Senior Healthcare Program Specialist

1 Commerce Plaza, Albany, NY 12210, USA

Req #523

Thursday, September 14, 2023

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.

Senior Healthcare Program Specialist

Duties Description:

This individual will assist senior staff in the New York State Department of Health, Office of Health Insurance Programs (OHIP), Division of Health Plan Contracting and Oversight, Bureau of Consumer Services in implementing and evaluating health reform initiatives with a primary focus on research and analysis associated with the transition and monitoring of vulnerable populations into managed care.

Additional duties include: provide data analysis for the development of information and insight to support the Bureau’s complaint investigations; research and analyze Managed Care Organization (MCO) business process data to prevent/ensure appropriate health care services and benefits are provided as defined under NYS regulations and contract requirements; provide assistance with the design, implementation and maintenance of application programs and databases to support program operations and decision making; provide research into MCO business processes to identify operational deficiencies or systemic problems associated with enrollee management and provider billing; assist with onsite or remote MCO business process reviews related to the identification and implementation of corrective actions for consumer service and benefit delivery problems and provider payment in-accuracies; draft a wide range of documents which may include status reports and guidance documents; other activities as may be deemed necessary in response to the changing needs of the Division

Minimum

• 9 years of experience in healthcare field

• An associate degree counts as 2 years of experience, a bachelor’s degree counts as 4 years of experience, and a master’s degree counts as 5 years of experience.

Preferred Qualifications:

• Experience in managed care, care coordination, Medicaid, compliance, and/or delivery of Strong analytical and communication (both written and oral) skills

• Experience in health research and business analytics

• Proficient in the use of standard office technology and Microsoft applications including Word, Excel, Access, and PowerPoint.

• The ability to work independently in conducting research to support DOH policy

• The ability to function in a team environment.

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.

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.

Other details

• Pay Type Salary

• Min Hiring Rate $49,400.00

• Max Hiring Rate $65,000.00

• Telecommute % 50

• Required Education Equivalent Experience

• 1 Commerce Plaza, Albany, NY 12210, USA

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