Medicaid Program Manager - Global Cap / UPL

Full Time
Albany, NY 12210
$70,000 - $110,000 a year
Posted
Job description
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.

Medicaid Program Manager - Global Cap, Rebates, & Supplemental Programs Bureau in Albany, NY

Job Duties:
This incumbent will collaborate with financial analysts within the Bureau of Global Cap, Rebates, and Supplemental Programs within OHIP’s Division of Finance and Rate Setting in the tracking, analyzing, and forecasting of the Upper Payment Limit (UPL) Program. The incumbent will:
  • Perform high-level analysis and strategic planning to identify trends and impacts to providers within Medicaid and UPL.
  • Serve as a liaison with stakeholders, providing technical assistance, and have ability to administer meetings.
  • Interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as the Federal Government, other state agencies, consultants, and state auditors that interact with the Medicaid program.
  • Develop deliverables and occasionally present materials with executive staff in OHIP, the Division of the Budget (DOB), and the Governor’s Office.
  • Participate in the planning and implementation of programs and project activities related to the Global Cap and Rebate Teams within the Bureau.
  • Supervise the other SSO staff within the Bureau.
Oversight duties include managing the work and deliverables of the UPL Team to:
  • Establish annual UPL awards for providers;
  • Track, analyze, and project program spending on a monthly basis;
  • Calculate, review, and package the periodic UPL calculations based on the latest policy decisions;
  • Work with the Centers for Medicare & Medicaid Services (CMS) towards approval of the State’s UPL demonstrations;
  • Prepare State Plan Amendments (SPAs) and State Regulations; and
  • Develop, track, and process provider payment packages.
Basic Qualifications:
  • Bachelor's degree
  • 10 years of professional experience
  • 5 years of subject matter expert experience
  • Supervisory experience
Preferred Qualifications
  • Strong critical thinking skills
  • Exceptional analytical skills with Microsoft Excel
  • Ability to solve problems independently
  • Professional work experience should include knowledge of Medicaid policy, rate setting, and trend analysis.
  • The candidate must also have knowledge of the NYS Medicaid program and have the ability to interact and collaborate with other Medicaid-related State Agencies, as well as the Division of the Budget and Centers for Medicare & Medicaid Services.
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 the following reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

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.

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