Your browser does not support iFrames
Skip to Content
Helpful Links
Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these methods, or any other method, please verify the identity of the individual before transmitting such information to that person.
Note: For questions about the job posting, please contact the agency that posted this position by using the contact information provided on the "Contact" tab for the position.
Review Vacancy
Date Posted 05/22/26
Applications Due06/08/26
Vacancy ID216715
NY HELPYes
AgencyHealth, Department of
TitleMedical Assistance Specialist 1 (NY HELPS) - 80167
Occupational CategoryOther Professional Careers
Salary Grade18
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $66951 to $85138 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Competitive Class
Travel Percentage 0%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? Yes
County Albany
Street Address Office of Health Insurance Programs/ Divison of Health Plan Contracting and Oversight/ Bureau of Program Implementation and Enrollment
99 Washington Avenue
City Albany
StateNY
Zip Code12210
Duties Description This position is located in the Bureau of Program Implementation and Enrollment in the Division of Health Plan Contracting and Oversight and will provide support in the oversight of Managed Care Organizations (MCO) doing business within NYS. This is a key support position that will assist with assessing, implementing, drafting and/or developing policies, procedures, and operational guidelines, and related documentation associated with Medicaid Managed Care program implementation and enrollment. This position will also be responsible for triaging and responding to emails for multiple bureau mail logs (BMLs) that receive questions from consumers, stakeholders, DOH staff, Local District of Social Services (LDSS) staff, as well as other state agencies. This position will also play a key role in supporting stakeholder meetings. This position is located in the Program Implementation unit but will also provide related enrollment support to the Medicaid Managed Care Systems Operations unit.
Minimum Qualifications Reassignment: Current NYS Department of Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.
Transfer: Current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6 or Section 70.1 of the Civil Service Law to a Medical Assistance Specialist 1, G-18.
NY HELPS: Six years of experience developing public or private health related policy; analyzing AND interpreting public or private health related policy to assist consumers; determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation reimbursement methodologies, and development of fee schedules; performing utilization review of requests for medical treatment including prior approval or authorization activities, adjudication of claims for payment and/or provider credentialing; AND/OR conducting independent examinations of health care facilities or program integrity reviews of health care programs to ensure compliance with laws, rules, and regulations.
Substitution: An associate degree can substitute for two years of specialized experience; a bachelor's degree can substitute for four years of experience; a master's degree in a related field can substitute for five years of experience; and a doctorate in a related field can substitute for six years of experience.
Preferred Qualifications: The preferred candidate will have strong written and organizational skills, ability to manage multiple priorities, and be able to work both independently and as part of a team. Knowledge of the Managed Medicaid Program is preferred.
Additional Comments This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health's Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resource Management Group
Telephone 518-486-1812
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 ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference EW/MAS1/80167 included in the subject line or by mail to Human Resources Management Group, EW/MAS1/80167, 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.
Printable Version
Become an Organ Donor - Enroll Today
FAQs • Workers with Disabilities (55b/c) • Civil Service Exams
State Agencies: Department of Civil Service • Office of the State Comptroller
OER Link: Employee Unions and Bargaining Units
Exam announcements • General Information about NYS Government
2026 NYS Department of Civil Service
StateJobsNY 2026 NYS Department of Civil Service
Accuracy • Privacy • Accessibility • Contact
Your browser does not support iFrames