Source: New York State Jobs · Bespree is not the employer.
The Bureau of Health Access, Policy, and Innovation is responsible for coordinating the activities of the Internal Benefit Review Committee (IBRC). This committee reviews requests for consideration of Medicaid coverage of medically necessary new technology and health services. The committee meets once a month to review scientific evidence, clinical information, and relevant policies to guide decisions. The Bureau is seeking a Health Program Administrator to monitor these requests for coverage and conduct comprehensive literature reviews of the Common Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or medically necessary technology. This position will be responsible for coordinating IBRC activities, conducting comprehensive literature reviews, documenting and presenting the findings to the IBRC, and tracking requests through the coverage determination. This role will also support the management of the Medicaid Clinical Trials program which ensures proper documentation is received for Medicaid members participating in clinical trials. This position will be part of the Innovations team and will also provide support to other initiatives including the Evidence Based Benefit Review Advisory Committee (EBBRAC), Medicaid Advisory Committee (MAC) and Beneficiary Advisory Committee (BAC).
Duties of this position include:
Permanent Transfer Candidates: Current NYS Department of Health employee with one year of permanent or contingent permanent, competitive, service as a Health Program Administrator, SG-18 OR a current NYS employee with one year of permanent or contingent permanent, competitive, service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to Health Program Administrator, SG-18, 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 but not limited to the 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 but not limited to the 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 but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness.
*Substitution: Associate degree may substitute for two years of specialized experience; bachelor's degree may substitute for four years of specialized experience; master's degree may substitute five years of specialized experience; J.D. may substitute for six years of specialized experience.
Preferred Qualifications: Experience with New York State Medicaid programs and policies, experience conducting extensive literature review, presenting findings to Medical Directors and other internal stakeholders.
New York State agencies, departments, and public authorities provide services across healthcare, engineering, administration, public safety, the trades, and other areas.