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Resources & Reimbursement Agent 1/Trainee 1&2 (NYS HELPS), Central Office;

New York State Civil Service

Albany, NY · HybridFull-time$56–70K/yrSeen 1w agoSeen in employer's feed 1 day ago

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At a glance

Compensation
$56–70K/yr
Location
Albany, NYHybrid
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Office of Mental Health is hiring a Resources & Reimbursement Agent 1/Trainee to support contract management for Medicare Advantage, Medicaid Managed Care, and commercial plans, handle facility enrollment, maintain provider portal access, and coordinate contracting requirements with billing staff, including input for a new contracts module.

Skills & qualifications

RequiredNice to have

Skills

Contract ManagementMedicare AdvantageMedicaid Managed CareCommercial Managed CareProvider Portal AccessBilling System CoordinationFinancial ReviewClaims Development

Qualifications

Four Years Financial Review ExperienceFive Years Financial Review ExperienceSix Years Financial Review ExperienceAssociate DegreeBachelor's DegreeMaster's DegreeJ.D.55b/C Eligibility

Benefits

401(k) Match
Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off

Full job description

NY HELPS Yes

55-b/c Eligible No

Agency Mental Health, Office of

Title Resources & Reimbursement Agent 1/Trainee 1&2 (NYS HELPS), Central Office;

Occupational Category Financial, Accounting, Auditing

Salary Grade 18

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $56183 to $69964 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Internship No

Jurisdictional Class Competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 4 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address NYS Office of Mental Health

44 Holland Avenue

City Albany

State NY

Zip Code 12229

Duties Description The Office of Mental Health is recruiting for a Resources & Reimbursement Agent 1/Trainee in the State Operations Finance Group. Reporting to a Resource & Reimbursement Agent 3, G-23, the incumbent will support the RRA3 in managing all the basic contracting functions necessary to access Medicare Advantage plans, Medicaid Managed Care plans, commercial managed care plans, and specialized managed care plans.Responsibilities include:• Initiating, negotiating, and maintaining ongoing managed care contracts, and Medicare D pharmacy contracts. Review contract documentation and assist with training documents.• Initiating and maintaining facility enrollment pertaining to Medicaid and Medicare programs.• Initiating and maintaining managed care plan provider portal access.• Coordinating plan contracting requirements with the Billing staff for the billing systems. The new billing system includes a contracts module which the incumbent will need to provide input on to ensure it accommodates contracts that OMH has in place with myriad health plans. Also, the incumbent will be involved in ensuring that such contracts are kept updated in the new system.

Minimum Qualifications Non-Competitive HELPS:Trainee 1 ($56,183): Four years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.Trainee 2 ($62,694): Five years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.Journey Level ($69,964): Six years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.*Associate degree may substitute for two years of specialized experience; bachelor's degree may substitute for four years of specialized experience; master's degree may substitute five years of specialized experience; J.D. may substitute for six years of specialized experience.55BC Opportunity:Must meet the Non-Competitive minimum qualifications above and Individuals certified eligible for the 55b/c program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law AND possess a Bachelor’s degree will also be considered. Please provide a copy of your eligibility letter and transcript with your response. Transfer Opportunity:Candidates must have permanent status as a Resources & Reimbursement Agent 1, SG-18 and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1 or Section 52.6 of the Civil Service Law by having at least one year of permanent service in a qualifying title within two salary grades of this position.

Additional Comments Employment with New York State offers unmatched benefits, individual support, and career mobility for motivated individuals including: NYS pension and retirement programs; annual cost of living and performance advance increases; comprehensive medical, dental, and vision plans; flexible spending accounts for health and dependent care; paid time off, including thirteen paid holidays per year, and paid personal leave, vacation leave, and sick leave. Specific scheduled hours and telecommuting availability for this position will be discussed during the interview process. Please note, employees are required to apply and obtain approval through management to telecommute according to operational needs and Agency Telecommuting Program Guidelines.The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer.This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of NY HELPS, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At a future date, it is expected that employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.

Some positions may require additional credentials or a background check to verify your identity.

Name Ciara Pelham

Telephone

Fax (518) 486-3897

Email Address [email protected]

Address

Street NYS Office of Mental Health

44 Holland Avenue

City Albany

State NY

Zip Code 12229

Notes on Applying To be considered for this position, interested candidates should email a cover letter and resume as an attachment in Microsoft Word or PDF format to [email protected]. Please include the title of the position and Vacancy ID #225656 in the subject line of your email when applying. You are advised that, should you accept a job offer with the Office of Mental Health, you may be required to be fingerprinted and pay a fingerprint fee.

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