Enable America Jobs

Healthcare Organization Operations Administrator

Albany, NY, USA

Req #1017

Monday, September 23, 2024

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), 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.

Healthcare Organizational Operations Administrator - Albany, NY

DMDD - 1471

Summary

The Division of Medical and Dental Directors, Bureau of Medical Review is recruiting for a Healthcare Organizational Operations Administrator to assist the Bureau in day-to-day operations for the Center of Operational Excellence. The Bureau of Medical Review is responsible for prior approval and pre-payment review of medical equipment and services, policy development as well as fraud, waste, and abuse monitoring for the New York State Medicaid. The Center of Operational Excellence focuses on process improvement resulting in cost savings and staff efficiencies.

Desired Qualifications:

• Review medical claims according to written procedures

• Answer routine phone calls about claims review activities

• Escalate issues & complex claims

• Maintain a positive, professional demeanor always

• All other activities as may be deemed necessary

Preferred Qualifications:

• Proficient in the use of standard office technology

• Excellent organizational skills including the ability to prioritize work assignments

• Ability to be flexible, innovative, and work independently

• Strong communication skills (written and verbal) with the ability to handle internal and external calls/inquiries

• Maintains a positive, professional demeanor

• Previous customer service experience

Education:

• High School graduate or equivalent

• 3 Years Administrative Assistance

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an Employment Visa at this time.

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 Hourly

• Min Hiring Rate $17.00

• Max Hiring Rate $20.00

• Telecommute % 50

• Required Education Equivalent Experience

• Job Start Date Monday, October 21, 2024

• Albany, NY, USA

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