Senior Healthcare Program Specialist
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 - Albany, NY
DHPCO - 1049
Summary
This individual will assist senior staff in the New York State Department of Health, Division of Health Plan Contracting and Oversight (DHPCO). Working within the Bureau of Managed Long-Term Care (MLTC), the candidate will be performing various MLTC Systems Unit tasks. Tasks may include, but are not limited to, responsibilities relating to reviews of Managed Long Term Care plans’ provider networks, review of Plan officers for Character and Competency, answering communications from MLTC plans regarding MLTC enrollment transactions, assisting in various reports and analysis, and professionally communicating with various internal and external stakeholders.
Responsibilities include:
- Assist in daily activities relating to the review of provider network data from the Provider Network Database System (PNDS).
- Assist in daily activities relating to Character and Competency reviews of individuals.
- Assist in daily activities relating to the Managed Long-Term Care (MLTC) Systems inbox, inclusive of processing MLTC transactions in State computer systems.
- Assist in ad hoc data analysis projects and reports of the Systems Unit.
- Communicate professionally with MLTC Plans regarding Department requests and submissions.
- Participate in oversight of Contractors in relation to Systems Unit tasks and duties.
- Other activities as may be deemed necessary in response to the changing needs of DHPCO.
Desired Qualifications:
- Working knowledge of Medicaid.
- Familiarity with Long Term Care programs, such as home health care and the consumer directed personal assistance program.
- Strong analytical and communication (both written and verbal) skills.
- The ability to think creatively and strategically.
Basic Qualifications:
- Bachelor’s degree
- Five (5) years’ experience
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.
Other details
- Pay Type Salary
- Max Hiring Rate $65,000.00
- Required Education Equivalent Experience
- Job Start Date Monday, December 16, 2024
- Albany, NY, USA