Position Information

NY HELPNo

AgencyHealth, Department of

TitleHealth Systems Specialist 4 – 87416

Occupational CategoryAdministrative or General Management

Salary Grade25

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $93530 to $117875 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 5%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

Location

County Albany

Street Address OHIP, Division of Health Plan Contracting and Oversight

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

Minimum Qualifications Promotion: New York State employee with one year or more of permanent or contingent permanent, competitive service as a Health Systems Specialist 3, Grade 23.

70.1 Transfer: New York State employee with one year or more of permanent or contingent permanent, competitive service in a title eligible for transfer to Health Systems Specialist 4, Grade 25, under Section 70.1 of the Civil Service Law.

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 Application.

Duties Description Within the Division of Health Care Plan Contracting & Oversight, Bureau of Managed Care Certification and Surveillance (BMCCS), the incumbents are responsible for management of activities related to ongoing surveillance of Managed Care Organizations (MCO) to ensure compliance with Public Health Law Articles 44 and 49 as well as 10 NYCRR Part 98 and the Medicaid Model Contract.

Specific duties and responsibilities may include but are not limited to:
• Manage the review and evaluation of operations of MCOs and providers to ensure compliance with DOH and federal laws, rules, and regulations.
• Analyze state and federal legislation related to managed care and review for impact on existing program operations.
• Review and evaluate on an ongoing basis, existing surveillance methodology, tools and protocols and recommend changes to increase efficiency.
• Develop and regularly review program policies, procedures, and standards.
• Oversee the quality of data collected and systems used. Develop reports and queries to clearly communicate data collected.
• Draft, review, and update training and guidance documents.
• Supervise staff. Monitor and evaluate staff performance as well as manage and direct program activities by setting priorities and deadlines.

Additional Comments 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.

Contact Information

Name Human Resources Management Group, WDW/HSS4/87416

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Room 2217, Corning Tower, ESP

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingPlease submit your resume and cover letter, preferably in PDF format, by email to resume@health.ny.gov, with Reference WDW/HSS4/87416 included in the subject line or by mail to Human Resources Management Group, WDW/HSS4/87416, 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.