PLEASE SHARE! JOB OPENINGS FOR VETERANS/DISABLED VETERANS/SPOUSES NEW YORK AREA.

     JOB DESCRIPTION

Title Supervisor – Call Center
Advertising Title Supervisor – Call Center
Grade 10
Position Classification Exempt
Division 20-0014
Department Call Center
Reports To Manager – Call Center
Required Education Associate’s degree or higher from an accredited college or university
Preferred Education Bachelor’s degree or higher from an accredited college or university and/or a degree in the health, human, or educational services
Required Experience 1+ year(s) of supervisory experience in a health or social services field or equivalent experience (Lead CCR with AHCT experience or 1+ year with the AHCT project)
Preferred Experience 2+ years in a Supervisory or Management title in a health or social services field
Required Skills Ability to type at least 35WPM; Ability to use technology to accomplish work tasks; knowledge of the community to be served; excellent oral and written communication skills; ability to follow and give direction: ability to interact courteously and effectively with a variety of people; ability to handle pressure and perform multiple tasks
Preferred Skills
Bilingual May be required for some positions

JOB RESPONSIBILITIES

  • Supervise call center operations and all related Exchange Call Center activity for Tier 1 or Tier 2 CCRs
  • Monitor the performance of Tier 1 or Tier 2 Call Center Representatives (CCRs) and provide feedback and education to staff to improve performance
  • Assist with the development and implementation of procedures pertinent to the effective and efficient operation of the Exchange Call Center, and assist with establishing performance goals and measurements for Tier 1 or Tier 2 CCRs
  • Assist Tier 1 or Tier 2 CCRs in responding to customer inquiries regarding the insurance affordability programs, Advanced Premium Tax Credits (APTCs), modified adjusted gross income (MAGI), qualified health plans (QHPs), and Medicaid managed care program, community resources, and options for client inquiry resolution programs
  • Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
  • Performs other duties as may be assigned by Management.

JOB DESCRIPTION

Title Regional Nurse Manager
Advertising Title Regional Nurse Manager
Grade TBD
Position Classification Exempt
Division 20-0014
Department
Managed Long Term Care (MLTC), Conflict Free Enrollment and Evaluation Center (EEC)
Reports To Nurse Director
Required Education BA degree in a health, social services, or communications field required
Preferred Education MA degree in a health, social services, or communications field required.  RN licensure required
Required Experience 4+ years RN experience in medical / surgical / geriatric / LTC / ambulatory care; Minimum of five years of experience working in community settings involving health and human services; experience working with constituent groups
Preferred Experience
Required Skills Computer literacy; highly developed written and oral communication skills; strong interpersonal skills; ability to work in a stressful and changing environment; and proven ability to work with community groups
Preferred Skills Knowledge of long term care services and programs
Bilingual Preferred – Spanish, Russian, Haitian-Creole, Chinese
Other Willingness to travel required; NY State Driver’s License required; vehicle may be required, depending on region

JOB RESPONSIBILITIES

  • Supervises the nurse assessors in a designated region
  • Responsible for the training and development of Nurse Assessors
  • Monitor the activities, schedules, productivity and assessment results of an assigned group of Nurse Assessors
  • Review all pending denials for each regional Nurse Assessor in real-time
  • Collect QA information from assigned nurse assessors
  • Disseminate policy, protocol change, and ensure implementation
  • Lead regular team meetings and act as the point-person for the region of Nurse Assessors
  • Conduct random post-assessment home visits to ensure customer satisfaction
  • Attend Fair Hearing cases, as required
  • Promotes project image and goals through public speaking engagements and local professional presentations
  • Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position,
  • Performs other duties as may be assigned by the Nurse Director 

JOB DESCRIPTION

Title Supervisor – Case Management
Advertising Title Supervisor – Case Management
Grade 12
Position Classification Exempt
Division Eastern Region, Health Services / 20-0014
Department State of New York, New York Medicaid Choice Program
Reports To Manager – Call Center
 
Required Education College degree or equivalent
Preferred Education College degree in social work
Required Experience NYMC project experience and related programs
Preferred Experience 1-3 years of Supervisory experience in a health or social service field and/or 2 years of human services experience working with the public
Required Skills Ability to type at least 35WPM; computer literacy; knowledge of the community to be served; ability to follow directions; excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; ability to work as a team member; ability to work independently
Preferred Skills
Bilingual Fluency may be required in commonly spoken languages for some positions

JOB RESPONSIBILITIES

 

  1. Supervises Case Management staff, including the functions associated with Case Management and forms processing.
  2. Monitors the performance of assigned staff, providing feedback and education to staff to improve performance.
  3. Assists Case Management counselors and lead counselors in responding to exemption and exclusion, MLTC, LTCE and FIDA calls when needed.
  4. Ensures Case Management staff effectively assess consumers’ health care needs and assists consumers in the exemption and exclusion, MLTC, LTCE, and FIDA processes.
  5. Ensures Case Management staff effectively educates consumers in managed care, accessing services, and other information.
  6. Ensures that the Exemption and Exclusion, Expedited Disenrollment/Transfer, Good Cause, MLTC Enrollment Denials, MLTC Involuntary Disenrollment, LTCE, and FIDA forms are being processed efficiently and accurately.
  7. Identifies breakdowns in the forms processing system and recommends solutions to the Central Operations Manager.
  8. Provides on-going training and support to Case Management counselors.
  9. Ensures the Case Management staff maintains updated knowledge of the project policies and knowledge of health plans that are available to consumers.
  10. Ensures Case Management staff effectively assists consumers in enrolling / disenrolling in health plans.
  11. Checks exemption, expedited disenrollment, good cause, MLTC Enrollment Denials, MLTC Involuntary Disenrollment, and FIDA report logs.
  12. Communicates with consumers.
  13. Communicates with Local Department of Social Service Offices on E&E, MLTC, LTCE, and FIDA issues.
  14. Ensures E&E, MLTC, LTCE and FIDA documentation are up to date.
  15. Some Saturday work required.
  16. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
  17. Performs other duties as may be assigned by the Central Operations Manager.

JOB DESCRIPTION

TITLE:  Coordinator – QA/Training

POSITION CLASSIFICATION:  Exempt

DIVISION:  Eastern Region, Health Services Group

DEPARTMENT:  AHCT Project

POSITION REPORTS TO:  Access Health CT Call Center Manager

EDUCATION/EXPERIENCE:  Associate’s or Bachelor’s degree from an accredited college or university or equivalent experience required; ability to manage information via online databases, collaborative technologies, and websites; excellent computer skills; experience with data collection and management; and systems development, implementation, and basic research skills.  Preferred qualifications include a Bachelor’s degree in information science, business administration, marketing, management, communications, or a related field.  Preferred work experience includes experience working with Oracle Knowledge for Contact Center, Enterprise Edition, Oracle Knowledge for Web Self-Service, Enterprise Edition, and/or Oracle Knowledge Analytics.

Bilingual ability required in English and Spanish.

 

JOB RESPONSIBILITIES:

  1. Assist in developing and maintaining an effective quality assurance program.
  2. Communicate effectively with all project staff to support and further quality assurance goals.
  3. Conduct daily monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
  4. Analyze quality assurance data to identify trends and to develop and implement corrective action plans as appropriate.
  5. Assist with the development, analysis, and distribution of project reports and performance indicators.
  6. Collect and maintain resources in the project’s knowledge management system (KMS) electronic library using Oracle products.
  7. Provide assistance with accessing and using information stored in the KMS, including program information and Frequently Asked Questions (FAQs).
  8. Provide advice to the Account Team on information and knowledge management issues.
  9. Conduct training as required
  10. 10 Analyze effectiveness of key initiatives and quality improvement efforts.
  11. Train staff in how to systematically identify, collect, review, share, and retain high-value knowledge and resources associated with project policies, procedures and pertinent reference materials.
  12. Coordinate initial operation and ongoing updates to the project KMS to comply with an ISO 9001:2008 approach.
  13. Ensure compliance with relevant legislation such as copyright and intellectual property.
  14. Design, develop, and distribute training programs, resources, and materials and maintain a library of training aids.
  15. Develop training schedules based on the evaluation of the needs of staff and new hires in coordination with management.
  16. Schedule training sessions and individual training programs, ensuring facility setup, audiovisual setup, and participant notification.
  17. Deliver staff training on a regular and ongoing basis covering topics such as telephone protocols, customer service skills, program information, performance results obtained through quality assurance monitoring, and other areas as appropriate.
  18. Ensure that Call Center Representatives (CCRs) and licensed Brokers are provided with up-to-date knowledge of all applicable programs associated with the Exchange Call Center.
  19. Measure the effectiveness of training programs through evaluation, testing, and assessment of program outcomes.
  20. Meets all standards established for this position as outlined in the attached performance criteria.
  21. Performs other duties as may be assigned by the Call Center Supervisor or Management.

JOB DESCRIPTION

 

 

TITLE:  Manager – Human Capital

POSITION CLASSIFICATION:  Exempt

DIVISION:  Eastern Region, Health Services Group

DEPARTMENT:  State of New York, New York Medicaid CHOICE Program

POSITION REPORTS TO:  Director – Human Capital

EDUCATION/EXPERIENCE:  Graduation from college or university with a degree in Human Resources or related field; minimum 5 years of Human Resources management and administration experience; excellent people management skills; extensive knowledge of personnel practices and employment laws, recruiting, employee relations, regulations and guidelines, negotiating and mediation skills; excellent written and oral communication skills; and proficiency in Excel, HRIS and related systems.  Ability and willingness to travel to remote sites.

 

JOB RESPONSIBILITIES:

 

  1. Provides overall management of Project Human Capital functions ensuring effective and efficient operations at the project level.
  2. Ensures Human Capital activities are in compliance with MAXIMUS, Federal, State, and client requirements and communicates these requirements to the Human Capital Staff and management team as needed.
  3. Represents the project in discussions with Corporate and project staff, vendors, suppliers, and contingency staffing agencies.
  4. Serves as the primary interface for the coordination of all employee relations and serves as mediator for disputes.
  5. Responds to unemployment claims and attends disputes as appropriate.
  6. Investigates grievances and complaints in cooperation with management, MAXIMUS legal counsel, and contingency staffing agencies as appropriate.
  7. Creates, tracks, and submits reports relating to Human Capital functions such as, but not limited to, disciplinary actions, EEOC/ADA requirements, exit interviews, project surveys, turnover reports, work site injuries, recruiting, etc.
  8. Develops, delivers and/or coordinates training seminars under the guidance of Corporate Human Capital and Project management.

JOB DESCRIPTION – Manager – Human Capital, cont’d

  1. Recommends changes to policies and procedures in compliance with contract and participates in the design and update of Project office policy and procedure manuals.
  2. Provides analysis of proposed policies to project management as needed.
  3. Provides advice to management on administrative issues including Human Capital conflicts, workflow, employee job performance, and adherence to Corporate and contract policies and procedures.
  4. Identifies operational areas of need in the central and field offices and develops recommendations for improvement.
  5. Establishes and maintains a positive working relationship with the client, management, project staff, and contingency staffing vendors.
  6. Researches, recommends, and develops staff recognition programs for all staff.
  7. Facilitates the Focal Point review process.
  8. Serves as the liaison to corporate HR on all employment relations and benefitsadministration questions and concerns.
  9. Ensures that project and HC staff are kept informed of changes in benefits coverage and other related HR issues.
  10. Conducts interviews and participates on interview panels, as necessary.
  11. Supervises HC staff on all administrative functions, recruiting, employee onboarding, benefits administration, attrition reporting, and quality control of all HC transactions.
  12. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.

JOB DESCRIPTION

Title Analyst – Business Systems
Advertising Title Analyst – Business Systems
Grade 14
Position Classification Exempt
Division 20-0014
Department Systems – Software
Reports To Manager – Systems Analysis and Design
 
Required Education Bachelor’s Degree from an accredited college or university
Preferred Education
Required Experience Experience in systems development; experience with eligibility, enrollment and/or related programs; knowledge of project operations, systems processes and flows
Preferred Experience 3 or more years of overall IT experience with a minimum of 2 years of systems development; lifecycle experience using structured methodologies in requirements management, process/data analysis and quality control; ability to understand business requirements and translate them into systems requirements; demonstrated hands-on involvement in software quality control (e.g., integration / system / regression / performance / user acceptance testing; proven experience contributing to all phases of the software development lifecycle; experience working with relational databases and querying data for analysis, testing and research
Required Skills Knowledge of SQL and systems integrations, managed care, HIPAA compliance, and social service environment.

Demonstrated strong analytical / statistical skills; proficiency in Microsoft Word, Excel, Visio, Access, and other computer software applications; ability to solve problems quickly and accurately; excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; ability to work as a team member, as well as independently

Preferred Skills
Bilingual

 

 

 

JOB RESPONSIBILITIES

  1. Assists the System Analysis and DesignManager in the areas of systems and data auditing tracking, reporting, business process modeling and redesign, knowledge management software systems, business intelligence, impact analysis, change management, and state/federal policy analysis
  2. Develops requirements, work flows, and specification documents for program changes from external clients request or internal process improvements.
  3. Develops requirements and specification documents for system requirements needed to support efficient workflows in various project operations: call center, fields, and mail house and plans relations.
  4. Participates in User Acceptance Testing (UAT) efforts related to system testing
  5. Participates in the administration of project and program contract activities
  6. Extracts, tabulates, graphs, analyzes, and reports data to support program activity and assists in management decision making
  7. Produces ad-hoc reports for the state and project management staff, such as consumer demographics and strategic planning information, as requested.
  8. Evaluates and enhances reporting system efficiency
  9. Plans and implements and maintains program and contractual changes
  10. Support the management, tracking, and analysis of the project’s change management plan
  11. Conducts federal/state policy analysis and ensures project policies and procedures, work instructions, and training materials reflect current policies
  12. Works closely with operations and Systems staff to define requirements, test criteria, and success factors.

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