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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

Item 1362

Summary

The Division of Operations and Systems, 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 service, policy development as well as fraud and abuse monitoring for the New York State Medicaid System. The Center of Excellence is an initiative focusing on process improvement resulting in cost savings and staff efficiencies.

Duties include:

• 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

Basic Qualifications:

• High School graduate or equivalent

• 3 years of administrative experience

• Must be a United States Citizen or a Permanent Resident of the United States in order to be considered

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 in a team environment

• Insurance claim experience

• The understanding of an EOMB (explanation of medical benefits)

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.

Job Details

Pay Type Hourly

Education Level Equivalent Experience

Hiring Min Rate 17 USD

Hiring Max Rate 20 USD