Position Information

NY HELPNo

AgencyHealth, Department of

TitleHealth Systems Specialist 1 (NY HELPS) - 46133, 23637

Occupational CategoryOther Professional Careers

Salary Grade18

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

Salary RangeFrom $53764 to $85138 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 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

Location

County Albany

Street Address Office of Health Insurance Programs/Division of Health Plan Contracting and Oversight/Bureau of Consumer Services

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description Within the Office of Health Insurance Programs (OHIP) in the Division of Health Plan Contracting and Oversight, the Health System Specialist 1 will support the Bureau of Consumer Services. This position is part of a team of complaint staff responsible for responding to complaints from health care providers and Medicaid enrollees regarding their Medicaid managed care plan enrollment in relation to the HR1 changes. Key responsibilities include: Intake complaint calls from health care providers and Medicaid enrollees regarding Medicaid managed care plan enrollment issues, ensuring accurate and complete documentation of each complaint; Monitor the Bureau of Consumer Services email box, complaint tracking systems and databases to ensure timely processing and follow-up on all received complaints; Investigate complaints received by gathering relevant information, reviewing enrollment records, and coordinating with managed care plans to determine appropriate resolution; Communicate with enrollees, providers, and managed care plan representatives to gather information, provide status updates, and facilitate complaint resolution; Maintain accurate records and documentation of all complaint activities, outcomes, and follow-up actions in accordance with program standards; Special Projects and other related duties as assigned.

Minimum Qualifications Permanent Transfer:
Current New York State employee with one year or more of permanent or contingent permanent, competitive service in a Health Systems Specialist 1 (G18) position OR a NYS employee in a position G16 or higher and eligible for transfer under Section 70.1 or Section 70.4 of the Civil Service Law.

Non-Competitive via NY HELPS:
Health Systems Specialist 1: Six years of experience performing or implementing medical or programmatic surveillance, audit, compliance, quality assurance, or regulatory activities for patients or a health care delivery system for a health care facility or health related organization.

Health Systems Specialist Trainee 2: Five years of experience performing or implementing medical or programmatic surveillance, audit, compliance, quality assurance, or regulatory activities for patients or a health care delivery system for a health care facility or health related organization.

Health Systems Specialist Trainee 1: Four years of experience performing or implementing medical or programmatic surveillance, audit, compliance, quality assurance, or regulatory activities for patients or a health care delivery system for a health care facility or health related organization.

Substitution:
Associate degree may substitute for two years of specialized experience; bachelor's degree may substitute for four years of specialized experience; master's degree may substitute five years of specialized experience; J.D. may substitute for six years of specialized experience.

Preferred Qualifications: The preferred candidate will have robust knowledge of the New York State Medicaid system, program benefits, and relationships with relevant stakeholders.

Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

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 Resource Management Group, EW/HSS1/46133,23637

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 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 EW/HSS1/46133,23637 included in the subject line or by mail to Human Resources Management Group, EW/HSS1/46133,23637, 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.