The duties that the incumbent of the vacancy will be expected to perform. Duties Description The individual would provide statewide fee-for-service Medicaid policy clinical expertise to develop, interpret and implement Medicaid policies. Policy areas include outpatient clinic services, practitioner services, and therapy services, vision, audiology, podiatry, radiology, and acupuncture and chiropractic services. This includes assisting in developing clinical/medical recommendations for establishing eMedNY procedure code reference file parameters, e.g., pricing, maximum number of units, frequency, age, sex, emergency, family planning, abortion, etc. This individual would be responsible for providing technical support, using clinical/medical expertise to contribute to monthly Medicaid Updates, drafting correspondence on a variety of programmatic and policy issues, and responding to calls from providers and other stakeholders. This individual may also participate in the general assessment, planning, development and implementation of health care programs and serve as a part of a team and contribute to the facilitation of team operations.
The minimum qualifications required for this vacancy. Minimum Qualifications Permanent Transfer Candidates: Current NYS Department of Health Employee with one year of permanent or contingent-permanent, competitive, service as a Health Care Surveyor 3 (Nursing), SG22 and able to meet the minimum qualifications for non-competitive appointment as seen below.
Non-Competitive Candidates via NY HELPS: Possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure, specialized professional administrative or professional clinical experience.
Substitution: A bachelor's degree in nursing can substitute for one year of post-licensure clinical nursing experience; and a master's degree in nursing can substitute for two years of post-licensure clinical nursing experience
Preferred Qualifications: Familiarity with NYS Medicaid or other public health programs and related policies including coverage, reimbursement, and claims processing, Knowledge of NYS Medicaid data systems, including eMedNY, Knowledge of federal and NYS Medicaid policy guidance and documents, Knowledge of Medicaid practitioner policies, Extensive Knowledge with Current Procedural Terminology (CPT) and HCPCS coding, Proficiency with Microsoft Excel and Word, Supervisory experience, Excellent communication skills, Ability to address shifting priorities and deal with a change in focus several times a day.
Additional comments regarding the vacancy. Additional Comments Posted salary range includes the statutory hiring rate at Step 4 and job rate for PS&T ($93,178 - $104,230) plus an additional Geographic Pay Differential of $20,000.
This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
- Holiday & Paid Time Off
- Public Service Loan Forgiveness (PSLF)
- Pension from New York State Employees’ Retirement System
- Shift & Geographic pay differentials
- Affordable Health Care options
- Family dental and vision benefits at no additional cost
- NYS Deferred Compensation plan
- Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
- And many more...
The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email
[email protected] to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
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