Position Information

NY HELPYes

AgencyHealth, Department of

TitleMedical Assistance Specialist 2 - 46091

Occupational CategoryOther Professional Careers

Salary Grade23

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

Salary RangeFrom $84156 to $106454 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 New York

Street Address Office of Health Insurance Programs/Division of Eligibility and Marketplace Integration/Bureau of Downstate Eligibility Systems

90 Church Street

City New York City

StateNY

Zip Code10007

Job Specifics

Minimum Qualifications Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; OR 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 2.

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a noncompetitive
appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title.

NON-COMPETITIVE MINIMUM QUALIFICATIONS:
Seven years of professional experience performing one or more of the following activities in a health care facility, health care agency, health care delivery system, Medicaid program, and/or other public or private health insurance program: establishing, revising, and/or assisting with the implementation of program policies and procedures to meet treatment and/or regulatory requirements of health care; analyzing State and/or federal health insurance laws to inform the development or modification of program operations; determining financial eligibility for enrollment in public or private health insurance plans or government funded health services programs; 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; conducting independent examinations of health care facilities or program integrity reviews of health care programs to ensure compliance with laws, rules, and regulations.

An associate degree may substitute for up to two years of the experience; bachelor’s degree may substitute for up to four years.

Preferred Qualifications: Preferred candidates will have experience in public health insurance programs, including New York’s Medicaid and/or Child Health Plus, and with data systems including, but not limited to, the Welfare Management System (WMS), NY State of Health Back Office and eMedNY. In addition, preferred candidates will have the ability to research and analyze information; demonstrated experience in requirements gathering and analysis of policy guidance; strong written and verbal communication skills; excellent interpersonal and organizational skills; and the ability to work well under pressure and adapt to changing priorities and tight timeframes. Supervisory experience is a plus.

Duties Description This Medical Assistance Specialist 2 (MAS 2) will work within the Division of Eligibility and Marketplace Integration (DEMI), Bureau of Downstate Eligibility Systems.

Candidate would be responsible for the following:

• Review, develop, analyze and interpret laws, regulations, and policies related to Medicaid or other Public Health Insurance Programs.

• Proficiently utilize all automated Systems pertaining health insurance programs including NYSOH, WMS and eMedNY.

• Evaluate the operations of public health insurance programs, and where appropriate, recommend modifications to procedures, make recommendations to procedures, guidelines, and program requirements.

• Construct Root Cause analysis and Joint Application Development (JAD) sessions with user community to obtain required information.

• Identify and resolve critical errors of newly developed software for Medicaid automated systems.

• Provide technical assistance to local distracts, State agencies and other stakeholders to ensure compliance with State and Federal regulations.

• Develop functional specifications to integrate with State systems (eMEDNY, WMS, EDITS, POS).

• Develop and review training materials for Statewide Program initiatives.

• Provide directions to technical staff in the development of automated systems.

• Supervise and assign work to subordinates and review all correspondence and reports completeness and appropriateness.

Additional Comments This position is part of the NYS HELPS program. No examination is required.

This position may require travel throughout New York State including overnights to areas not served by public transportation.

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.

Contact Information

Name Human Resources Management Group, MVS/46091/MAS2

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Rm 2217, Corning Tower, ESP

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 included in the subject line or by mail to Human Resources Management Group, MVS/46091/MAS2, 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.