Medicaid Program Advisor

2 weeks ago


Albany, United States Staffing Solutions Organization LLC Full time

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Medicaid Program Advisor - Albany, NY
OQPS - 1205
Summary
This position will be responsible for All Payer Database (APD) compliance program activities related to the Statewide Planning and Research Cooperative System (SPARCS).

The SPARCS compliance program covers the submission of records by facilities against pre-defined targets as defined by NY Public Health Law Section 400.18. The primary responsibility of the position will be to carry out established compliance program protocols. This will include setting deadlines, tracking submissions against targets, the reviewing existing processes/documentation for improvement, and generating reports. The incumbent will be expected to coordinate and communicate effectively with submitters, subcontractors, and office leadership. This position includes supervision of subcontractor tasks.
- Monitor the shared SPARCS mailbox and answer phone tree calls in collaboration with submitter engagement for timely response to submitters, especially pertaining to compliance inquiries.
- Initiate monthly compliance reporting and perform quality checks on reports before approval for public website posting.
- Perform monthly compliance reconciliation to send compliance warning notices to submitters not meeting compliance metrics on compliance and audit reports.
- Supervise processing of submitter requests for compliance exceptions and extensions.
- Communicating with facility submitters on requirements for compliance with SPARCS submissions.
- Participate in development of submitter management system development and quality assurance testing to ensure the system is functioning appropriately.
- Documentation of compliance activities in appropriate trackers.
- Provide cross coverage related to other APD compliance programs.

**The minimum qualifications for this position are**:

- Ability to work independently with excellent organizational, written, and oral communication skills.
- Effective time management skills to meet program timelines.
- Proficiency in Microsoft Office products, including Word, Excel, and PowerPoint.
- Experience with staff supervision and educational training.

**The preferred qualifications include**:

- Knowledge of Statewide Planning and Research Cooperative (SPARCS) program and data submission requirements (837R).
- Experience with hospital revenue cycle including medical coding (CPT-4, ICD-10-CM) standards and medical claims (837I, 837P).
- Medical coding certification through American Academy of Professional Coders (CPC, CPC-H) or American Health Information Management Association (CCS, CCS-P).
- Experience with healthcare compliance programs.

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an Employment Visa at this time.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an e-Verify participant.



  • Albany, United States Staffing Solutions Organization LLC Full time

    Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve. Medicaid Program Advisor: Item 1297 The Bureau of Adult...


  • Albany, United States Staffing Solutions Organization LLC Full time

    Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve. DPDM - 1422 Summary The candidate must have an u nderstanding...


  • Albany, United States Medicaid Inspector General, NYS Office of the Full time

    **Minimum Qualifications** You must have a bachelor's degree* or higher. No experience is required for appointment as a Trainee 1. Advanced placement to the Trainee 2 or Grade 18 level may be possible depending on education and experience. Competitive Minimum Qualifications: Current New York State Employee with one year or more of permanent or...


  • Albany, United States Donato Technologies, Inc Full time

    Job DescriptionJob DescriptionRole: Sr. Java Developer with MedicaidLocation: Albany, New YorkDuration: 8 monthsDescriptionThe position is being requested for the Medicaid Data Warehouse Bureau. Medicaid Data Warehouse is the primary repository for Medicaid in New York State and is the main provider of Business Intelligence on Medicaid Data. The Bureau is...


  • Albany, United States Sligo Software Solutions Full time

    Job DescriptionJob DescriptionDescriptionThe position is to support Medicaid Enterprise Systems (MES). The Data Architect position will support major architecture initiatives of New York State Medicaid Enterprise.DutiesThe Database Architect (expert) will have responsibility for the Data Architecture for the Medicaid Enterprise at the MDW. The Database...


  • Albany, United States Sligo Software Solutions Full time

    Job DescriptionJob DescriptionDescriptionThe position is to support Medicaid Enterprise Systems (MES). The Data Architect position will support major architecture initiatives of New York State Medicaid Enterprise.DutiesThe Database Architect (expert) will have responsibility for the Data Architecture for the Medicaid Enterprise at the MDW. The Database...


  • Albany, United States Alta It Services Full time

    ALTA IT is hiring for a Medicaid Support specialist. The individual will support a fortune 100 company in the federal space. This is a great entry-level opportunity to put on your resume. You will be answering inbound phone calls from Medicaid Providers for billing or enrollment. Responds to providers and recipient calls, providing a single point of contact...


  • Albany, United States Health, Department of Full time

    **Minimum Qualifications** Permanent Transfer: Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Eligibility Examiner 3, Grade 17. Preferred Qualifications: Strong organizational skills; Excellent communication skills, both written and verbal; some supervisory exp. Experience with NYSOH...


  • Albany, United States Health, Department of Full time

    **Minimum Qualifications** Permanent: Current NYS employee with one year or more of permanent or contingent-permanent, competitive service as a Medicaid Eligibility Examiner 2 (G14), OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a position allocated to a salary grade 12or above and eligible for transfer...


  • Albany, United States Bank of America Full time

    Description : As an Advisor Development Program Financial Solutions Advisor Stage I (ADP FSA I), your journey begins obtaining your Securities Industry licenses, where you receive dedicated study time for your Securities Industry Essentials [SIE], Series 7 and Series 66 Exams. Once you obtain your licenses, you will be taught the foundational skills...


  • Albany, United States H&R Block Full time

    **499006BR** **Title:** Block Advisors Tax Advisor **Our Company** **:** At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a connected culture, valuing diversity and inclusion and making everyone feel like...

  • Financial Advisor

    2 weeks ago


    Albany, New York, United States LPL Financial Full time

    Your career path should lead to real opportunity LPL Financial partners with banks to offer a complete menu of financial services to bank clients. This employment opportunity at Community Bank in Albany, NY would allow you to join the Investment Program at Community Bank as a Financial Advisor associated with LPL Financial. Under this model Financial...

  • Financial Advisor

    2 weeks ago


    Albany, New York, United States LPL Financial Full time

    Financial Advisor – Pioneer BankYour career path should lead to real opportunity LPL Financial partners with banks to offer a complete menu of financial services to bank clients. This employment opportunity at Pioneer Bank in Albany, NY would allow you to join the Investment Program at Pioneer Bank as a Financial Advisor associated with LPL Financial....


  • Albany, United States Health, Department of Full time

    **Minimum Qualifications** Current New York State Department of Health employee with permanent or contingent permanent, competitive status as a Health Program Administrator 1, Grade 23. OR: New York State employee with one year or more of permanent or contingent permanent, competitive service in a title eligible for transfer to Health Program Administrator...

  • Project Manager

    4 days ago


    Albany, United States MVP Consulting Inc Full time

    HBITS-(phone number removed) Tasks to be performed include: Coordinate project activities and project resources Guide the relationship with the DOH Business Units, vendors and all stakeholders Define/refine project scope Administer project change control procedures Establish project plans and schedules Track project progress and resolve deviations...

  • Service Advisor

    5 days ago


    Albany, United States Prince Chevrolet Buick GMC of Albany Full time

    Job DescriptionJob DescriptionThe responsibilities of a Service Advisor include greeting customers, listening to their needs, and scheduling appointments as needed. They may also set up loaner cars and verify insurance before maintenance is scheduled. ResponsibilitiesGreet customers promptlyObtain customer and vehicle informationClearly report all vehicle...


  • Albany, United States Staffing Solutions Organization LLC Full time

    One Commerce Plaza - Contractor, 99 Washington Ave, Albany, New York, United States of America Req #588 Friday, April 12, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce,...

  • Beauty Advisor

    6 days ago


    Albany, United States Sephora Full time

    Job ID: 245798Store Name/Number: NY-Colonie Center (0270)Address: 131 Colonie Center, Albany, NY 12205, United States (US)Hourly/Salaried: Hourly (Non-Exempt)Full Time/Part Time: FlexPosition Type: RegularBeauty Advisor As a Beauty Advisor, you are a key team member who inspires and helps our customers become the best version of themselves. You are...

  • Resident Advisor

    20 hours ago


    Albany, United States Catholic Charities of the Diocese of Albany Full time

    Job DescriptionJob DescriptionCatholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholic Charities is made up of multiple geographic and service-specific agencies. We are privileged to...

  • Resident Advisor

    7 days ago


    Albany, United States Catholic Charities of the Diocese of Albany Full time

    Job DescriptionJob DescriptionCatholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholic Charities is made up of multiple geographic and service-specific agencies. We are privileged to...