Bachelor's degree in Public Health, Social Work, Nursing, or related field; Master's preferred.
Five years of experience in utilization review and/or quality assurance.
Supervisory and managerial experience preferred.
Strong knowledge of Medicaid regulations and healthcare systems.
Excellent written and verbal communication skills.
Proficient in Microsoft Office Suite and PC-based software.
Strong time management skills with the ability to multitask.
Responsibilities
Assist in planning and implementing Maternal Child Health Program projects.
Monitor activities for NYS Bureau of Child Health and Bureau of Perinatal, Reproductive and Sexual Health.
Conduct on-site/off-site training and evaluation of review staff.
Ensure deliverables are met and maintain ISO standards.
Establish and report key performance indicators for clinical reviews.
Collaborate with other departments to ensure process integrity.
Attend departmental and DOH meetings as required.
Benefits
Office-based position in Jericho, NY.
Opportunity for professional development and training.
Engagement with state health initiatives.
Collaboration with a multidisciplinary team.
Potential for travel as necessary.
Full Job Description
The Assistant Director will assist the Senior Director in the planning, implementation and oversight of all projects under the Maternal Child Health Program. This includes monitoring activities for the NYS Bureau of Child Health (BCH) and the Bureau of Perinatal, Reproductive and Sexual Health (BPRASH); all deliverables under the NYS Maternal Mortality Review Initiative; and contract oversight of Office-based surgery reviews. Duties to include but not limited to:
Assists management staff in the development, planning and implementation of clinical review and validation activities, ensuring adherence to assessment protocols.
Performs on-site/off-site training and evaluation of review staff as required.
Assists in the administration of clinical reviews operations by:
Routinely assuring deliverables have been met
Maintaining ISO standards
Assisting in the establishment and reporting of key process and other performance indicators
Interacts effectively with other IPRO departments to ensure integrity of the processes and products delivered.
Attends departmental meetings and meetings with DOH as required
This position is office based at our Jericho, NY office.
QUALIFICATIONS:
Ability to work independently with minimal supervision.
Capable of communicating effectively with all personnel who interact with the organization.
Excellent written and verbal skills.
Ability to supervise, coordinate and manage departmental staff.
Knowledgeable in Medicaid regulations and procedures as well as general aspects of the health care system.
Strong time management skills with the ability to handle multiple tasks simultaneously to meet deliverables.
Proficiency in PC-based computer software, especially Microsoft Office Suite products.
Ability to travel, when necessary.
EDUCATION & EXPERIENCE:
Bachelors degree in Public Health, Social Work, Nursing or related discipline, required. Master's Degree, preferred.
Five (5) years' experience in utilization review and/or quality assurance, required.
Supervisory and managerial experience preferred.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $85,000.00 - $115,000.00. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.
The salary range and/or hourly rate listed does not include other forms of compensation or benefits.
