Public Consulting Group

Medicaid Program Advisor - DEMI

Job Locations US-NY-Albany
Posted Date 4 days ago(2/20/2024 9:56 AM)
Job ID
2024-10106
# of Openings
2
Category
Clinical Review
Type
Regular Full-Time
Practice Area
Staffing Solutions Organization

Overview

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, 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.

Responsibilities

Medicaid Program Advisor:


Bureau of Eligibility Systems Modernization Group

 

50% remote and 50% in the office - Albany, NY

 

Duties:
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 duties and responsibilities may include:

·       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.

Qualifications

Basic Qualifications:

·       Bachelor Degree

·       8 years related field 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 progr

 

Compensation

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 the following reasonable range of compensation for this role: $68,600-$86,000. In addition, SSO provides a range of benefits for this role.

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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