- Coordinates and directs the operational activities of insurance enrollment and assistance programs. Supervises grant employees, including hiring, training, developing, and conducting performance reviews. Direct supervisory responsibility for Quality Coordinator, Lead Enroller, Data Coordinator, Administrative Assistant, and six Facilitated Enrollers.
- Serves as primary liaison with NYS Department of Health contract management and enrollment policy staff, and primary contact for hospital members on insurance law issues. Attend all meetings with the NYS Department of Health, Suffolk Department of Social Services, and Community Service Society as required.
- Attend all DOH trainings and be familiar with the Access NY Medicaid Application and NY State of Health (NYSOH) online applications; become a certified application counselor (CAC) through NYSOH and provide application assistance as appropriate.
- Develops and executes an enrollment schedule that is posted on our agency website and submitted to NYS monthly; monitor site effectiveness and staff productivity through data collection; provide a monthly office schedule for grant staff and maintain staff coverage for office Monday through Friday.
- Develops and enforces internal operating procedures for all program processes, a quality assurance program, and external protocols. Continuously reassess program activities and trends, reallocating staffing, budget, and resources as needed.
- Educates program staff on procedures, monitors effectiveness, and develops corrective action plans as needed to improve performance. Communicates program updates, identifies trends and provides technical assistance.
- Maintains expertise on policies and regulations relating to all public health insurance programs. Remains current on federal or state changes in insurance laws and regulation.
- Completes all required reporting for programs to the NYS Department of Health, Suffolk County Department of Social Services, and Community Service Society of NY. Ensures that staff have the tools and training needed to comply with the Health Insurance Portability and Accountability Act (HIPAA) Business Associate Agreements.
- Identifies community sites to conduct enrollment, monitors site effectiveness, and meets with community members to establish new sites or enhance existing sites; develops monthly site schedules for all programs and maintain online calendars.
- Participate in community meetings and conduct presentations on NSHC's insurance enrollment programs and insurance law.
- Provides technical support to hospital members needing assistance with insurance programs, policies, and the New York State Financial Assistance Law. Intervenes with insurers and Department of Health where appropriate.
- Works with the Chief Financial Officer and Chief Operating Officer to develop budgets, summaries, work plans, human resources, and succession plans, and works with the Chief Financial Officer to submit all program vouchers in the manner and time frames specified in each grant contract.
- Advocates on behalf of grant programs and consumers with legislators or in community forums.
- Supervises application-tracking database and program websites.
- Master's Degree required in health care administration, public policy, social work, or equivalent strongly preferred; bachelor's degree required. Five years of related experience is expected; Strong managerial skills are required. An equivalent combination of education and experience sufficient to satisfactorily perform the duties of the job may be substituted.
- Certification to enroll individuals and families in the NY State DOH prior to hire is preferred.
- Must possess working knowledge of public health insurance programs and regulations.
- Experience with grant applications, budgets, and development of work plans and processes.
- Ability to manage, motivate and ensure accountability from a large and diverse multiple staff that works primarily in the field.
- Skilled at problem-solving, developing operational processes and building relationships in the community.
- Can communicate effectively to diverse audiences.
- Local/regional travel occasionally required (15% of work time is spent out of office).
- Demonstrated proficiency in establishing and maintaining key relationships.
- Ability to handle adversity productively and be able to tolerate stressful situations.
- Strong project management and organizational skills; to be able to meet all deadline requirements.
- Ability to problem-solve and mentor to provide effective problem resolution solutions.
- Basic skills in Microsoft Office, Excel and Zoom for data and web conferencing.
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Director, Health Insurance Programs - Hauppauge, United States - Healthcare Association of NYS
2 weeks ago
Description
EOE StatementAs an Equal Opportunity / Affirmative Action Employer, HANYS actively seeks candidates who are female, minority, disabled and/or veterans and will not discriminate in its employment practices due to an applicant's race; color; creed; religion; sex (including pregnancy, childbirth or related medical conditions); sexual orientation; gender identity or expression; transgender status; age; national origin; marital status; citizenship; disability; criminal record; genetic information; predisposition or carrier status; status with respect to receiving public assistance; domestic violence victim status; status as a protected veteran; or any other characteristics protected under applicable law.
HANYS will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
Position
Director, Health Insurance Programs
Division
Nassau Suffolk Hospital Council
Description
The Nassau-Suffolk Hospital Council based in Hauppauge, NY, is seeking a Director, Health Insurance Programs. Reporting to the Chief Operating Officer, the Director will be responsible for the overall operation of the NY State of Health Consumer Assistance Program for Aged, Blind, and Disabled and the Community Health Advocates Program.
This is a grant-funded position, with the possibility of renewal yearly. The salary range is between $120,000 and $130,000 annually.
Key responsibilities include but are not limited to:
About the Organization
HANYS is the only statewide hospital and continuing care association in New York. We are located near Albany and represent 500 not-for-profit and public hospitals, nursing homes, and other healthcare organizations. Our members are not only the largest providers of inpatient and outpatient care, and essential providers of primary care, they are among the largest employers in many communities.
We harness the power of a unified statewide membership and collaborate with regional, state, and national associations. HANYS advocates before Congress, the Governor's office, the State Legislature, and state and federal agencies. We also provide education, data analytics, quality improvement initiatives, and operational assistance to help our members navigate the complexities of healthcare reform, and achieve the 'Triple Aim' of better care, better health, and lower costs.
This position is currently accepting applications.
