Medicaid Registered Nurse - Division of Program Development & Management in Albany, NY at Public Consulting Group

Date Posted: 9/24/2020

Job Snapshot

Job Description

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
Medicaid Registered Nurse - DPDM - Item 1111 in Albany, NY
Position Summary:

The Bureau of Medical, Dental and Pharmacy Policy in the Division of Program Development and Management has overall responsibility for program policy governing a wide range of health care services and programs provided under the Medicaid program including but not limited to hospital outpatient services, free-standing clinics, Federally Qualified Health Centers, medical, dental, pharmacy policy,  new technology coverage evidence-based basic benefit redesign initiatives, the Preschool/School Supportive Health Services Program, behavioral health services, telehealth/telemedicine, gender dysphoria,  Care at Home/Office for People with Developmental Disabilities Waiver, emergency services for undocumented immigrants, and family planning/abortion services.


The incumbent will use their clinical background to develop expertise in assigned policy areas and assist with Medicaid policy development, implementation and oversight including: correspondence with providers, patients and other stakeholders; review and updating provider guidance materials; and analyzing current and proposed coverage policy.  In addition, preferred experience of the incumbent will include familiarity with outpatient billing, the ability to process data requests and perform data analysis to identify pertinent issues, and assess their financial impact on the Medicaid program.

Minimum Qualifications:

  • Bachelor’s Degree and current license as a registered professional nurse in New York State
  • 4 years clinical healthcare experience
  • 2 years acute care experience

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability.  Staffing Solutions Organization LLC is an e-Verify participant.

Other details

  • Pay Type Salary
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States of America