Position Information

NY HELPYes

AgencyHealth, Department of

TitleEligibility Program Manager 2 (NY HELPS) - 15449

Occupational CategoryOther Professional Careers

Salary Grade29

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

Salary RangeFrom $114976 to $140815 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

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 Division of Eligibility and Marketplace Integration / Bureau of Long Term Care and SSI Related Populations

99 Washington Avenue, One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Minimum Qualifications "Competitive Minimum Qualifications:
New York State employee with one or more years of permanent or contingent-permanent service in title at Grade 27 or above, and eligible for transfer to EPM 2, G29, under Section 70.4, 70.1 or 52.6 of the Civil Service Law.

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a noncompetitive
appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title.


If you are hired via HELPS, at a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive
employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status.

Non - Competitive Minimum Qualifications:
A bachelor’s degree and five years of professional experience, three years of which must have included second-level supervision of staff, performing one or more of the following seven activities* in a program with one or more of the following functions: provides reimbursements for health care services; works with social services program areas; determines eligibility for a consumer assisted program in a hospital or other health care facility; provides health care regulatory oversight; or performs quality assurance and interpretation/application of standards of health care.
1. Overseeing and directing staff in determining eligibility for a health insurance program or consumer assisted program in which financial eligibility criteria must be met.
2. 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.
3. 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.
4. Administering and overseeing staff responsible for day to day program operations for budgeting, staffing, or program planning.
5. 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.
6. 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.
7. 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.

Preferred Qualifications: Preferred candidates will have experience in New York Medicaid program eligibility and enrollment policies and operations and with related data systems such as eMedNY, NY State of Health and WMS; have experience developing and/or interpreting policies, procedures, statutes and regulations; work well both independently and as part of a team and under pressure to meet deadlines; possess excellent oral and written communication skills and excellent organizational and interpersonal skills; have strong research and analytical skills; and experience supervising staff and determining priorities.

Duties Description The Eligibility Program Manager 2 will serve as Deputy Bureau Director in the Bureau of Long-Term Care and SSI-Related Populations and assist in overseeing the Bureau’s two units: the Long-Term Care/SSI-related Medicaid Policy and Initiatives Unit, and the Special Programs Policy and Integrity Support Unit. The deputy bureau director will be responsible for development, administration, oversight, and implementation of complex Medicaid Program eligibility policy for the aged, blind and disabled population and oversight of special programs and subordinate staff. The deputy bureau director will provide Medicaid financial eligibility policy expertise generally, to executive level staff, and for the implementation of key Medicaid eligibility initiatives, such as the system build required to incorporate the aged, blind and disabled (SSI-related) Medicaid eligibility group in a new state-based eligibility system; maintaining the policies and processes needed to support the Unwind of the COVID-19 emergency period and return to normal program operations; and operationalizing federal Medicaid regulations that require streamlining of application and renewal processes for aged, blind and disabled and other non-MAGI groups. The deputy bureau director will assist in determining priorities and overseeing operations within the units, training subordinate staff in subject matter expertise, and with Bureau succession planning. The deputy bureau director will provide programmatic policy guidance, requirements, and oversight to ensure adherence to federal and State regulations and requirements; interpret federal and State laws, rules and regulations to develop policy directives, analyses and other materials.

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.

Contact Information

Name Human Resources Management Group, MVS/EPM2/15449

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 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/EPM2/15449 included in the subject line or by mail to Human Resources Management Group, MVS/EMP1/15449, 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.