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Review Vacancy

Date Posted 05/18/18

Applications Due06/01/18

Vacancy ID53485

NY HELPNo

AgencyHealth, Department of

TitleAssociate Health Planner - 87213

Occupational CategoryHealth Care, Human/Social Services

Salary Grade23

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

Salary RangeFrom $73284 to $92693 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 10%

Workweek Mon-Fri

Hours Per Week 40

Workday

From 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

County Albany

Street Address Office of Health Insurance Programs Division of Health Plan Contracting and Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12237

Minimum Qualifications Current Department of Health (DOH) employee with permanent or contingent-permanent status as an Associate Health Planner, SG-23; OR current New York State employee with one year or more of permanent or contingent-permanent service in a title at or above SG-21 and eligible for transfer under Section 52.6 of the Civil Service Law.
PREFERRED
QUALIFICATIONS
Knowledge of NYS Medicaid Managed Care (MMC). An understanding of the 1115 Medicaid Redesign Team Waiver, and its relationship to the provision of Medicaid benefits impacted by Delivery System Reform Incentive Payment (DSRIP) and Value Based Payment (VBP) initiatives. Experience in managing MCO provider and management contract with focus on population health, provision of services, and delegation of management functions.

Duties Description The incumbent of this position will be responsible for the general oversight of Managed Care Organizations (MCO) to ensure compliance with Public Health Law Articles 44 and 49 as well as NYCRR Part 98. The incumbent will be responsible for the following: assist in policy and procedure development; provide assistance to the Bureau and MCOs with the transition to a Value Based Payment system; assist in the review and approval of management and provider contracts; provide guidance to MCOs regarding DOH policy changes or other applicable correspondence; provide assistance in the review and validation on statements of deficiencies and review of plans of correction, and participate in follow-up surveys; participate with intra or inter departmental planning committees and workgroups; create and maintain monthly reports regarding MCO activity; produce quarterly certification reports for CMS; liaison with other DOH bureaus or state partners where applicable; other related duties as applicable. Travel is required.

Additional Comments Permanent, full-time.

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

Name Human Resources Management Group, SP/AHP/87213

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.state.ny.us

Address

Street Room 2217, Corning Tower building

Empire State Plaza

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingIf you are a current New York State employee, we encourage you to send resumes by e-mail, with posting code 77023/AHP/RD on the subject line, to resume@health.state.ny.us or mail to Human Resources Management Group, 77023/AHP/RD, Room 2217, Corning Tower, ESP, Albany, New York, 12237-0012, or fax, with posting code 77023/AHP/RD to (518) 473-3395, no later than August 31, 2012.

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