Albany, NY, 12260, USA
8 days ago
Healthcare Program Specialist - DHPCO 1347
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. **Healthcare Program Specialist - Albany, NY** **DHPCO - 1347** **Summary** The incumbent in this position will assist Bureau leadership and staff in the Office of Health Insurance Programs (OHIP), Division of Health Plan and Contract Oversight in a broad range of planning, implementation, reporting and evaluation activities within the Division of Health Plan Contracting and Oversight’s Bureau of Consumer Services Technical Assistance Center (TAC). **Additional Requirements and Day-to-Day Tasks of Position** + Strong analytical, research and communication (both written and verbal) skills. + The ability to work independently in conducting research to support DOH policy + The ability to function in a team environment. + The ability to think creatively, strategically, and use investigative skills. + The ability to de-escalate conflict using strength based language + Preferred: Experience or knowledge of NYS public health insurance programs (e.g., Medicaid, Managed Long Term Care, CHPlus or Health Benefit Exchange. **Additional Requirements and Day-to-Day Tasks of Position** The incumbent in this position will assist Bureau leadership and staff in the Office of Health Insurance Programs (OHIP), Division of Health Plan and Contract Oversight in a broad range of planning, implementation, reporting and evaluation activities within the Division of Health Plan Contracting and Oversight’s Bureau of Consumer Services Technical Assistance Center (TAC). **Additional duties include:** + Research and respond to a wide range of inquiries from consumers, medical providers, plans, and other stakeholders + Answer hotline calls, respond to queries submitted via email and other sources + Contribute to the clarification of policies and procedures which may include marketing, enrollment, grievances and appeals, provider/plan education, and quality monitoring (metrics and compliance). + Use digital software system to create, organize and track information related to cases. + Participate in plan compliance survey and focused-review activities, as appropriate. + Coordinate with other departments to improve reporting and enrollment processes. + Other activities as may be deemed necessary in response to the changing needs of the Division. **Basic Qualifications:** + Associate degree (Bachelor’s preferred) in business, management, health care, public administration, or closely related field. + A minimum of two (2) years of professional experience in a health care program that: reimburses for health care services; provides health care services directly; provides health care regulatory oversight: performs quality assurance and interpretation/application of standards of health care; manages health care utilization or conducts health care coordination activities. 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. **Job Details** **Pay Type** **Hourly** **Education Level** **Equivalent Experience** **Telecommute Percentage** **50** **Hiring Min Rate** **19 USD** **Hiring Max Rate** **25 USD**
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