Review Vacancy
TitlePublic Health Physician 2 (Health Systems)
Occupational CategoryHealth Care, Human/Social Services
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $140789 to $140789 Annually
Street Address Office of Health Insurance Programs, Division of Operations and Systems, Bureau of Medical Review
431 Broadway
Minimum Qualifications Current license and registration to practice medicine in New York State AND board-eligible or board-certified in a medical specialty, and one (1) year of experience in a clinical, hospital, or patient-care setting. Must maintain credentials to remain employable.
Preferred Qualifications:
Specialty in Physiatry, Physical Medicine or Rheumatology
Duties Description The incumbent will be responsible to review prior approval requests and issue denials as indicated, provide medical expertise in support of daily activities involving prior approval of certain Medicaid reimbursable goods and services; adjudicate claims pended for manual review and pricing, review specific coverage, enrollment and coding issues; examine patient records; assess the quality of patient care received; prepare written reports on provider adherence to requirements of the Medicaid Program; and provide oral testimony at hearings on the State’s behalf. The incumbent will participate in internal and external committees and work with other Medical Directors on Medicaid policy and initiatives.
Additional Comments Permanent, full-time. Non-competitive. Must maintain credentials after appointment.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group - SC/PHP2HS/78040
Email Address personnel@health.ny.gov
Address
Street Room 2217, Corning Tower
Empire State Plaza
Notes on ApplyingSubmit resume to Human Resources Management Group, SC/78040/PHP2HS, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or by email to resume@health.ny.gov or by fax to (518) 473-3395 with a subject line SC/78040/PHP2HS. Resumes will be accepted until 05/25/2018.