Health Program Administrator/ Trainee 1/ Trainee 2 (NY HELPS) - 87811

Description This position is located in the Bureau of Consumer Services, Division of Health Plan Contracting and Oversight and will report directly to the Manager of the Complaint Investigation Unit. The incumbent will assist with the timely and efficient investigation of complaints from health care providers, enrollees and advocates who are experiencing challenges with the Medicaid Managed Care program. Responsibilities Work actively on complaint investigations and ensure complaints are current and accurately depicted in the complaint database, essential information has been collected and necessary steps are taken to resolve the case. Review and evaluate laws, rules, and regulations related to Medicaid and other public health insurance programs to support and improve compliance of Medicaid Managed Care plans. Participate in various workgroups related to Medicaid Managed Care and assist in the completion of other Bureau-related duties, as assigned. Review, evaluate and report trends to identify plan deficiencies in the administration of the Medicaid Managed Care program. Qualifications Minimum Qualifications Permanent Transfer Candidates: Current NYS Department of Health employee with one year of permanent or contingent permanent, competitive, service as a Health Program Administrator, SG-18 OR a current NYS employee with one year of permanent or contingent permanent, competitive, service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to Health Program Administrator, SG-18, Health Program Administrator Trainee 1, NS, or Health Program Administrator Trainee 2, NS. Non-Competitive Candidates via NY HELPS Program: Health Program Administrator: Six years of experience* in the administration, supervision, and oversight of agency programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness. Health Program Administrator, Trainee 2: Five years of experience* in the administration, supervision, and oversight of agency programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness. Health Program Administrator, Trainee 1: Four years of experience* in the administration, supervision, and oversight of agency programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness. Substitution: An associate degree may substitute for two years of experience; a bachelor's degree may substitute for four years of experience; a master's degree may substitute for five years of experience; and a doctorate may substitute for six years of experience. Preferred Qualifications The preferred candidate will have strong written and organizational skills, ability to manage multiple priorities, and be able to work both independently and as part of a team. Knowledge of the Managed Medicaid Program is preferred. Additional Comments This position is part of the NYS HELPS program. No examination is required. Benefits 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 Equal Opportunity Statement 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: Accommodations If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone View phone number on click.appcast.io or email View email address on click.appcast.io to make a request. Additional Information NYS Department of Health does not participate in E-Verify and does not sponsor visa applications. 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. #J-18808-Ljbffr New York State Department of Health