Duties Description The Medicaid Eligibility Claims Management (MECM) Bureau Director will report directly to the Division of Operations and Systems (DOS) Deputy CIO and will have ultimate responsibility for the complex populations' eligibility and enrollment functionalities within the MECM System and appeals functionalities within AMS. The incumbent will be responsible for acquisition of adequate resources, contract administration, supporting the scheduling and provision of resources, and will be the Department's focal point regarding financial and administrative issues and concerns.
Specific duties include:
• Manages, directs, and oversees planning, quality assurance, development, and monitoring activities for the Continuing Medicaid Eligibility Modernization program within the MECM Bureau.
• Develops and implements plans regarding the integration of Non-MAGI / Complex populations with systems managed by DOS and collaborates with ITS and OTDA on sunset activities related to WMS (Upstate and Downstate).
• Collaborates directly with the executive management and decision makers to identify, recommend, develop, implement, and support cost-effective services contracts for all aspects of the program.
• Plans, coordinates, and directs all developmental and operational activities of the MECM System and AMS; Directs the quality assurance (QA) contractor and ensures compliance with approved QA plans and service-level agreements (SLAs).
• Prepares contracting documents (e.g., requests for proposals [RFPs], individual scope of work [SOWs]) in conjunction with executive staff and other managers and serves as the interagency liaison for such contracting documents.
• Directs, updates, and submits all federal documents for the program (e.g., cost allocation, alternative analysis, Monthly Status Reports, Advance Planning Documents [APDs], Operational Readiness Review [ORR], Certification Review [CR]).
• Monitors procurement and expenditures, and manages the use of resources including staff, equipment, and facilities; signs off on all contractor deliverables and payments for services for the program; Receives and transmits all official correspondence between the contractors and the Department; oversees contractors' performance ensuring compliance with contract requirements.
• Attends internal and external meetings with DOH staff, government representatives and outside stakeholders, including the Office of the State Comptroller (OSC) and CMS.
• Develops and oversees allocation strategies to maximize resource availability and use of cross-functional teams across State and multiple contractors, including operational, technical, functional, and testing staff assigned to the program; identifies staffing gaps and training needs and provision of training.
• Accountable to executive leadership for the program's progress, as well as potential issues and resolution of those issues.
Minimum Qualifications Eleven years of professional information technology, cybersecurity, or information assurance experience, of which two years must have included managerial responsibility. Bachelor's degree may be substituted by four years of specialized experience or an associate's degree and two years of specialized service. A master's degree may substitute for one year of specialized experience.
Preferred Qualifications: Successful demonstrated experience in the following areas:
- Leading and overseeing large healthcare information system transformation maintenance, operations, and initiative delivery.
- Working in health and human services at a national, state or local level as well as experience working with Medicaid programs in New York State.
- Managing over staff, including contractors, in a complex IT environment.
- Obtaining federal financial participation for design, development and implementation efforts.
- Managing vendors, including monitoring of service level agreements and adherence to contract terms.
- Writing and communicating with an ability to express complex information and concepts to project sponsors, technical staff, consultants/contractors and agency stakeholders.
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 may require travel throughout New York State including overnights to areas not served by public transportation.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees' Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...
Name Human Resources Management Group, EM/MIS/831
Fax 518-473-3395
Email Address Resume@health.ny.gov
Address
Street Corning Tower, Empire State Plaza, Room 2217
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 resume@health.ny.gov, with Reference EM/MIS/831 included in the subject line or by mail to Human Resources Management Group, EM/MIS/831, 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.
