Senior Medicaid Program Specialist

50% Onsite / 50% Remote

Strategic Operations & Planning (SOaP)

Waiver Management Bureau (WMB) Item #1421

Overview:

The Strategic Operations & Planning (SOaP) Waiver Management Bureau (WMB) is seeking a highly organized and experienced Senior Medicaid Program Specialist to support oversight and administration of New York's 1115 Medicaid Waiver Program. This role is responsible for ensuring compliance with federal waiver requirements, coordinating key deliverables, supporting waiver amendments and renewals, conducting policy research, and providing technical assistance to internal stakeholders.

The ideal candidate is a detail-oriented healthcare professional with strong analytical, communication, project management, and policy research skills, as well as a working knowledge of Medicaid programs and government operations.

Key Responsibilities:

• Support administration and oversight of the 1115 Medicaid Waiver Program.
• Assist with waiver amendment, renewal, and implementation activities.
• Monitor compliance with federal waiver requirements and transparency standards.
• Track waiver deliverables and coordinate timely completion of required reports and submissions.
• Compile and support development of annual monitoring and performance reports.
• Monitor and analyze updates to 1115 Special Terms and Conditions (STCs).
• Coordinate updates and maintenance of waiver-related web content.
• Conduct healthcare policy, regulatory, and legislative research.
• Provide technical assistance and guidance to program staff and stakeholders.
• Analyze program data and prepare reports, presentations, and recommendations.
• Collaborate with cross-functional teams to support program objectives and compliance initiatives.
• Maintain detailed records, project timelines, and documentation.

Minimum Qualifications:

• Nine (9) years of experience in the healthcare field;
  • An Associate's degree may substitute for two (2) years of experience
  • A Bachelor's degree may substitute for four (4) years of experience
  • A Master's degree may substitute for five (5) years of experience

Preferred Qualifications:

• Experience working with Medicaid programs, managed care, or healthcare policy.
• Knowledge of federal and state healthcare regulations.
• Experience with healthcare program administration, oversight, or compliance.
• Understanding of government operations and public sector healthcare programs.
• Strong organizational and project management skills.
• Excellent written, verbal, and interpersonal communication abilities.
• Advanced proficiency with Microsoft Excel, Word, PowerPoint, and other Microsoft Office applications.
• Experience tracking complex projects, deliverables, and reporting requirements.
• Ability to analyze regulations, policy changes, and program requirements.

Benefits:

SSO offers a comprehensive benefits package designed to support your health, well-being, and financial future, including:

• Medical, Dental, and Vision Insurance
• 401(k) with Discretionary Employer Match
• Paid Time Off (PTO)
• Paid Holidays
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Employee Discounts and other perks

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Keywords:

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