Medicaid Program Manager

Medicaid Program Manager  Office of Aging & Long-Term Care Location: Albany, NY Schedule: Hybrid (50% Onsite / 50% Remote) Salary Range: $85,000 - $93,600 About the Opportunity The Office of Aging & Long-Term Care is seeking a Medicaid Program Manager to support the Center for Home and Community Based Services in its mission to rebalance New York State's long-term care system from institutional care to home and community-based services. This position plays a critical role in supporting the Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) Medicaid Waiver Programs. The successful candidate will help ensure compliance with Centers for Medicare & Medicaid Services (CMS) requirements while overseeing participant complaint resolution, quality assurance initiatives, and stakeholder engagement efforts that enhance service delivery and participant outcomes. Key Responsibilities Quality Assurance & Program Oversight Oversee and manage quality assurance activities for the NHTD and TBI Waiver Programs. Lead the waiver participant complaint process, ensuring timely investigation and resolution of concerns. Serve as the primary point of contact for waiver participant cases. Investigate participant complaints, critical incidents, abuse, neglect, and participant harm allegations. Collaborate with Regional Resource Development Centers (RRDCs), Service Coordinators, and provider agencies to address and resolve participant concerns. Compliance & Regulatory Management Ensure waiver program compliance with federal CMS standards and regulations. Interact with CMS staff and external stakeholders regarding waiver operations and regulatory requirements. Monitor program performance and identify opportunities for continuous quality improvement. Technical Assistance & Stakeholder Engagement Provide technical assistance and guidance to RRDCs, program service agencies, and internal Department of Health teams. Interpret and clarify waiver policies, procedures, and program manuals. Identify opportunities for stakeholder education and participant engagement. Serve as a liaison across Department of Health bureaus to support coordinated program operations. Reporting & Operational Improvement Conduct periodic reviews of waiver service quality and participant outcomes. Develop reports, recommendations, and program analyses for leadership. Identify operational efficiencies and process improvement opportunities. Facilitate meetings and present findings to internal and external stakeholders. Required Qualifications Bachelor's degree and equivalent professional experience, or a combination of education and experience. 10+ years of professional experience in healthcare administration, Medicaid programs, human services, long-term care, public health, or a related field. 5+ years of subject matter expertise in Medicaid, waiver programs, managed care, healthcare compliance, or related program operations. Demonstrated supervisory or team leadership experience. Experience managing complex investigations, case reviews, compliance activities, or quality assurance initiatives. Preferred Qualifications Experience with Home and Community-Based Services (HCBS), Medicaid Waiver Programs, NHTD, TBI, or long-term services and supports (LTSS). Knowledge of CMS regulations and Medicaid program requirements. Strong written and verbal communication skills. Excellent organizational, analytical, and problem-solving abilities. Experience facilitating meetings and collaborating with diverse stakeholder groups. Advanced proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint. Ability to prepare detailed reports, executive summaries, and presentations for leadership. Benefits (Through SSO) SSO offers a competitive benefits package that supports your health, financial well‑being, and long‑term growth, including: Medical, dental, and vision insurance 401(k) with discretionary employer match Paid time off and holidays Flexible spending accounts Additional employee perks