Health Program Administrator/Trainee (NY HELPS)

About the Role

This position is in the Division of Eligibility and Marketplace Integration, Bureau of Business Requirements and Notices, within the New York State Department of Health. The role involves implementing Medicaid policy/legislative changes to the Welfare Management System (WMS), transitioning populations out of WMS, ongoing development/maintenance of NY State of Health (NYSOH), and supporting continuous improvement activities to mitigate risks associated with policy and system changes.

Key Responsibilities

• Review new and existing Medicaid eligibility policy for issue research.
• Propose and test system solutions.
• Develop user requirements by applying knowledge of Medicaid regulations and program policy.
• Work with information technology staff and vendor(s) to implement business requirements into Downstate WMS and/or NYSOH.
• Review, analyze, and interpret federal and state legislation related to Medicaid provision.
• Provide written documentation using department forms and processes.
• Analyze and generate reports for internal and external customers using available reporting tools.
• This position may require the incumbent to supervise staff.

Requirements & Tech Stack

• Welfare Management System (WMS)
• NY State of Health (NYSOH)
• Downstate WMS
• NYSOH
• eMedNY
• Reporting tools

Qualifications

Permanent Transfer Candidates

• Current NYS Department of Health employee with one year of permanent or contingent permanent, competitive service as a Health Program Administrator, SG18.
• OR current NYS employee with one year of permanent or contingent permanent, competitive service in a title eligible for transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to Health Program Administrator, SG18, 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 oversight of agency programs, including design, implementation, administration, management, operation, and assessment of program effectiveness.
• Health Program Administrator, Trainee 1: Four years of experience* in the administration, supervision, and oversight of agency programs, including design, implementation, administration, management, operation, and assessment of program effectiveness.

*Substitution:

• An associate degree may substitute for two years of experience.
• A bachelor's degree may substitute for four years of experience.
• A master's degree may substitute for five years of experience.
• A doctorate may substitute for six years of experience.

Preferred Qualifications

• Experience in public health insurance programs, including New York’s Medicaid and/or Child Health Plus.
• Strong organizational skills and the ability to adapt to changing priorities and tight timeframes.
• Experience with data systems including, but not limited to, the Welfare Management System (WMS), NY State of Health Back Office and eMedNY.
• Ability to research and analyze information.
• Demonstrated experience in requirements gathering and analysis of policy guidance.
• Strong writing, verbal communication, interpersonal, and organization skills.
• Ability to work well under pressure.
• Supervisory experience.