"Alerted.org

NY HELP Yes

Agency People With Developmental Disabilities, Office for

Title Program Operations Specialist 1 / Trainee - Upstate

Occupational Category Other Professional Careers

Salary Grade 18

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $66951 to $85138 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Schenectady

Street Address 500 Balltown Road

City Schenectady

State NY

Zip Code 12304

Duties Description OPWDD is required by law to have an effective Medicaid Compliance Program in place. Proactive efforts and resources are needed to mitigate revenue loss and foster improved compliance. The position is necessary to continue progress toward fiscal and programmatic compliance. Duties include but are not limited to the following: - Assist with establishing procedures for the Medicaid Compliance Unit (MCU) as it relates to ensuring Medicaid and Medicare compliance in Article 16 Clinics and for Independent Practitioner Services for Individuals with Developmental Disabilities (IPSIDD). - Research Medicare compliance requirements to develop protocols for reviewing clinical encounters and correcting any errors found during the reviews.-Help to create and review billing reports in the EHR to identify any trends that may indicate incorrect billing. - Ensure incorrect claims are voided and reported as required to oversight entities. - Coordinate with Central Operations to ensure procedure codes, service rates, and reimbursement rates in the EHR are correct and updated.- Assist Central Operations in ensuring all clinicians are enrolled in Medicaid and Medicare and meet all licensing and certification requirements. - Work with the DDSO Clinical Directors and Director of State Operated Clinic Operations to ensure services are being properly documented by clinicians and make corrections when possible. - Provide technical assistance related to billing and documenting Article 16 clinical services and IPSIDD services. - Update and create user guides and training materials. - Review and update selected selections of the Medicaid Compliance Program and supporting documents prior to the required annual certification. - Other responsibilities may include monitoring the Medicaid Compliance mailbox and answering questions as they pertain to other service reviews, reviewing Medicaid Compliance Liaison's self-disclosures, quarterly activity summaries, and claim monitoring review to ensure accuracy, and assisting the MCU with other duties as needed. LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-JT1

Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Program Operations Specialist 1: A bachelor’s degree in a human services field and two years of experience in a federal or state certified human service program. One year of this experience must have been in a professional administrative position in which a major duty involved planning, coordinating, monitoring or evaluating a provision of services for people with developmental disabilities. This experience must have included information gathering and analysis.*A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience. Program Operations Specialist Trainee 2: A bachelor’s degree in a human services field and one year of experience in a federal or state certified human service program, which must have been in a professional administrative position in which a major duty involved planning, coordinating, monitoring or evaluating a provision of services for people with developmental disabilities. This experience must have included information gathering and analysis.*A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience. Program Operations Specialist Trainee 1: A bachelor’s degree in a human services field. COMPETITIVE MINIMUM QUALIFICATIONS: Candidates must be reachable for appointment on the current Civil Service Eligible List or the Professional Career Opportunities (PCO) Eligible List for this title. REASSIGNMENT QUALIFICATIONS: Current Office for People with Developmental Disabilities employees with one year of permanent, contingent permanent, or 55 B/C service as a Program Operations Specialist 1. If you have less than one year, you must be currently reachable on the eligible list. TRANSFER QUALIFICATIONS: Candidates must have one year of permanent competitive or 55-b/c status in the posted title and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1, 70.4, or 52.6 of Civil Service Law. The transfer cannot be a second consecutive transfer resulting in an advancement of more than two salary grades. To determine if your current Civil Service title is eligible for transfer to this title, visit the Career Mobility GOT-IT website https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm. 55 B/C QUALIFICATIONS:• Possess the minimum qualifications for this title as established by the Department of Civil Service and listed on the most recent exam announcement. • Meet the applicable minimal mental and/or physical requirements for the job (with a reasonable accommodation, if necessary) • Have a current Eligibility Letter from the NYS Department of Civil Service, www.cs.ny.gov/rp55/, and be able to provide it to the Human Resources Office upon request. Preferred Qualifications: Experience with medical billing and coding and knowledge of Medicare and Medicaid

Additional Comments This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title.At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status.• The position may be filled at the Program Operations Specialist Trainee 1 level equated to SG-14 ($53,764), Program Operations Specialist Trainee 2 level equated to SG-16 ($59,994) or full performance Program Operations Specialist SG-18 ($66,951) based on education and experience. Candidates hired at the trainee level will be advanced to the full performance Program Operations Specialist SG-18 following successful completion of the traineeship. • If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee.• The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies.• Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume. • All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. • If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice. • Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA). If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at (518) 486-7222 or email [email protected] to obtain information and RA forms.• Savings programs such as the U.S. Savings Bond and the College Savings Plan. • Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses.• Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs.• Life insurance and Disability insurance.• The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis.• Paid Holidays and Leave: ° Thirteen (13) paid holidays each year. ° Thirteen (13) days of paid vacation leave initially. ° Five (5) days paid personal leave each year. ° Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year. ° Up to three (3) days professional leave each year to participate in professional development events.• Health Care Coverage:Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost.• Paid Parental Leave:Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care.• Retirement Program:Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation.• Professional Development and Education and Training:NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development.• Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp.• OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation and beliefs.

Some positions may require additional credentials or a background check to verify your identity.

Name Central Office Human Resources

Telephone 518-473-4785

Fax 518-474-9902

Email Address [email protected]

Address

Street 44 Holland Ave

City Albany

State NY

Zip Code 12229

Notes on Applying Please email your resume to [email protected] and reference vacancy ID in your email.