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Medicaid Program Advisor, Bureau of Eligibility Systems Modernization Group

Item #1065

Summary

Within the Division of Eligibility and Marketplace Integration (DEMI), Eligibility Systems Modernization Group, the incumbent will manage multiple supervisors and technical staff who provide support for activities related to the implementation of the new eligibility system for New York’s Complex Medicaid population. The individual will act as a liaison between the DEMI policy team, and other stakeholders and vendors, to provide system requirements related to eligibility and enrollment in New York’s Medicaid program. The incumbent will be responsible for assigning tasks in the unit, identifying planning and policy needs, and drafting proposals to help address those needs.

Specific Responsibilities

• Act as a liaison with the policy and legal departments to coordinate the implementation of State and Federal initiatives

• Work with teams of vendors, DOH staff and other stakeholders as needed (e.g. issuers, application assistors) to elicit, document, analyze policy, and develop business needs and requirements.

• Interpret guidance and instructions related to Medicaid eligibility, enrollment and notices from a requirements perspective; perform analysis for bureau and division-level staff; and make recommendations for improvement.

• Follow up with DOH subject matter experts (SMEs), system vendors and other stakeholders as needed to resolve requirement questions and identify where gaps may occur.

• Review requirements documentation and validate requirements with policy, systems and/or vendor staff as needed.

• Provide supervision of requirements team and ensure implementation is on schedule or address delays in schedule.

• Assist in the development of policies; recommend modifications as needed to procedures and reporting systems for implementing programs and programmatic changes.

• Attend and participate in the Critical Thinking Meetings and Joint Application Development sessions.

Basic Qualifications

Medicaid Program Advisor - Bachelor's Degree in related field, 8 years experience

Desired Characteristics

The preferred candidate would have knowledge of New York public health insurance program eligibility and enrollment policies; demonstrated ability to manage multiple priorities and meet deadlines; experience with the development of websites, program applications, databases, or other program tools.

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.

Job Details

Pay Type Salary

Education Level Equivalent Experience

Telecommute Percentage 50

Hiring Min Rate 68,800 USD

Hiring Max Rate 86,000 USD