NY HELPNo

AgencyHealth, Department of

TitleOHIP Chief Medical Officer (Public Health Physician 3)- 88004

Occupational CategoryHealth Care, Human/Social Services

Salary Grade668

Bargaining UnitM/C - Managerial/Confidential (Unrepresented)

Salary RangeFrom $254363 to $254363 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 10%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Programs/Division of Medical and Dental Directors

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Duties Description The Public Health Physician 3 will function as the Director of the Division of Medical and Dental Director, reporting directly to the Medicaid Director. The duties for this position include, but are not be limited to: Management of a division consisting of over 60 staff members, including Medical Directors, Dental Directors, and program staff; Overseeing medical director reviews of prior approval requests and denials related to durable medical equipment, medical supplies, private duty nursing, and hearing aids; Leading divisional stakeholder engagement activities, promoting health equity policies, supporting healthcare transformation initiatives, and advancing service delivery reforms; Reviewing pended claims and recommending payment or denial, as well as review requests for enhanced reimbursement for Out-of-State Hospital services and participating in the review of Out-of-State Skilled Nursing Facility placements; Supporting cross division program management and policy development for complex populations and other medical programs managed by the Office of Health Insurance Programs; Actively participating in various committees, including the Drug Utilization Review Board, Provider Enrollment Appeals Committee, Evidence-Based Benefit Review Advisory Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, Medical Coding Review and Coverage Decisions Committee, among others; Providing medical and dental policy direction across all aspects of Medicaid, including managed care, fee-for-service, and waiver programs.

Minimum Qualifications Current license and registration to practice medicine in New York State, AND board-eligible or board-certified in a medical specialty AND either a master’s degree in public health or two years of experience in a public health program.

Preferred Qualifications: Direct experience in Medicaid or Managed Care, including managed long-term care, primary care, and geriatric care. Demonstrated commitment to promoting health equity and addressing social determinants of health; Familiarity with relevant regulations, policies, and procedures related to Medicaid programs and healthcare reimbursement; Strong problem-solving skills, with the ability to navigate complex situations related to medical or dental policy, stakeholder engagement, or service delivery reforms within the Medicaid program; Experience in participating on multiple committees and ensuring that contributions are valuable and impactful in a fast-paced, dynamic environment. Demonstrated ability to engage with stakeholders, advocate for health equity policies, and lead initiatives promoting service delivery reforms within the healthcare industry; Expertise in medical and dental policy direction across various aspects of Medicaid programs, including managed care, fee-for-service, and waiver programs.

Additional Comments This position may require travel throughout New York State including overnights to areas not served by public transportation.

We offer a work-life balance and a generous benefits package, worth 65% of salary, including:

• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees’ Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...

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 Resources Management Group

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street RM 2217, Corning Tower, ESP

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 ST/PHP3/88004 included in the subject line or by mail to Human Resources Management Group, ST/PHP3/88004, 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.