Help Desk Analyst - Program Compliance & Audit

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.

Help Desk Analyst in Albany, NY

Division of Eligibility & Marketplace Integration (DEMI)

Bureau of Program Compliance and Audit

50% Onsite 50% Remote

Duties:

The Bureau of Program Compliance and Audit is seeking a highly motivated individual to ensure consumer eligibility and enrollment practices for New York State’s health insurance programs are performed in accordance with applicable State and federal laws, regulations, and policies. The incumbent will participate in self-directed trainings as well as on the job training.

As directed, they will assist with a variety of program integrity activities such as:

• Monitoring external audits and reviews, including ones conducted by the Office of State Comptroller (OSC), the Office of the Inspector General (OIG) and the federally mandated Payment Error Rate Measurement (PERM) audit. This typically involves assessing the soundness of the audit methodology, conducting independent examinations of consumer eligibility determinations and payments to ensure findings are truthful and accurate, liaising with appropriate State and federal contacts, and drafting responses to reports, follow-up questions, and requests for additional documentation.

• Building review protocols, establishing written procedures, designing standardized review worksheets, and developing training components specific to each new internal review project assigned to the bureau. Reviewing completed worksheets by initial and peer reviewers, performing quality control reviews, making preliminary finding determinations, drafting finding reports and preparing executive summaries.

• Providing technical program integrity assistance to local social service districts and other stakeholders. This includes assisting with root cause analyses, as well as collaborating with program, policy and/or systems staff to correct deficiencies identified during reviews.

• Providing temporary support to the other bureaus within the group, if needed.

Basic Qualifications: 

• 8 years of professional experience

Desired Characteristics:

Desired candidates will have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus.  Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; and experience using electronic data systems, such as Medicaid Management Information Systems and health insurance eligibility systems.

Technology Requirements for Employment:

To ensure a smooth and productive remote work experience, all candidates must meet the following technology requirements:

• Personal Equipment: Candidates are required to use their own computer and electronic equipment. The company does not provide technology equipment upon employment.
• Internet Connectivity: A reliable, high-speed internet connection is essential. Candidates must have access to their own wireless internet (WiFi) to support consistent and secure connectivity.
• System Functionality: The computer must be fully functional and capable of supporting all necessary work-related applications and communication tools.

Benefits That Support You:

At SSO, we invest in our people—supporting your health, financial security, and growth.

Benefits include:

• Health, vision, and dental insurance
• 401(k) with discretionary employer match
• Paid time off and holidays
• Flexible spending accounts
• Other Perks

We believe that when you thrive, so does our culture

Salary : $61,000 - $75,000