Overview

Permanent Appointment Transfer Candidates: Current Department of Health (DOH) employees with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 1. For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website.
https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.
Provisional Appointment Candidates : Current Open Competitive Qualifications: Six years of professional experience performing one or more of the following activities in a health care facility, health care agency, health care delivery system, Medicaid program, and/or other public or private health insurance program:
Activities:
1.Establishing, revising, and/or assisting with the implementation of program policies and procedures to meet treatment and/or regulatory requirements of health care.
2.Analyzing State and/or federal health insurance laws to inform the development or modification of program operations.
3.Determining financial eligibility for enrollment in public or private health insurance plans or government funded health services programs. Experience must have included evaluation of individuals’ financial information and/or health condition to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations.

Preferred Qualifications: Preferred candidates will have professional experience in public health insurance, including New York’s Medicaid, Essential Plan, Qualified Health Plan and/or Child Health Plus programs. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities to meet deadlines; and experience using NY State of Health (NYSOH), Welfare Management System (WMS), and Knowledge Information and Data System (KIDS). Supervisory experience is a plus.

Duties Description
The MAS1 incumbent will assist higher level Bureau of External Audit (BEA) staff with a variety of quality control functions and may supervise a team of subordinate staff. Duties may include, but not be limited to:

  • Conducting reviews and data mining activities to evaluate whether eligibility determinations and enrollment practices are being made in accordance with applicable laws, regulations and policies.
  • Overseeing all audits and reviews involving DEMI program areas, including Office of State Comptroller (OSC) audits, Office of the Inspector General (OIG) audits and several components of the Payment Error Rate Measurement (PERM) program.
  • Drafting DEMI responses to preliminary, draft and final findings/reports, follow-up questions, and requests for status updates. Coordinating with appropriate program and audit staff, as needed.
  • Assisting with supervising and coordinating logistics for auditor fieldwork, as needed.
  • Providing direct and indirect supervision of subordinate staff.

Additional Comments
“Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off

  • Thirteen (13) paid holidays annually
  • Up to Thirteen (13) days of paid vacation leave annually
  • Up to Five (5) days of paid personal leave annually
  • Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
  • Up to Eight (8) days of paid sick leave annually for M/C
  • Up to three (3) days of professional leave annually to participate in professional development

Health Care Benefits

  • Eligible employees and dependents can pick from a variety of affordable health insurance programs
  • Family dental and vision benefits at no additional cost

Additional Benefits

  • New York State Employees’ Retirement System (ERS) Membership
  • NYS Deferred Compensation
  • Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
  • Public Service Loan Forgiveness (PSLF)
  • And many more.. “

For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm