Senior Healthcare Program Specialist – DHPCO 1080

Overview

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.

Responsibilities

Senior Healthcare Program Specialist (MCO Plan Manager) in Albany, NY

Item 1080

Working with the Bureau of Managed Care Certification and Surveillance, this position will be responsible for supporting activities within the bureau’s Certification unit. Typical responsibilities will include:

  • Serve as the main point of contact for assigned Managed Care Organizations (MCO) certified under Article 44 of NYS Public Health Law.
  • Provide support in the review of various MCO initiated transactions such as new applications, expansions, mergers, and disruptions.
  • Provide support in the review and approval management agreements and of VBP provider contracts.
  • Provide support in the development of, and/or updating bureau policies and procedures.
  • Provide support with the implementation of MRT initiatives and benefit inclusion activities involving Medicaid managed care.
  • Provide support with the development of reports, work plans, status updates for current or proposed bureau initiatives.
  • Provide support with bureau initiatives to improve efficiency of operations and streamline processes.
  • Work with internal and external personnel in the achievement of bureau, division, and Department goals and objectives.

Qualifications

Basic Qualifications:

  • Bachelor’s Degree
  • 5 years of professional experience
  • Must be a United States Citizen or a Permanent Resident of the United States to be considered

Desired Characteristics:

  • Experience with the use of standard office technology, Microsoft Office Suite, Microsoft Excel
  • Excellent organizational skills including the ability to prioritize work assignments
  • The ability to work independently, as well as in a team environment
  • Strong analytical and communication skills (both written and verbal)
  • The ability to think creatively and strategically, to develop and implement solutions
  • Experience with, or knowledge of, Medicaid or other health insurance

*Employees must follow established work schedules. The usual work schedule is 37.5 hours per week, Monday through Friday. Normal work hours are 8:00 a.m. to 4:00 p.m. unless otherwise specified by the supervisor or, this includes a half hour unpaid lunch break. Total work hours must equal 37.5 hours per week.

Compensation

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 the following reasonable range of compensation for this role: $49,400-65,000. In addition, SSO provides a range of benefits for this role.

EEO Statement

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.

Job Category
Job Type
Salary
Country
City
Career Level
Company
JOB SOURCE