Position Information

NY HELPYes

AgencyHealth, Department of

TitleMedical Assistance Specialist 1 (NY HELPS) - 90110, 46281

Occupational CategoryOther Professional Careers

Salary Grade18

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

Salary RangeFrom $65001 to $82656 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? Yes

Telecommuting allowed? Yes

Location

County Albany

Street Address Division of Eligibility and Marketplace Integration / Bureau of Consumer Relations and Local District Support

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

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, Medicare and/or Child Health Plus. 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.

Duties Description The Medical Assistance Specialist 1 (MAS 1) will work within the DEMI Eligibility Policy Group. The incumbent’s major responsibilities will include, but not be limited to, the following:

• Working collaboratively with policy units to prepare, review and revise Medicaid eligibility notices.
• Developing and reviewing Systems specifications to ensure accurate Medicaid eligibility policy is supported by the Welfare Management System, NYSoH and eMedNY.
• Serving as a Medicaid eligibility policy subject matter expert on district of fiscal responsibility (DFR) and Luberto transfer policies and procedures.
• Preparing and reviewing written policy communications outlining Medicaid program policy and procedures for local departments of social services.
• Responding to Medicaid eligibility inquiries related to areas of responsibility from Department staff, consumers, providers and staff from other agencies/organizations, both orally and in writing.
• Maintaining a broad understanding of various Department systems, including WMS, CNS, MBL, COLD, NYSoH, eMedNY.
• Providing technical assistance to local departments of social services, consumers and providers on Medicaid eligibility policy in areas of responsibility to ensure program integrity and consistent application of policy.
• Analyzing legislation and court decisions to identify changes to notices to ensure correct application of policy.

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.

Contact Information

Name Human Resource Management Group, MVS/90110,46281/MAS1

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 ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference MVS/90110,46281/MAS1 included in the subject line or by mail to Human Resources Management Group, MVS/90110,46281/MAS1, 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.