Medicaid Program Advisor Position Available In Albany, New York

Job Order Number:

DG0149870

Job Title:

Medicaid Program Advisor

Company:

Staffing Solutions Organization Location:

Albany, NY

Salary:

Education:

Information Not Provided

Experience:

Information Not Provided

Hours:

Duration:

Full Time, Regular

Shift:

Description:

 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, Albany NY
• DPDM – 1422
• Summary
• The Bureau of Specialized Services for Children (BSSC) in the Division of Program Development and Management (DPDM) has overall responsibility for program policy governing a wide range of services and programs for children provided under the Medicaid program including the Children’s Health Home program, the voluntary foster care agencies (VFCA) 29-I Health facilities, Home and Community Based Services (HCBS) Children’s Waiver for children/youth with behavioral health, medically complex, and developmental disabilities need.

The incumbent will assist with Medicaid policy development, implementation, and oversight; analyzing current and proposed service provision; reviewing and updating provider guidance materials; and providing technical assistance via correspondence and conducting training with providers, participants, and other stakeholders.

The candidate must have strong written and interpersonal communication skills and be proficient with using Microsoft Office applications. The candidate must also possess strong problem solving, decision-making and time management skills. The preferred candidate possesses knowledge of pediatric diagnoses and diseases that impact children’s development and activities of daily living and has experience with pediatric home health care and related medical supports/supplies and has knowledge of Medicaid and Medicaid services. In addition, the ideal candidate understands Children Services including medical and behavioral health conditions regarding the various children’s populations of Serious Emotional Disturbance, Foster Care, Medically Fragile, Developmental Disabilities, and Substance Use and other chronic conditions.

• Responsibilities:

• 1.

Become knowledgeable and develop an understanding of the Children’s Health Home program, Home and Community Based Services (HCBS) Children’s Waiver, Children and Family Treatment and Support Services, and Foster Care/29-I services to determine changes and or enhancements to the services and programs.1. Assist the supervisor and staff in the Office of Health Insurance Programs (OHIP), Division of Program Development and Management (DPDM) in a broad range of planning, implementation, evaluation, and reporting activities.a. Research regulations and develop policies, procedures and guidance documents related to a wide range of subjects relevant to the development, implementation, and management of the children services, inclusive of developing power points, presenting training webinars, drafting guidance documents and announcements.a. Lead program projects and initiatives addressing needs within the Children’s Services design including the oversight of the Independent Entity service provision and monitoring Health Homes providing Health Home Basic Services.a. Assist with the evaluation of HCBS providers, and the review and evaluation of service authorizations for Fee-for-Service members and work collaboratively with Medicaid Managed Care Plans.a. Respond to program inquiries, provide technical assistance to providers and program staff, and communicate with and provide program education to members/caregivers.

• Additional Qualifications:

• Understanding and knowledge of Children Services with clinical or practice knowledge regarding medical and behavioral health conditions.

Good communication skills and ability to work with providers and State agencies regarding the various children’s populations of Serious Emotional Disturbance, Foster Care, Medically Fragile, Developmental Disabilities, and Substance Use and other chronic conditions. Understanding and knowledge of Medicaid and Medicaid s