Job description

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

The position will conduct regulatory review of all media materials for purposes of outreach and education regarding a variety of activities, including but not limited to benefit changes/expansion, renewal/retention efforts, marketing materials for enrollment, preventive health information, etc. The position will also serve as a government liaison with state agencies for the review and approval of state regulatory materials.

Job Description

• Review all education and outreach materials for current and/or prospective members about plan activities, including materials for marketing, health fairs, community events, etc. against regulatory requirements for all lines of business (e.g. Medicaid, Managed Long-Term Care, HARP, HIV Special Needs Plan, Child Health Plus, Essential Plan, and Commercial Plans).
• Review all materials created for the purposes of communicating important information for providers.
• Submit to state agencies (BIGA, MLTC, NYSOH, DFS, etc.) any materials that require state review and approval.
• Assign final codes to all materials submitted, submit and log approvals, and monitor the materials database for ongoing compliance with all material distributions.
• Monitor and maintain Communications SharePoint site, used to track all incoming materials for review and coding approved by the NYS Department of Health (DOH).
• Escalate material review to Director of Regulatory Affairs for second level review, as necessary.
• Other duties as assigned or requested.

Minimum Qualifications

• Bachelor’s Degree required.
• Minimum 3 years of Managed Care experience, with a focus on Medicaid and Government Programs required.
• Prior successful experience working with regulators in communications review preferred.
• Experience managing complicated projects, keeping track of details, and staging work to deliver projects on time.
• Proven ability to interpret and articulate regulatory requirements, convey complex information, and prepare presentations to capture information for a diverse audience, including business and technical staff.
• Proven ability to research and edit policy and procedure documents as well as reports for a diverse audience.
• Demonstrated ability to manage multiple project requests and track review and approval status.
• Proficiency in Microsoft Suite, including SharePoint.

Professional Competencies

• Excellent written and oral communication skills
• Excellent interpersonal skills with a high level of diplomacy and political awareness, and ability to work effectively as a member of the senior management team
• Organizational skills
• Sound working knowledge of Word, Excel, PowerPoint, SharePoint, and Visio as well as online/Internet-based research tools
• Creative problem-solving abilities

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 5x8
• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• New York, NY 10004: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in New York, NY 10004

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