Director, Health Insurance Programs

2 months ago

Hauppauge, United States Healthcare Association of New York State Full time

The Nassau-Suffolk Hospital Council based in Hauppauge, NY, is seeking a Director, Health Insurance Programs. Reporting to the Chief Operating Officer, the Director will be responsible for the overall operation of the NY State of Health Consumer Assistance Program for Aged, Blind, and Disabled and the Community Health Advocates Program.

This is a grant-funded position, with the possibility of renewal yearly. The salary range is between $120,000 and $130,000 annually.

**Key responsibilities include but are not limited to**:

- Coordinates and directs the operational activities of insurance enrollment and assistance programs. Supervises grant employees, including hiring, training, developing, and conducting performance reviews. Direct supervisory responsibility for Quality Coordinator, Lead Enroller, Data Coordinator, Administrative Assistant, and six Facilitated Enrollers.
- Serves as primary liaison with NYS Department of Health contract management and enrollment policy staff, and primary contact for hospital members on insurance law issues. Attend all meetings with the NYS Department of Health, Suffolk Department of Social Services, and Community Service Society as required.
- Develops and executes an enrollment schedule that is posted on our agency website and submitted to NYS monthly; monitor site effectiveness and staff productivity through data collection; provide a monthly office schedule for grant staff and maintain staff coverage for office Monday through Friday.
- Develops and enforces internal operating procedures for all program processes, a quality assurance program, and external protocols. Continuously reassess program activities and trends, reallocating staffing, budget, and resources as needed.
- Educates program staff on procedures, monitors effectiveness, and develops corrective action plans as needed to improve performance. Communicates program updates, identifies trends and provides technical assistance.
- Maintains expertise on policies and regulations relating to all public health insurance programs. Remains current on federal or state changes in insurance laws and regulation.
- Completes all required reporting for programs to the NYS Department of Health, Suffolk County Department of Social Services, and Community Service Society of NY. Ensures that staff have the tools and training needed to comply with the Health Insurance Portability and Accountability Act (HIPAA) Business Associate Agreements.
- Identifies community sites to conduct enrollment, monitors site effectiveness, and meets with community members to establish new sites or enhance existing sites; develops monthly site schedules for all programs and maintain online calendars.
- Participate in community meetings and conduct presentations on NSHC?s insurance enrollment programs and insurance law.
- Provides technical support to hospital members needing assistance with insurance programs, policies, and the New York State Financial Assistance Law. Intervenes with insurers and Department of Health where appropriate.
- Works with the Chief Financial Officer and Chief Operating Officer to develop budgets, summaries, work plans, human resources, and succession plans, and works with the Chief Financial Officer to submit all program vouchers in the manner and time frames specified in each grant contract.
- Advocates on behalf of grant programs and consumers with legislators or in community forums.

**Qualifications**:

- Master?s Degree required in health care administration, public policy, social work, or equivalent strongly preferred; bachelor?s degree required. Five years of related experience is expected; Strong managerial skills are required. An equivalent combination of education and experience sufficient to satisfactorily perform the duties of the job may be substituted.
- Certification to enroll individuals and families in the NY State DOH prior to hire is preferred.
- Must possess working knowledge of public health insurance programs and regulations.
- Ability to manage, motivate and ensure accountability from a large and diverse multiple staff that works primarily in the field.
- Skilled at problem-solving, developing operational processes and building relationships in the community.
- Can communicate effectively to diverse audiences.
- Local/regional travel occasionally required (15% of work time is spent out of office).
- Demonstrated proficiency in establishing and maintaining key relationships.
- Ability to handle adversity productively and be able to tolerate stressful situations.
- Strong project management and organizational skills; to be able to meet all deadline requirements.
- Ability to problem-solve and mentor to provide effective problem resolution solutions.
- Basic skills in Microsoft Office, Excel and Zoom for data and web conferencing.

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