Senior Medicaid Program Specialist

Staffing Solutions Organization LLC (SSO); City of Albany (NY); Hybrid; USD 95,000 - 130,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) with Discretionary Employer Map

Paid Time Off

Paid Holidays

Flexible Spending Accounts (FSA)

Employee Assistance Program (EAP)

Employee Discounts and other perks

Job summary

Staffing Solutions Organization LLC (SSO) in Albany, NY seeks a Senior Medicaid Program Specialist to support oversight and administration of New York's 1115 Medicaid Waiver Program. The role focuses on compliance, deliverable tracking, and policy research while coordinating with cross-functional teams.

The ideal candidate will have strong analytical, project management, and communication skills, plus working knowledge of Medicaid programs and government operations.

Qualifications

• Nine (9) years of experience in the healthcare field.
• Associate's/Bachelor's/Master's degree substitutions described above.
• Preferred: experience with Medicaid programs, managed care, or healthcare policy.

Responsibilities

• Support administration and oversight of the 1115 Medicaid Waiver Program.
• Assist with waiver amendment, renewal, and implementation activities.
• Monitor compliance with federal waiver requirements and transparency standards.
• Track waiver deliverables and coordinate timely completion of reports and submissions.
• Compile and support development of annual monitoring and performance reports.
• Monitor STCs and updates; coordinate waiver content.

Skills

Policy research

Project management

Analytical thinking

Communication

Education

Associate's degree may substitute for 2 years experience

Bachelor's degree may substitute for 4 years experience

Master's degree may substitute for 5 years experience

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Senior Medicaid Program Specialist - 1115 Waiver & Healthcare Policy in Albany, NY

50% Onsite / 50% Remote

Strategic Operations & Planning (SOaP)

Waiver Management Bureau (WMB) I item #1421

Overview:

The Strategic Operations & Planning (SOaP) Waiver Management Bureau (WMB) is seeking a highly organized and experienced Senior Medicaid Program Specialist to support oversight and administration of New York's 1115 Medicaid Waiver Program. This role is responsible for ensuring compliance with federal waiver requirements, coordinating key deliverables, supporting waiver amendments and renewals, conducting policy research, and providing technical assistance to internal stakeholders.

The ideal candidate is a detail-oriented healthcare professional with strong analytical, communication, project management, and policy research skills, as well as a working knowledge of Medicaid programs and government operations.

Key Responsibilities:

• Support administration and oversight of the 1115 Medicaid Waiver Program.
• Assist with waiver amendment, renewal, and implementation activities.
• Monitor compliance with federal waiver requirements and transparency standards.
• Track waiver deliverables and coordinate timely completion of required reports and submissions.
• Compile and support development of annual monitoring and performance reports.
• Monitor and analyze updates to 1115 Special Terms and Conditions (STCs).
• Coordinate updates and maintenance of waiver-related web content.
• Conduct healthcare policy, regulatory, and legislative research.
• Provide technical assistance and guidance to program staff and stakeholders.
• Analyze program data and prepare reports, presentations, and recommendations.
• Collaborate with cross-functional teams to support program objectives and compliance initiatives.
• Maintain detailed records, project timelines, and documentation.

Minimum Qualifications:

• Nine (9) years of experience in the healthcare field;
  • An Associate's degree may substitute for two (2) years of experience
  • A Bachelor's degree may substitute for four (4) years of experience
  • A Master's degree may substitute for five (5) years of experience

Preferred Qualifications:

• Experience working with Medicaid programs, managed care, or healthcare policy.
• Knowledge of federal and state healthcare regulations.
• Experience with healthcare program administration, oversight, or compliance.
• Understanding of government operations and public sector healthcare programs.
• Strong organizational and project management skills.
• Excellent written, verbal, and interpersonal communication abilities.
• Advanced proficiency with Microsoft Excel, Word, PowerPoint, and other Microsoft Office applications.
• Experience tracking complex projects, deliverables, and reporting requirements.
• Ability to analyze regulations, policy changes, and program requirements.

Benefits:

SSO offers a comprehensive benefits package designed to support your health, well-being, and financial future, including:

• Medical, Dental, and Vision Insurance
• 401(k) with Discretionary Employer Match
• Paid Time Off (PTO)
• Paid Holidays
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Employee Discounts and other perks

Keywords:

Healthcare Program Specialist, Healthcare Administration, Medicaid, Medicaid Waiver, 1115 Waiver, Healthcare Policy, Healthcare Compliance, Program Management, Project Management, Regulatory Compliance, Policy Analysis, Healthcare Operations, Government Programs, Public Health, Healthcare Research, Program Oversight, Federal Regulations, State Regulations, Special Terms and Conditions (STCs), Monitoring Reports, Healthcare Reporting, Strategic Planning, Data Analysis, Microsoft Excel, Microsoft Word, Microsoft Office, Technical Assistance, Process Improvement, Healthcare Analytics, Managed Care, Quality Assurance, Performance Measurement, Stakeholder Management, Government Relations, Healthcare Services, Healthcare Consultant, Healthcare Coordinator, Healthcare Analyst, Public Sector Healthcare, Albany NY Jobs, New York State Healthcare Jobs.