Senior Healthcare Program Specialist - Quality Oversight

Senior Healthcare Program Specialist – Quality Oversight - Albany, NY  

Division of Health Plan Contracting & Oversight (DHPCO) 

Item 1100 

This role has a 50% onsite work component. 

Summary: 

This individual will assist senior staff in the New York State Department of Health, Division of Health Plan Contracting and Oversight (DHPCO) in implementing and evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care plans. 

Specific duties include: 

• Assist senior managers in the DHPCO with a broad range of planning, implementation, reporting evaluation and surveillance activities.  

• Conduct desk audits of MLTC plans to assure adherence to State and Federal requirements, guidelines, and statutes. 

• Assist in the development of Medicaid policy guidelines, procedures, and documentation to facilitate program operations. 

• Assist in the evaluation of Medicaid legislation and programs. 

• Provide technical assistance to local social service districts, State agencies, clients, health care providers, advocacy groups, and professional organizations. 

• Provide development, training and technical assistance to providers and other stakeholders. 

• Supervise staff, as appropriate.  

• Other activities may be deemed necessary in response to the changing needs of DHPCO. 

• Create a broad range of written material, including policies and procedures for internal & external stakeholders. 

• Research policy areas relevant to Division projects, programs, and activities.  Elicit requirements from subject matter experts in the context of projects, initiatives, and process improvements. 

• Develops presentations, facilitates large and small group meets and collaborative events. 

• May function as a team lead with supervisory role of unit staff. 

Minimum Qualifications:  

• 9 years of experience in the healthcare field.  

• An associate degree counts for 2 years of experience, a bachelor's degree counts as 4 years of experience, and a master's degree counts as 5 years of experience.  

• Knowledge of Medicaid. 

• Strong analytical and communication (both written and verbal) skills. 

• The ability to think creatively and strategically.