Medicaid Program Advisor

1 Commerce Plaza, Albany, NY 12210, USA Req #512
Friday, October 25, 2024

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.

Medicaid Program Advisor:
(Item 1369)

Under the direction of the Director of LTC Finance and Supports, and under the direct supervision of the Center’s director of policy, the Medicaid Program Advisor will:
conduct a range of Medicaid provider compliance activities to determine compliance with the federal HCBS final rule, including residential settings’ compliance: including identifying areas needing improvements; and following up on reported concerns of individuals HCBS standards violations. Work with program surveillance to plan and conduct program reviews (desk level reviews and on-site visits) of HCBS settings in accordance with established processes and protocols. Collect, review, and assess data from data systems, HCBS providers, and other sources as needed, to determine compliance with HCBS Settings Rule requirements. Development of Desk-Level Reviews (DLR) and on-site compliance review summary and Corrective Action Plans as applicable. Work cooperatively with a variety of stakeholders, including community-based providers, OALTC staff, other Department of Health and State offices, and other external entities. Use MS Excel and other electronic tools to accurately record data. Participate in initiatives as assigned to support the Department’s and Office’s goals and objectives. Provide excellent customer service in conducting all work. Participate in meetings as assigned.
 
Responsibilities:

Conduct research and assessment of existing long term care finances and supports available to fund health care services and supports, both nationally and within NYS.
Collect and analyze data, using sound analytic skills to provide recommendations to eliminate barriers and increase access to quality, affordable and accessible health care services and programs.
Coordinate across state agencies including OPWDD, OMH, OTDA and SOFA to align long term care policy and program implementation and integration.
Review data to inform policy discussions and decisions.
Participate in stakeholder workgroups to identify long-term care needs and align statewide goals with stakeholder request and needs.
 
Additional Requirements and/or certifications desired for position:

Six (6) years of education and/or professional experience in social services casework, social services program development/delivery, or social services related policy/fiscal/budget administration/analysis work
Experience in conducting program compliance work, and experience with quality assurance and quality improvement development of services for older adults and persons with disabilities
Possess or quickly develop knowledge of applicable Medicaid and HCBS Waiver policies and regulation, both state and federal
Understand Person-Centered Thinking and Planning
Demonstrate a high level of critical thinking and customer service skills as well as excellent communication skills both written and oral
Possess strong interpersonal skills to coordinate this policy work across New York’s Disability Agencies

Requirements:

  • Bachelor's Degree
  • 8 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.

 

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 $68,800.00
  • Max Hiring Rate $86,000.00
  • Telecommute % 50
  • Required Education Bachelor’s Degree
Location on Google Maps
  • 1 Commerce Plaza, Albany, NY 12210, USA