Resources and Reimbursement Program Development Specialist 1

NYS Office for People With Developmental Disabilities; City of Albany (NY); Hybrid; USD 56,000 - 89,000; Full time

Job summary

The NYS Office for People With Developmental Disabilities (OPWDD) seeks a Revenue and Reimbursement Program Development Specialist 1 to support Medicaid, Medicare, SNAP, SSI, Social Security and other benefits. The role combines policy support, training material creation and liaison work with regional FBEAM teams.

Telecommuting up to 50% is discussed at interview; this is a hybrid, state service position with a focus on program development and briefly collaborating on policy and procedures.

Qualifications

• Experience with financial benefits programs for individuals with disabilities.
• Experience with NYS benefit systems (WMS/eMedNY/ePACES).
• Project management experience and change coordination.
• Strong organizational and planning abilities.
• Excellent written and oral communication skills.

Responsibilities

• Investigate and remedy issues preventing maximization of benefits by nonprofit and state operations.
• Research and monitor financial benefit programs; prepare directives and correspondence.
• Create and present training materials on financial benefit programs.
• Assist individuals and advocates with specific financial benefit problems.
• Resolve billing issues; identify rate errors and reimbursement denials; correct systems.

Skills

Financial benefits experience

WMS experience

eMedNY experience

ePACES experience

Project management

Organizational skills

Written and oral communication

Education

Bachelor's degree or higher

Associate degree substitution for experience

Master's degree substitution for experience

Tools

WMS

eMedNY

ePACES

Job description

Duties Description

The Office for People With Developmental Disabilities (OPWDD) provides high-quality, person-centered services, supports and advocacy to individuals with developmental disabilities in New York State. Our guiding principle in our interactions with the people we serve and each other is "Putting People First," and is exemplified with values of compassion, dignity, diversity, excellence and honesty.

Duties Description

The Office for People With Developmental Disabilities (OPWDD) provides high-quality, person-centered services, supports and advocacy to individuals with developmental disabilities in New York State. Our guiding principle in our interactions with the people we serve and each other is "Putting People First," and is exemplified with values of compassion, dignity, diversity, excellence and honesty. The Division of Fiscal Policy and Management is seeking a person to work as a Revenue and Reimbursement Program Development Specialist 1 (R&R PDS 1). The R&R PDS 1 is part of the Financial Benefits & Entitlements Assistance & Management (FBEAM) team responsible for securing Medicaid, Medicare, SNAP, Supplemental Security Income, Social Security and other financial benefits for the individuals residing in state and nonprofit operations. In addition, the R&R PDS 1 serves as a policy specialist providing technical support to advocates, agencies and people with developmental disabilities. Duties and responsibilities related to this position may include, but are not limited to, the following:

• Investigate and remedy issues preventing the maximization of benefits by nonprofit and state operations
• Assist FBEAM in researching and monitoring financial benefit programs; prepare directives and correspondence detailing program information
• Create, update and present training materials on financial benefit programs to many different audiences
• Assist individuals and advocates for individuals with DD with specific financial benefit problems
• Resolve billing issues with field agents and provider agencies; identify rate errors and reasons for reimbursement denials; and make systems corrections
• Serve on workgroups, committees or teams to assist in developing policy and procedures and present procedural proposals
• Serve as liaison to other entities, including regional FBEAMs, nonprofit agencies, OTDA, LDSSes, and/or other OPWDD units
• Special projects as assigned

Telecommuting to be discussed at Interview. OPWDD's telecommuting policy allows telecommuting up to 50%.

PREFERRED QUALIFICATIONS

• Previous experience with financial benefits (Medicaid, Medicare, SSI, SSDI and SNAP) for New Yorkers with disabilities
• Previous experience with WMS, eMedNY, ePACES, or other NYS OTDA/Medicaid systems
• Previous project management experience or experience planning, coordinating, and monitoring change efforts
• Strong organizational and planning skills
• Strong written and oral communication skills

LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all

Minimum Qualifications

OPEN COMPETITIVE:

Resources & Reimbursement Program Development Specialist Trainee 1, NS (equivalent to SG-14): Four years of experience in the research, development, or implementation of regulations or policies related to funding programs for healthcare, mental health, or developmental disabilities services.

Resources & Reimbursement Program Development Specialist Trainee 2, NS (equivalent to SG-16): Five years of experience in the research, development, or implementation of regulations or policies related to funding programs for healthcare, mental health, or developmental disabilities services.

Resources & Reimbursement Program Development Specialist 1, SG-18: Six years of experience in the research, development, or implementation of regulations or policies related to funding programs for healthcare, mental health, or developmental disabilities services.

SUBSTITUTION: An associate degree may substitute for two years of experience; a bachelor’s degree may substitute for four years of experience; a master’s degree may substitute for five years of experience; and a doctorate may substitute for six years of experience.

COMPETITIVE: Candidates must be reachable for appointment on the current Civil Service Eligible List or the Professional Career Opportunities (PCO) eligible list for this title.

TRANSFER: Candidates must have one year of permanent competitive or 55-b/c status in the posted title and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1, 70.4, or 52.6 of Civil Service Law. The transfer cannot be a second consecutive transfer resulting in an advancement of more than two salary grades.

To determine if your current Civil Service title is eligible for transfer to this title, visit the Career Mobility GOT-IT website https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.

55 B/C QUALIFICATIONS:

• Possess the minimum qualifications for this title as established by the Department of Civil Service and listed on the most recent exam announcement.
• Meet the applicable minimal mental and/or physical requirements for the job (with a reasonable accommodation, if necessary).
• Have a current Eligibility Letter from the NYS Department of Civil Service, www.cs.ny.gov/rp55/, and be able to provide it to the Human Resources Office upon request.

Additional Comments

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title. At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status.

• Appointments may also be made at the Resources & Reimbursement Program Development Specialist Trainee levels. Candidates hired at the entry-level title (Resources & Reimbursement Program Development Specialist Trainee 1) may be advanced to the full-performance level (Resources & Reimbursement Program Development Specialist 1) following satisfactory completion of two-years of service.

Salary range listed below encompasses the hiring rate of a Resources & Reimbursement Program Development Specialist Trainee 1 through the job rate of a Resources & Reimbursement Program Development Specialist 1.

• Resources & Reimbursement Program Development Specialist Trainee 1: $56,183*
• Resources & Reimbursement Program Development Specialist Trainee 2: $62,694*
• Resources & Reimbursement Program Development Specialist 1: $69,964* - $88,970*
• If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee.
• The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies.
• Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume.
• All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.
• If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice.
• Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA).
• If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at [phone] or email [e-mail] to obtain information and RA forms.
• Savings programs such as the U.S. Savings Bond and the College Savings Plan.
• Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses.
• Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs.
• Life insurance and Disability insurance.
• The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis.

Paid Holidays and Leave

• Thirteen (13) paid holidays each year.
• Thirteen (13) days of paid vacation leave initially.
• Five (5) days paid personal leave each year.
• Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year.
• Up to three (3) days professional leave each year to participate in professional development events.

Health Care Coverage

• Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost.

Paid Parental Leave

• Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care.

Retirement Program

• Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation.

Professional Development and Education and Training

• NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development.
• Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp.
• OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation and beliefs.
• ***All people with disabilities are encouraged to apply.***