Duties Description The Medicaid Eligibility and Client Management (MECM) Bureau oversees the development, implementation, and operation of New York State's modernized Medicaid eligibility and enrollment system - a large-scale, cloud native platform that processes eligibility determinations, enrollment, and appeals for complex and Non-Modified Adjusted Gross Income (Non-MAGI) Medicaid populations. The MECM Bureau manages the full systems development lifecycle (SDLC), from requirements gathering and design through build, testing, deployment, and ongoing production support, ensuring the platform operates reliably and evolves to meet changing programmatic and regulatory demands. The MECM Bureau's core system responsibilities include, but are not limited to, eligibility and enrollment system operations, appeals system administration, legacy system migration, system integration, and interoperability. These functions are not discretionary as they are federally mandated, operationally essential, and directly tied to the health and welfare of New Yorkers who depend on Medicaid coverage. The following duties are core to the position:
Requirements & Business Analysis
Direct and oversee methodology for requirements gathering, analysis, and documentation.
Direct and oversee business analysis and revision of use cases, process models, and functional specifications describing As-Is and To-Be business processes and I Develop standards and processes for business analysis, Requirements Traceability Matrix (RTM), and other business analysis documents (e.g., functional design documents, use cases, flow charts).
Oversee confirmation that requirements, use cases, and related documents meet business needs and defined standards across all iterations, releases, and waves.
Support development of data migration strategy based on requirements and use cases.
Oversee design for interface control documents defining data exchanges.
Oversee planning and development of requirements and use cases for future releases and waves.
Quality Assurance & Testing
Collaborate with Testing Lead to oversee methodology for comprehensive systems testing.
Participate in standards and processes for functional testing and user acceptance testing (UAT).
Evaluate the outcomes of systems testing and confirm that results are consistent with the system or business process specifications.
Review iterative system integration testing (SIT) results and provide feedback on traceability with RTM across all iterations, releases, and waves.
Oversee iterative solution exploration and observations across all iterations, releases, and waves.
Ensure completeness of RTM in advance of UAT milestones.
Stakeholder Coordination & Advisory
Serve as a subject matter expert on systems functions within the MECM System and AMS and provide guidance and assistance to stakeholders such as DEMI and the NYSOH Appeals Unit.
Possess working knowledge of the NYSOH System and assist with interfaces planning between the MECM Bureau and the NYSOH Bureau.
Foster positive relationships and coordinate business and testing analysis with cross-functional teams including developers, testers, and training staff.
Review, provide feedback, and make recommendations to the MECM Bureau Director about approval of design artifacts by the vendor across all iterations, releases, and waves.
Leadership & Team Management
• Work independently and oversee work products of more than 200 Systems Integrator staff.
• Manage business analysts within the MECM Bureau and schedule their work assignments.
• Determine the need for hiring or procuring business analysts and consultants.
• Identify training needs and recommend trainings for team members.
Minimum Qualifications Bachelor's degree and six years of experience in business analysis, functional requirements development, systems testing, or healthcare information systems implementation, including responsibility for requirements gathering, business process analysis, functional design documentation, requirements traceability, user acceptance testing, systems testing governance, and oversight of cross-functional system implementation activities within a large-scale technology environment; three of these years must have been at the supervisory level; or one year of experience at the managerial level. 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 business analysis, requirements development, testing, including responsibility for functional design documentation, requirements traceability, and implementation activities within a large-scale technology environment.
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 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, EW/PA/1454
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 EW/PA/1454 included in the subject line or by mail to Human Resources Management Group, EW/PA/1454, 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.
