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Senior Healthcare Program Specialist- DHPCO-Item 1051

Department: Division of Health Plan Contracting and Oversight (DHPCO)
Location: Albany, NY

Senior Healthcare Program Specialist- DHPCO-Item 1051 

Working with the Bureau of Managed Care Certification and Surveillance, this position will be responsible for assisting the bureauís Certification unit activities which includes:

  • Working with internal and external personnel to ensure MCO Provider Network integrity
  • Monitoring adequacy of MCO provider networks and ensuring
  • Develop and provide formal and/or ad hoc reports to senior management regarding network adequacy
  • Provide random provider contract samples for BMCCS as part of operational and targeted surveys
  • Coordinate quarterly notifications to MCOs pertaining to sanctioned providers
  • BMCCS liaison with PNDS staff for coordination and implementation of network standards changes to requirements

Additional Requirements/Requests

  • Implementation of new processes, redesign of existing processes
  • Policy and procedure development
  • Proficient in the use of standard office technology, Microsoft Excel and Microsoft Access
  • Excellent organizational skills including the ability to prioritize work assignments
  • The ability to work independently, as well as in a team environment
  • Strong analytical and communication skills (both written and verbal)
  • The ability to think creatively and strategically, to develop and implement solutions
  • Effectively facilitate groups and lead a team toward a goal
  • Experience with, or knowledge of, Medicaid or other health insurance programs

Position and Minimum Qualifications:

Senior Healthcare Program Specialist 

  • Bachelorís Degree
  • 5 yearsí experience

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. VEVRAA Federal Contractor.  

Staffing Solutions Organization LLC is an e-Verify participant.

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