Position Information

NY HELPYes

AgencyHealth, Department of

TitleEligibility Program Manager 2 (NY HELPS) - 79433

Occupational CategoryOther Professional Careers

Salary Grade29

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

Salary RangeFrom $118425 to $145039 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 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 Consumer Assistance and Training

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description This Eligibility Program Manager 2 position will oversee the administration of the Assistor Program in the Bureau of Consumer Assistance and Training within the Division of Eligibility and Marketplace Integration. This bureau provides operational administration of New York’s application assistor programs available through NY State of Health and at local Departments of Social Services. This includes over 350 agencies and 6,000 assistors who provide application assistance through NY State of Health to consumers. It also has oversight of the Navigator, Facilitated Enrollment for Aged, Blind and Disabled and Medicare Outreach and the Consumer Health Advocate Programs.

This position will support the Bureau in all operations, including providing account set up and maintenance for assistors through NY State of Health and providing technical assistance for eligibility and enrollment concerns submitted by these agencies. The incumbent will be responsible for a team which will investigate and resolve issues related to applications completed by Application Assistors. This position will oversee the required training of assistors with a training vendor and ensure the timely development and delivery annual recertification training for assistors. The position will also direct Bureau staff in oversight of the training contract for Local Departments of Social Services.

Minimum Qualifications Reassignment: Current NYS Department of Health (DOH) employee with permanent or contingent permanent status as a Eligibility Program Manager 2, G-29

Permanent Transfer Candidates:
Current NYS employee with one year of permanent or contingent permanent competitive service in a title Grade 27 or above eligible for transfer to Eligibility Program Manager 2 under Section 70.1 or 52.6 of the Civil Service Law.
The transfer cannot be a second consecutive transfer resulting in an advancement of more than two salary grades.

Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.
NY HELPS Non-Competitive Minimum Qualifications:

Nine years of professional experience*, three years of which must have included second-level supervision of professional staff, performing one or more of the following seven activities* in a program with one or more of the following functions
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.

*A Bachelor's Degree can substitute for four years of experience; a Master's Degree can substitute for five years of experience.

Preferred Qualifications: Preferred candidates will have professional experience in health insurance programs, including Medicaid, Child Health Plus, and the Essential Plan. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; and experience using electronic data systems, such as eMedNY and NY State of Health Back Office.

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...

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

If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.

NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.

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.

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

How to Apply

Name Human Resources Management Group

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Rm 2217

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 SCD/EPM2/79433 included in the subject line or by mail to Human Resources Management Group, SCD/EPM2/79433, 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.