Health Program Administrator 3

3 months ago


Albany, United States New York State Full time

Minimum Qualifications Current NYS Department of Health employee with permanent or contingent-permanent, competitive status as a Health Program Administrator 3, G-27 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G-25 and deemed eligible for transfer under Section 70.1 or Section 52.6 of the NYS Civil Service Law.

Preferred Qualifications: Knowledge of Medicaid Program, Managed Care Delivery Models, Public Health Law and Regulation with experience in interpretation of governing laws, regulations, or policy, Project management, Microsoft Office Application.

Duties Description Within the Division of Health Care Plan Contracting & Oversight, Bureau of Managed Care Certification and Surveillance (BMCCS), the incumbent will manage staff responsible for wide range of activities associated with certification and surveillance of Managed Care Organizations (MCO) to ensure compliance with Public Health Law Articles 44 and 49. This position serves at the liaison with sister agencies to monitor compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA).

Specific unit responsibilities include Behavioral Health Parity; Utilization Review; Fraud Waste and Abuse; and Worker’s Compensation Preferred Provider Organizations. The incumbent will be responsible for analyzing state and federal legislation related to managed care and review for impact on existing program operations; identify and implement changes needed in current operations to accommodate implementation of new legislation, regulations, contract provisions; review and evaluate on an ongoing basis, existing procedures impacting Unit activities and recommend changes to increase efficiency; monitor tasks assigned to unit staff, identify potential issues, and ensure quality standards and deadlines are met; supervise, develop and evaluate unit staff; and serve as a liaison with other bureaus, state agencies, and stakeholders to successfully implement managed care policies.

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



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