Senior Healthcare Program Specialist - Quality Oversight
One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States of America Req #565
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 – Quality Oversight - Albany, NY
Division of Health Plan Contracting & Oversight (DHPCO)
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.
- Develop presentations, facilitate large and small group meetings, 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.
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.
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