Full time
New York State Department of Health
Albany, NY, USA
The duties that the incumbent of the vacancy will be expected to perform. Duties Description These Medical Assistance Specialist 1 (MAS 1) incumbents will work within the DEMI Bureau of System Quality Assurance. The Bureau conducts quality assurance and audit reviews of the NYSOH Marketplace performance relating to program eligibility determinations, enrollment functionality and notice generation. The incumbents will be reviewing accounts to ensure that eligibility was determined correctly for Medicaid, Child Health Plus and Qualified Health Plans, including APTC, and if related enrollment functionality is correct; and ensuring systems are operated in a manner consistent with federal and state statute and regulations. Specific duties may include, but not be limited to: •Conduct quality assurance (QA) reviews of the NYSOH Marketplace performance relating to program eligibility determinations, enrollment functionality and notice generation/consumer messaging.•Initiate and complete...

