Review Vacancy
TitleMedical Assistance Specialist 1 (NY HELPS) -90205
Occupational CategoryOther Professional Careers
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $65001 to $82656 Annually
Street Address Division of Eligibility and Marketplace Integration /Bureau of Long Term Care/SSI-Related Populations
99 Washington Avenue
Minimum Qualifications Reassignment: Current NYS Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.
Transfer: 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 or Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 1, G-18.
NY HELPS: Six years of experience developing public or private health related policy; analyzing AND interpreting public or private health related policy to assist consumers; determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation reimbursement methodologies, and development of fee schedules; performing utilization review of requests for medical treatment including prior approval or authorization activities, adjudication of claims for payment and/or provider credentialing; AND/OR conducting independent examinations of health care facilities or program integrity reviews of health care programs to ensure compliance with laws, rules, and regulations. Substitution: An associate degree can substitute for two years of specialized experience; a bachelor’s degree can substitute for four years of experience; a master’s degree in a related field can substitute for five years of experience; and a doctorate in a related field can substitute for six years of experience.
Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid and/or Medicare. 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 NYSOH Back Office. Supervisory experience is a plus
The preferred candidate will have strong analytical and computer skills; excellent interpersonal, written and organizational skills; the ability to coordinate and manage multiple activities, and to work independently and as a member of a team; working with staff in multiple units coordinating work.
Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid and/or Medicare. 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 WMS, eMedNY and NYSOH Back Office. Supervisory experience is a plus.
Duties Description The Medical Assistance Specialist 1 (MAS 1) will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Long-Term Care/SSI-Related Populations. Duties may include, but not be limited to, the following:
• Assist in the development, interpretation and implementation of Medicaid eligibility policy for the Bureau’s areas of responsibility, which include Medicaid eligibility policy related to SSI-related budgeting and the Aged, Blind and Disabled populations, such as individuals requiring long term care services, community-based long-term care, waiver services, the working disabled and individuals with excess income (Spenddown program).
• Assist in development and implementation of various projects, including planning for the end of the COVID-19 emergency period and implementing associated policy and system changes; implementation of a lookback for coverage of community-based long term care services; transition of the non-MAGI population to the new eligibility system and development of related business rules; support related to the dual integration project; support for initiatives related to the transition of Medicaid eligibility of managed long term care enrollees in nursing homes and other managed care enrollees in collaboration with other OHIP program areas; and referrals of NYSOH Medicaid enrollees to local social services districts, such as those in need of long term care services or Medicare-eligible individuals.
• Assist in development and implementation of policy communications (Administrative Directives, General Information System messages, Local Commissioner Memorandums and Medicaid Updates), State Plan amendments and waiver amendments related to the Aged, Blind and Disabled Medicaid eligibility and SSI-related budgeting policy areas and populations.
• Review and analyze federal and state legislation and federal policy directives, ensuring eligibility policy decisions and guidance are consistent with federal and state requirements for Medicaid.
• Provide guidance to local departments of social services, Department of Health staff, training, fair hearing, and customer service personnel on Medicaid policy areas to ensure consistent application and interpretation of policy.
• Respond to inter- and intra-agency, organization, and private citizen inquiries.
• Develop and maintain a broad understanding and competency in navigating various Medicaid program systems and subsystems, including the Welfare Management System (WMS), Client Notice System (CNS), Computer Output to Laser Disk (COLD), Imaging/Electronic Document Repository (I/EDR), New York State of Health (NYSOH) and related subsystems, and eMedNY.
• Provide supervision, training and guidance to subordinate unit staff as applicable.
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.
Name Human Resource Management Group, SPD/MAS1/90205
Email Address resume@health.state.ny.us
Address
Street Room 2217, Corning Tower Building
Empire State Plaza,
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 SPD/MAS1/90205 included in the subject line or by mail to Human Resources Management Group, SPD/MAS1/90205, 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.