Duties Description The Health Care Surveyor 2 (Nrs), assigned to the Office of Health Insurance Programs (OHIP) in the Division of Health Plan Contracting and Oversight, will support the Bureau of Managed Long-Term Care. Key responsibilities include: Perform quality assurance and clinical case file reviews of managed long term care plans and providers to assess compliance with applicable regulations, contractual requirements, and standards of care; Conduct on-site and desk surveys of managed long term care plans and providers, evaluating adherence to Medicaid program requirements, care delivery standards, and patient safety protocols; Prepare detailed written reports of compliance reviews and assessments, documenting findings, deficiencies, and recommendations for corrective action; Review and analyze enrollee case records to identify trends, discrepancies, or areas of concern related to care quality and service delivery; Collaborate with survey team members and program staff to coordinate survey activities, share findings, and support follow-up on identified compliance issues; Interpret and apply healthcare regulations, policies, and regulatory guidance to inform survey determinations and compliance assessments.

Minimum Qualifications Permanent Transfer Candidates: Current NYS Department of Health Employee with one year of permanent or contingent-permanent, competitive, service as a Health Care Surveyor 2 (Nursing), SG20 and able to meet the minimum qualifications for non-competitive appointment as seen below.

Non-Competitive Candidates via NY HELPS: Possession of a license and current registration as a registered professional nurse in New York State; and one year of post-licensure, specialized professional administrative or professional clinical experience.

Preferred Qualifications: Experience in Medicaid and/or Medicare or managed care program compliance and surveillance and case reviews.

Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate's favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

This position is part of the NYS HELPS program. No examination is required.

Posted salary range includes the statutory hiring rate at Step 4 and job rate for PS&T ($83,174-$94,121) plus an additional Geographic Pay Differential of $20,000.

For new State employees appointed to graded positions, the annual salary is the hiring rate of the position (beginning of the salary range). Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations, and negotiated union contracts.

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

Name Human Resources Management Group, SPD/HCS2(NURSING)/87460



Fax 518-473-3395

Email Address [email protected]

Address

Street Room 2217, Corning Tower Building, Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to [email protected], with Reference SPD/HCS2(NURSING)/87460 included in the subject line or by mail to Human Resources Management Group, SPD/HCS2(NURSING)/87460, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.