Medicaid Program Manager – Item 1019

Summary:

This position will report to the Bureau Director and will assist in the management of all rate setting functions within the Bureau of Nursing Homes & Long Term Care Rate Setting.  Specifically, this position will direct the development and maintenance of the Medicaid fee-for-service nursing home operating and capital rates for Article 28 providers, personal care rates, Certified Home Health Agency rates, foster care rates, assisted living program rates, and hospice rates.  In addition, this position will oversee the collection of Minimum Data Set census data which supports acuity rate increases to nursing homes twice a year (January and July).  Further, this position will oversee the rates loaded to the eMedNY payment system for these services.

In addition to rate development, they will ensure that staff within the bureau maintain nursing home and other long-term care rate information on the Department’s public website, oversee the development and submission of regulations and State Plan Amendments pertaining to these rates, and review/coordinate appeals of such rates by providers.

Basic Qualifications:

• Bachelor's Degree in related field
• 10 years of professional experience
• 5 years of subject matter experience
• Supervisory experience
• Project Management experience preferred

*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.

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: $70k-110k. In addition, SSO provides a range of benefits for this role.

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.