Public Consulting Group

Senior Healthcare Program Specialist

Job Locations US-NY-Albany
Posted Date 1 month ago(6/16/2021 2:23 PM)
Job ID
# of Openings
Customer Service/Support
Regular Full-Time
Practice Area
Health Services


Senior Healthcare Program Specialist - Division of Health Plan Contracting and Oversight in Albany, NY


Item 1119


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.


Position Summary:


The New York State (NYS) Department of Health (DOH) Office of Health Insurance Programs (OHIP) Division of Health Plan Contracting and Oversight (DHPCO) has management and oversight responsibility for Managed Care Organizations (MCO) in New York State. This position will be located in the Bureau of Program Implementation and Enrollment’s Systems Unit and will be responsible for:

  • Identifying, researching, and resolving systems-related managed care enrollment and eligibility issues, and communicating with other Divisions and contractor staff in the resolution of such issues.
  • Providing data analyses of Medicaid enrollment reports and work with partners to identify solutions to issues impacting enrollment.
  • Providing technical assistance and training on the Medicaid Managed Care program and affiliated programs to Local District Commissioners and respective staff, Managed Care Organizations, the enrollment broker, and health care providers.
  • Interacting with other bureaus and offices within OHIP, SDOH, and other State agencies.



Basic Qualifications:

·       Bachelor’s degree with at least 5 years of professional experience.

·       Must be a United States Citizen or Permanent Resident of the United States in order to be considered.


Desired Qualifications:

·       Must have proficiency with Microsoft Excel and Word.

·       Experience with reviewing Medicaid eligibility and enrollment information, and with using the Welfare Management System (WMS), and eMedNY preferred.

·       Critical thinking skills a must. 



*Employees must follow established work schedules. The usual work schedule is 40 hours per week, Monday through Friday. Normal work hours are 8:00 a.m. to 4:30 p.m. unless otherwise specified by the supervisor, this includes a half hour unpaid lunch break. Total work hours must equal 40 hours per week.


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.

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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