"Alerted.org

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.

Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY

Division of Eligibility & Marketplace Integration (DEMI)

Bureau of System Quality Assurance and System Requirements (SQA)

50% Onsite & 50% Remote

Summary:

This person will work within the DEMI Bureau of System Quality Assurance and System Requirements. The Bureau conducts quality assurance of the NYSOH Marketplace performance relating to program eligibility determinations, enrollment functionality and notice generation.

This person will be reviewing accounts to ensure that eligibility was determined correctly for Medicaid, Child Health Plus and Qualified Health Plans, including APTC, and if related enrollment functionality is correct; and ensuring systems are operated in a manner consistent with federal and state statute and regulations.

Basic Qualifications:

+ 8 years of professional experience

Desired Characteristics:

Desired candidates will have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; and experience using electronic data systems, such as Medicaid Management Information Systems and health insurance eligibility systems.

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 a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship including H-1B sponsorship) by SSO. Under the federal laws relating to the F-1 STEM EAD program, SSO may be able to support a STEM EAD extension application at the sole discretion of your Designated School Official. This does not guarantee that any STEM EAD extension application will be approved.

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 Details

Pay Type** **Salary

Education Level** **Equivalent Experience

Telecommute Percentage** **50

Hiring Min Rate** **60,500 USD

Hiring Max Rate** **75,000 USD