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 This individual will assist staff in the New York State Department of Health, Office of Health Insurance Programs in the planning, implementation and evaluation of health reform initiatives with a primary focus on the "Care Management for All".  This individual will be assist in the integration of behavioral health services into managed care platform through Behavioral Health Organizations (BHOs) and Health and Recovery ...

This individual will assist staff in the New York State Department of Health, Office of Health Insurance Programs in the planning, implementation and evaluation of health reform initiatives with a primary focus on the "Care Management for All".  This individual will be assist in the integration of behavioral health services into managed care platform through Behavioral Health Organizations (BHOs) and Health and Recovery Plans (HARPs). ...

This individual will assist staff in the New York State Department of Health, Office of Health Insurance Programs in the planning, implementation and evaluation of health reform initiatives with a primary focus on the "Care Management for All".  This individual will be assist in the integration of behavioral health services into managed care platform through Behavioral Health Organizations (BHOs) and Health and Recovery Plans (HARPs). ...

Medicaid Program Advisor - DFRS - Item 1028 in Albany, NY Responsibilities: Working under the supervision of the VBP Finance and Data Analytics Manager this position will conduct VBP and DSRIP data analytics research, SAS/SQL, regression analysis, CRG grouping and risk adjustment modeling. This individual will also supervise and manage the workflow of Data Analysts engaged in similar tasks. This information will be utilized ...

Senior Healthcare Program Specialist  - DHPCO - Item 1070 GENERAL RESPONSIBILITIES:  This individual will assist senior staff in the New York State Department of Health, Office of Health Insurance Programs (OHIP), Division of Health Plan Contracting and Oversight, Bureau of Consumer Services in implementing and evaluating health reform initiatives with a primary focus on analysis and reporting ...

Healthcare Program Specialist - DHPCO in Menands, NY  Responsibilities: Strong computer skills with proficiency in Microsoft Office, navigation and data entry Excellent organizational skills including the ability to prioritize work assignments Ability to be flexible, innovative and work independently with minimal supervision and as a team member and supervisor Strong communication ...

Healthcare Program Specialist - DHPCO in Menands, NY  Responsibilities: Strong computer skills with proficiency in Microsoft Office, navigation and data entry Excellent organizational skills including the ability to prioritize work assignments Ability to be flexible, innovative and work independently with minimal supervision and as a team member and supervisor Strong communication ...

Healthcare Program Specialist - DHPCO in Menands, NY  Responsibilities: Strong computer skills with proficiency in Microsoft Office, navigation and data entry Excellent organizational skills including the ability to prioritize work assignments Ability to be flexible, innovative and work independently with minimal supervision and as a team member and supervisor Strong communication ...

Healthcare Program Specialist - DHPCO in Menands, NY  Responsibilities: Strong computer skills with proficiency in Microsoft Office, navigation and data entry Excellent organizational skills including the ability to prioritize work assignments Ability to be flexible, innovative and work independently with minimal supervision and as a team member and supervisor Strong communication ...

Healthcare Program Associate-DHPCO-Item 1444 Requirements: Strong computer skills with proficiency in Microsoft Office, navigation and data entry Excellent organizational skills including the ability to prioritize work assignments Ability to be flexible, innovative and work independently with minimal supervision and as a team lead Strong ...

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 bureau’s 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 ...

Healthcare Data Analyst (DHPCO) in Menands, NY   The position is responsible for:   Providing guidance and management to staff utilizing provider enrollment’s datasets The datasets are an integral part in the ongoing revalidation and enrollment ...

Position and Minimum Qualifications: Medicaid Registered Nurse  Bachelor’s Degree and current license as a registered professional nurse in New York State 4 years' clinical healthcare experience 2 years' acute care experience ...

Healthcare Data Analyst (DLTC) Item 1408 in Albany, NY Additional Requirements/Requests The incumbent in this position will perform research, analysis, and evaluation of enrollment data submitted by Managed Long-Term Care Plans (MLTCP).  Respond to ad hoc data analysis requests. Use plan financial, encounter, provider network and claims databases as analytical resources. Provide technical assistance to MLTCP and ...

GENERAL RESPONSIBILITIES: This individual will assist senior staff in the New York State Department of Health, Division of Long Term Care (DLTC), Bureau of Community Integration and Alzheimer’s Disease in the programming/coding of databases, tracking, analysis and reporting of data related to the Home and Community Based Service ...

Healthcare Program Specialist - DLTC- Item 1377 The incumbent in this position will assist directors and staff in the Office of Health Insurance Programs (OHIP), Division of Long Term Care in a broad range of planning, implementation, reporting and evaluation activities within the Division of Long Term Care’s Technical Assistance Center (TAC). Additional duties include:  Research and ...

Healthcare Data Analyst-DLTC- Item 1090 The incumbent will work as part of a team within the Data, Systems and Network Unit for the Division of Long Term Care, NYS Department of Health and will be responsible for the programming/coding of databases, tracking, analysis and reporting of related data. DUTIES: Compile, review, and analyze data through database and statistical programming. Prepare ...

Healthcare Data Analyst- DOS - Item 1155  Responsibilities:    2 years’ experience in performing data and statistical analysis, including creating data visualizations  Ability to perform critical thinking when evaluating the data for a specific use case or business question and draw conclusions based on the data ...

Healthcare Financial Analyst- DOS - Item 1330 Requirements/Requests:   Experience preparing request for proposals, request for information or other procurement documents Minimum Qualifications:  Bachelor's Degree  3 Years of Fiance Experience  ...

Healthcare Financial Analyst- DOS - Item 1329 Requirements/Requests:   Experience aggregating invoice information from various contract based on type of service Experience comparing like information within an invoice to look for trends and outliers Able to perform critical thinking and draw conclusions regarding financial information Able to create a business ...

Project Manager - DOS in Menands, NY Requirements/Requests:  Experience working in Medicaid and understanding the various business processes Working knowledge of MITA 3.0, specifically eligibility and enrollment management, provider management and operations management (claims adjudication and payment and reporting) Ability to review and interpret federal and state Medicaid regulations and ...

Job Description Division of Operations and Systems (DOS) in Albany, NY General Responsibilities The Division of Operations and Systems, Bureau of Medical Review is recruiting for 6 Healthcare Organizational Operations Administrators to assist the Bureau in day to day operations for the Center of Operational Excellence.  The Bureau of Medical Review is responsible ...

Healthcare Data Analyst- DOS - Item 1158  Responsibilities:    2 years’ experience in performing data and statistical analysis, including creating data visualizations  Ability to perform critical thinking when evaluating the data for a specific use case or business question and draw conclusions based on the data analysis  Interpret data, analyze results using ...

Medicaid Physician - Pediatrician  Requirements/Requests The Pediatrician will be responsible for the review and development of New York State Medicaid benefit coverage decisions for pediatric health services.  This will include providing clinical expertise and guidance for the newly launched First 1000 Days on Medicaid initiative.  (More info. on ...

Healthcare Organizational Operations Administrator- DPDM- Item 1206 Additional Requirements and Day-to-Day Tasks of Position Preferred Qualifications: Previous experience in a health care or public sector environment   Previous experience as secretary/administrative assistant to a senior level executive Excellent clerical ...

Senior Healthcare Program Specialist - DPDM in Albany, NY The Health Home program is a NYS Medicaid program that provides comprehensive Care Management services aimed to improve quality of life and health outcomes to enrolled members. Since its implementation in 2011 as part of Governor Cuomo’s Medicaid Redesign the Health Home program continues to grow as other care management programs are rolled into the Health Home program. The office of Health ...

Healthcare Data Analyst (DPDM) in Albany, NY Position and Minimum Qualifications: The Office of Health Insurance Programs.is seeking energetic and innovative leaders who want to make a difference in the lives of New Yorkers.  The Bureau of Performance Measurement and Quality Improvement within the Division of Program Development & Management is recruiting a Healthcare Data Analyst. This bureau focuses on ...

Medicaid Program Advisor- OHIP EXEC- Item 1227 Additional Requirements and Day-to-Day Tasks of Position The position will support the Director of Payment Reform in achieving the NYS Value Based Payment (VBP) Roadmap goals and also, transitioning the NYS’ Medicaid program to a VBP model. Policy Support policy development for value based payment in the areas of MLTC, Performance Measurement, Contracting, Finance, and ...

Audit & Compliance Analyst (DSRIP) in Albany, NY - 2 Openings The Audit & Compliance Analyst is responsible for assisting the New York Department of Health (NYSDOH) to achieve the goals established through its Delivery System Reform Incentive Payment Program (DSRIP). The NYSDOH has launched a multi-year initiative designed to transform the way health services are delivered to New York State’s Medicaid members. Audit & Compliance ...

Business Analyst in Albany, NY Overview:Public Consulting Group, Inc. (PCG) is a leading public sector management consulting and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,000 professionals in more than 50 offices across North America and in Europe. The firm has five designated practice ...

Onsite Reviewer (Part-Time) - Ohio Program Company Overview: Public Consulting Group, Inc. (PCG) is a $285 million, fast growing for profit company providing management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and ...

Case Manager (Bilingual in Spanish & English) in New York, NY  Company Overview:  Public Consulting Group, Inc. (PCG) is a $400 million, fast growing for profit company providing management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and ...

Case Manager (Bilingual in Spanish & English) in Albany, NY  Company Overview:  Public Consulting Group, Inc. (PCG) is a $400 million, fast growing for profit company providing management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and ...

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