Health Program Administrator/Trainee 1/Trainee 2 (NY HELPS) - 87435

About the role

In the Office of Health Insurance Program's Division of Health Care Plan Contracting & Oversight, within the Bureau of Managed Care Certification and Surveillance, the incumbent will assist in ongoing certification and surveillance of Managed Care Organizations (MCOs) to ensure compliance with Public Health Law Articles 44 and 49 as well as 10 NYCRR Part 98 and Model Contracts. This position is part of the NYS HELPS program; no examination is required. The role may require travel throughout New York State including overnights to areas not served by public transportation.

Responsibilities

• Assist in the coordination of MCO Surveys.
• Complete assigned topics for MCO surveys to ensure compliance with DOH and federal laws, rules, and regulations.
• Analyze state and federal legislation related to managed care and review for impact on existing program operations.
• Draft reports, policies, and procedures for internal and external review and distribution.
• Maintain surveillance team SharePoint site and database.
• Draft, review, and update training and guidance documents.

Requirements

• Permanent Transfer Candidates: Current NYS Department of Health employee with one year of permanent or contingent permanent, competitive service as a Health Program Administrator, SG‑18 OR a current NYS employee with one year of permanent or contingent permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to Health Program Administrator, SG‑18, Health Program Administrator Trainee 1, NS, or Health Program Administrator Trainee 2, NS.
• Non‑Competitive Candidates Via NY HELPS Program:
  • Health Program Administrator: Six years of experience in the administration, supervision, and oversight of agency programs including design, implementation, administration, management, operation, and assessment of program effectiveness.
  • Health Program Administrator, Trainee 2: Five years of experience in the administration, supervision, and