Contract Management Specialist 2 Health Benefit Ex - Grade 23

Positions in this title can be hired through NY HELPS

GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit StateJobsNY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Positions

This title exists in Health, Department of and has approximately 13 positions.

View A Breakdown Of
Positions By County

*The number of positions is approximate and represents the number of positions established (both filled and vacant); it is not an indication or reference to position type or duration, or intent to be filled.

Career Ladder

(Not Available)

This title may exist in more than one negotiating unit. This salary schedule represents the most typical salary for this title. Click here to view additional salary information regarding the various bargaining units.

An individual's final salary is determined by the Office of the State Comptroller. This salary schedule does not reflect any Special Salary Treatments

Job Duties

As a Contract Management Specialist 2 (Health Benefit Exchange), you would:

Review applications requesting acceptance as certified Marketplace health plans to verify programmatic correctness, adherence to federal and State policy, compatibility with NYSOH goals, and health plan solicitation requirements.

Ensure Marketplace health plans comply with the certification standards contained in federal regulations at 45 CFR[1] 156, including standards relating to licensure, service area, network adequacy, essential community providers, marketing, and benefit design.

Ensure Marketplace health plans meet actuarial value and essential health benefit standards in accordance with applicable regulations and guidance.

Ensure cost-sharing limitations are in place for each plan.

Review plans to ensure standard plans are being offered at each level, when required; and verify that non-standard plans adhere to actuarial value, essential benefit, and solicitation requirements.

Work with health plans to ensure that all participation requirements are met and there is adequate participation in both the individual and Small Business Health Plan Marketplace.

Monitor Marketplace health plans for evidence of ongoing compliance with certification requirements, as well as compliance with NYSOH processes, procedures, requirements, and interfaces.

Collaborate with staff at the Department of Financial Services on issues related to regulatory compliance and to ensure the accuracy of information available to consumers through the website, member subscriber agreements, handbooks, and plan comparisons.

As a subject matter expert:

Define programmatic business rules related to health insurance coverage to be used in the development, testing, implementation, and refinement of information technology systems, including the Marketplace website and information exchange with health plans participating in the Marketplace.

Develop, vet, and implement protocols and standards to ensure that health plan provider networks are current, accurate, and meet adequacy standards; resolve deficiencies as they arise; serve as subject matter expert on the design or redesign of information technology systems to collect, report, and display provider affiliations with health plans.

Develop training curriculum and resources for customer service representatives, in-person assistors, and staff on the health plans and benefit variations offered on the Marketplace, provider network comparisons, cost-sharing variations, and premium comparisons.

May supervise subordinate staff.

View the classification standard for this title which illustrates the nature, extent and scope of duties and responsibilities of the classes they describe.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. Job postings on StateJobsNY will contain the most up-to-date qualifications.

How to Apply

All HELP and NY HELPS open positions are now posted on StateJobsNY. It is now even easier for Jobseekers to find openings and connect with New York State agencies.

To narrow your search to NY HELPS jobs, click on "For the General Public", then "Search Vacancies", and select "Yes" on the NY HELPS dropdown to narrow your search to NY HELPS jobs.

Directions to apply will be specified on each individual job posting.

View Open Positions
On StateJobsNY

Mobility Options

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through transfers opportunities or other examinations.

For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322.

You can also visit ELMS Online to view established open-competitive, promotion, and transition eligible lists.

back to top