Claims Verificatin Unit Manager

Job Type

Full Time

Salary

Minimum: $54,643
Maximum: $80,000

Published

08/21/2018

Address

42-09 28th Street
Long Island City
New York
11101
United States

Description

The Division of Mental Hygiene (DMHy) of the New York City Department of Health and Mental Hygiene is responsible for policy, programs, and provider oversight related to mental health; alcohol and drug use and developmental delays and disabilities.


The Bureau of Administration within the Division of Mental Hygiene is responsible for the administrative over 500 contracts and 40 intra-city agreements with community-based organizations and hospitals, and responsible for payments and verification of claims submitted by these contracted entities.


Reporting to the Assistant Commissioner, the Director of Finance will be responsible for the fiscal management of a Mental Hygiene contract portfolio valued at over $400M.


- Provide leadership to the Claims Verification and Payment Units and directly supervise the staff overseeing both of these units.


- Ensure compliance with DOHMH requirements and with federal/state/city guidelines for MHy contracts.


- Make recommendations to executive management on funding or defunding contracts.


- Establish and implement control mechanisms to facilitate fiscal monitoring of contractual expenditures; Oversee all payments made to MHy contracted providers to ensure timely payment made to providers.


- Act as the point of contact for MHy on all audit reviews and findings on contracts.  


-Develop and implement policies and procedures to improve the performance of the Claims Verification and Payment Units.


-Work collaboratively with the agency's central Finance/Fiscal Offices to ensure the Division is adhering to agency policies; work collaboratively with the agency's Audit services to mitigate financial risks with regard to claim verification and payments made to the Division's contracted providers.


- Develop reports on spending and payments, and assist contracted providers on issues of payments and disallowances and ensure units remain responsive to provider inquiries.


-Work collaboratively with the Divisional Bureaus/Programs engaging them in the payment and verification process.


-Develop reports on spending and payments.

Minimum Qual Requirements

A baccalaureate degree from an accredited college including or supplemented by 24 credits in accounting, including one course each in advanced accounting, auditing, and cost accounting and four years of satisfactory full-time professional accounting or auditing experience, at least 18 months of which must have been in an administrative, managerial, or executive capacity or supervising a staff performing accounting or auditing work; or

2. A valid New York State Certified Public Accountant license and at least 18 months of satisfactory full-time professional accounting or auditing experience in an administrative, managerial or executive capacity or supervising a staff performing accounting or auditing work.

Preferred Skills

Knowledge of government financing, budgeting and procurement rules and systems.


--Excellent analytic, interpersonal, writing and communication skills


--Proficient in all Microsoft Office, with emphasis on Excel and Visio


--Strong analytical skills, able to manipulate, interpret and report data


--Able to supervise personnel performing claims


--Knowledge of auditing principles.

Additional Information

**IMPORTANT NOTE TO ALL CANDIDATES:


Please note: If you are called for an interview you will be required to bring to your interview copies of original documentation, such as:

• A document that establishes identity for employment eligibility, such as: A Valid U.S. Passport, Permanent Resident Card/Green Card, or Driver’s license. 


• Proof of Education according to the education requirements of the civil service title. 


• Current Resume  


• Proof of Address/NYC Residency dated within the last 60 days, such as: Recent Utility Bill (i.e. Telephone, Cable, Mobile Phone)


Additional documentation may be required to evaluate your qualification as outlined in this posting’s “Minimum Qualification Requirements” section. Examples of additional documentation may be, but not limited to: college transcript, experience verification or professional trade licenses.


If after your interview you are the selected candidate you will be contacted to schedule an on-boarding appointment.  By the time of this appointment you will be asked to produce the originals of the above documents along with your original Social Security card.


**LOAN FORGIVENESS


The federal government provides student loan forgiveness through its Public Service Loan Forgiveness Program (PSLF) to all qualifying public service employees. Working with the DOHMH qualifies you as a public service employee and you may be able to take advantage of this program while working full-time and meeting the program’s other requirements. 


Please visit the Public Service Loan Forgiveness Program site to view the eligibility requirements:


https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service

To Apply

Apply online with a cover letter to https://a127-jobs.nyc.gov/. In the Job ID search bar, enter: job ID number # 348903.


We appreciate the interest and thank all applicants who apply, but only those candidates under consideration will be contacted.


The NYC Health Department is committed to recruiting and retaining a diverse and culturally responsive workforce. We strongly encourage people of color, people with disabilities, veterans, women, and lesbian, gay, bisexual, and transgender and gender non-conforming persons to apply.


All applicants will be considered without regard to actual or perceived race, color, national origin, religion, sexual orientation, marital or parental status, disability, sex, gender identity or expression, age, prior record of arrest; or any other basis prohibited by law.

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Professional Level

Professional

Minimum Education Required

4-year degree


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