Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.Medicaid Program Advisor:(item 1034)The Bureau of Managed Care Reimbursement (BMCR), in the NYS Department of Health, is responsible for the calculation and evaluation of Managed Care (MC) rates, additional MC reimbursement and MC fiscal analysis.Under the AHCFA’s direction, the incumbent will perform operations management activities and analysis to support MC rate setting activities related to Managed Care Encounters. Encounters are claims paid under a Managed Care capitated rate and there for not paid on a fee for service basis but submitted to the state as data to support rate setting and oversite activities. Additionally, the incumbent will assist in the development and communication of responses to MC encounter related inquiries from stakeholders. The incumbent will also interact and collaborate with other Divisions within the Department of Health, Center for Medicare and Medicaid Services (CMS), and other State agencies. The Bureau cultivates excellence in collaboration, operational support, and special projects.The Bureau oversees the Managed Care Withhold, which is a process to help improve Encounter Data accuracy. The Bureau is seeking a passionate Medicaid Program Advisor who will report to the Manager of the Encounter Withhold Operations Team, providing strategic support and expertise to the Encounter Withhold Program.Responsibilites:Serve as direct liaison to Health Plans through the provision of technical assistance and support to ensure compliance with program standards.Collaborate and build strong working relationships with The Division of Health Plan Contracting and Oversight (DHPCO) and other NYS DOH groups.Support the Encounter Withhold Operations team to assist in moving large- and small-scale strategic initiatives forward.Prepare project plans, meeting materials, memoranda, and other communications. Meticulously track progress and status of operational tasks and assignments and prepare status reports for management.Facilitate meetings, both internally and externally upon request of Medicaid Program Manager.Think critically about and submit requests for research, data, and data analysis in support of key initiatives.Work independently and identify the need for partnership with the team and others to elicit expertise needed to reach objective of project/assignment.Other tasks in support of the Bureau’s mission and goals.Minimum Qualifications: Bachelor’s Degree8 years of experiencePreferred Qualifications:Strong Organization, Observation and Problem-Solving SkillsExperience with Microsoft Products including MS ExcelProject management experience and expertise.Experience with Medicaid or public policy, providers, or programs.Experience with Medicaid program operations preferred.Experience providing technical assistance to an array of providers, stakeholders, or staff.Experience with thinking critically about research, data, and data analysis.Ability to remain flexible in a changing environment including organizing and prioritizing assignments to meet requirements and deadlines.Strong written and communication skills.Comfort with being creative, collaborative, and taking initiative; willingness to share opinions, and ideas; willingness to communicate opposing viewpoints in a professional manner.Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides the following reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.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. Staffing Solutions Organization LLC is an e-Verify participant.Job DetailsPay Type HourlyEducation Level Equivalent ExperienceTelecommute Percentage 50Hiring Min Rate 68,800 USDHiring Max Rate 86,000 USD
