this position will participate in various activities related to the function of the bureau and may be responsible for tasks such as, but not limited to:
>Evaluating applications for enrollment in the context of regulatory and programmatic requirements for enrollment.
>Utilizing government agency databases to verify provider credentials, taking appropriate action with negative findings such as exclusions, sanctions, and disciplinary actions.
>Ensuring the collection of all required data and documentation from providers to ensure appropriate enrollment determinations.
>Communicating with and educating providers on enrollment policy and requirements.
>Collaborating with various State agencies and divisions within the Department of Health related to provider types that require program authorizations, such as Operating Certificates, licenses, and/or permits, or that require the establishment of rates that enable such providers to bill Medicaid.
>Over time, evaluating and making enrollment determinations on increasingly complex applications.
>Supervising a small team of employees comprised of both State and contract staff. This includes providing guidance, supporting, mentoring, monitoring, and documenting performance in a high production environment.
>Reporting and problem-solving challenges related to provider enrollment.
>Working on special projects as needed.
>Other duties as assigned.
Additional Comments This posting is for multiple New York Hiring For Emergency
Limited Placement Statewide Program (NY HELPS)-designated
opportunities with the Department of Health. NY HELPS waives
Department of Civil Service examination requirements for certain
positions for a period of one year. For additional information
about the NY HELPS Program, please refer to
https://www.cs.ny.gov/help/.
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
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group
Email Address resume@health.ny.gov
Address
Street RM 2217, Corning Tower Building, ESP
Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference MVS/HSS1/multiple included in the subject line or by mail to Human Resources Management Group, MVS/HSS1/multiple, 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.