Medicaid Program Advisor-(Item 1369), Albany NY
Under the direction of the Director of LTC Finance and Supports, and under the direct supervision of the Center’s director of policy, the Medicaid Program Advisor will:
conduct a range of Medicaid provider compliance activities to determine compliance with the federal HCBS final rule, including residential settings’ compliance: including identifying areas needing improvements; and following up on reported concerns of individuals HCBS standards violations. Work with program surveillance to plan and conduct program reviews (desk level reviews and on-site visits) of HCBS settings in accordance with established processes and protocols. Collect, review, and assess data from data systems, HCBS providers, and other sources as needed, to determine compliance with HCBS Settings Rule requirements. Development of Desk-Level Reviews (DLR) and on-site compliance review summary and Corrective Action Plans as applicable. Work cooperatively with a variety of stakeholders, including community-based providers, OALTC staff, other Department of Health and State offices, and other external entities. Use MS Excel and other electronic tools to accurately record data. Participate in initiatives as assigned to support the Department’s and Office’s goals and objectives. Provide excellent customer service in conducting all work. Participate in meetings as assigned.
• Conduct research and assessment of existing long term care finances and supports available to fund health care services and supports, both nationally and within NYS.
• Collect and analyze data, using sound analytic skills to provide recommendations to eliminate barriers and increase access to quality, affordable and accessible health care services and programs.
• Coordinate across state agencies including OPWDD, OMH, OTDA and SOFA to align long term care policy and program implementation and integration.
• Review data to inform policy discussions and decisions.
• Participate in stakeholder workgroups to identify long-term care needs and align statewide goals with stakeholder request and needs.
Additional Requirements and/or certifications desired for position:
• Six (6) years of education and/or professional experience in social services casework, social services program development/delivery, or social services related policy/fiscal/budget administration/analysis work
• Experience in conducting program compliance work, and experience with quality assurance and quality improvement development of services for older adults and persons with disabilities
• Possess or quickly develop knowledge of applicable Medicaid and HCBS Waiver policies and regulation, both state and federal
• Understand Person-Centered Thinking and Planning
• Demonstrate a high level of critical thinking and customer service skills as well as excellent communication skills both written and oral
• Possess strong interpersonal skills to coordinate this policy work across New York’s Disability Agencies
· Bachelor's degree
· 8 years of professional experience
· Expertise leading cross functional teams to achieve project requirements, deadlines, and schedules for multiple complex projects in a fast paced, high-expectations environment. Or multiple years of experience as a business analyst in this type of project environment.
· Strong problem solving, organization, and communication skills to be able to leverage knowledge and direction available to lead the group through challenging development projects.
· Ability to independently track and prioritize work and meet multiple deadlines with competing resources.
· Strong intellectual curiosity and passion about learning new technologies.
*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: $68,600-$86,000. 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.