What are the responsibilities and job description for the Healthcare Organizational Operations Administrator position at Staffing Solutions Organization LLC (SSO)?
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 1
Division of Medical and Dental Directors (DMDD) Item 1466
Albany, NY | Hybrid (50% Onsite / 50% Remote)
Overview
The Division of Medical and Dental Directors – Bureau of Medical Review is seeking a Healthcare Organizational Operations Administrator to support daily operations within the Center of Operational Excellence. The Bureau is responsible for prior approval and pre‑payment review of medical equipment and services, policy development, and fraud/waste/abuse monitoring for the New York State Medicaid Program. The Center of Operational Excellence drives process improvement initiatives to achieve cost savings and enhance staff efficiency.
Key Responsibilities
- Review medical claims in accordance with established procedures
- Respond to routine phone inquiries related to claims review activities
- Escalate complex issues and claims as appropriate
- Maintain a positive, professional demeanor in all interactions
- Perform other duties as assigned
Basic Qualifications
- High school diploma or equivalent
- 3 years of administrative experience
- Proficiency with standard office technology and software
- Strong organizational skills and ability to prioritize multiple assignments
- Ability to work independently while remaining flexible and innovative
- Excellent written and verbal communication skills
- Ability to manage both internal and external inquiries professionally
- Prior customer service experience preferred
Work Environment
- Hybrid schedule: 50% onsite / 50% remote
- Professional, team‑oriented environment focused on quality, accuracy, and operational efficiency
Keyword Search Terms
Healthcare Operations • Medical Review • Claims Review • Medicaid • Customer Service • Administrative Support • Process Improvement • Fraud Waste Abuse Monitoring • Healthcare Administration • Call Handling • Office Technology • Operational Excellence • Prior Authorization • Hybrid Work
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 in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.
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.
Salary : $17 - $18