Health Equity Payor Partnerships Specialist
Job Details
LIC - Central DOHMH - Long Island City, NY
Full Time
Day
Health Equity Payor Partnerships Specialist

The Fund for Public Health in New York City (FPHNYC) is a 501(c)3 non-profit organization that is dedicated to the advancement of the health and well-being of all New Yorkers.  To this end, in partnership with the New York City Department of Health and Mental Hygiene (DOHMH), FPHNYC incubates innovative public health initiatives implemented by DOHMH to advance community health throughout the city. It facilitates partnerships, often new and unconventional, between government and the private sector to develop, test, and launch new initiatives. These collaborations speed the execution of demonstration projects, effect expansion of successful pilot programs, and support rapid implementation to meet the public health needs of individuals, families, and communities across New York City. 

 

PROGRAM OVERVIEW

The Health Systems Planning (HSP) team under the Healthcare System Strategy (HSS) team in the Bureau of Equitable Health Systems (BEHS) is looking for a Health Equity Payor Partnerships Specialist to assist in implementing demonstration projects involving Medicaid managed care organizations (MCOs). Projects facilitated by HSP provide innovative interventions to address chronic diseases such as, but not limited to, hypertension (HTN), asthma and diabetes, as well as social needs issues including insufficient access to care, birth equity and social determinants of health (i.e. housing, medical respite,…). More recently the team has focused on projects related to Covid recovery and the Monkeypox outbreak as well as the ongoing work with the New York State 1115 Medicaid Waiver.

 

One ongoing demonstration project is the Medicaid Together pilot program. The HSP team is working with Medicaid insurers to invest in housing upgrades and home-based education focused on removing pest allergens from the home within 60 days of discharge for children admitted with a diagnosis of asthma. This demonstration project hopes to prove that this strategy for investing in housing improvements and home-based education can (a) reduce asthma hospital use and improve housing quality for low-income children, and thereby (b) reduce healthcare costs, creating paths for broader replicability. The project was launched in September 2021. This position would work to expand this and similar demonstration projects involving payor relationships.

 

BEHS is a bureau within the division of the Center for Health Equity and Community Wellness within DOHMH. BEHS engages primary care providers, hospitals, and other healthcare systems to implement evidence-based strategies; leverage information to support planning and technical assistance for providers and payors; advance policy to close the racial equity gap for priority health outcomes; and surface opportunities where healthcare can influence and connect individuals to social support and address the whole person, beyond physical ailments. The position will be located at the Long Island City offices of the DOHMH.

 

POSITION OVERVIEW

HSP is looking for a dynamic, detail-oriented Health Equity Payor Partnerships Specialist to provide coordination and support for Medicaid demonstration projects with health plans, as well as additional programmatic support, as needed. They will provide logistical support for activities to develop and maintain payor relationships, included but not limited to team meetings, research on policy and programs conducted in other states and will support administrative processes. They will help coordinate technical assistance to or quality assurance with partners. Working with HSP staff, they will compile information for reporting to project partners and DOHMH leadership. 

 

RESPONSIBILITIES

  • Keep track of deadlines and budgets associated with assigned projects and work with relevant external and internal stakeholders to ensure timely completion of activities.
  • Support the execution and monitoring of contracts and agreements. 
  • Schedule and provide logistical support for workgroup meetings and technical assistance to partners, stakeholder groups and other workgroup meetings and calls including with MCOs, hospitals, and others. 
  • Develop meeting agendas, meeting minutes and materials.
  • Maintain stakeholders up-to-date on the status of the team activities and programs. 
  • Support data exchange coordination and data management for project evaluations.
  • Research policy and demonstration projects conducted by other local governments.
  • Additional programmatic support as needed.
Qualifications
    • Bachelors’ degree in public health or a related field
    • 3+ years of experience in project management or project coordination
    • Experience working with large data set
    • Experience working with and managing budgets 
    • Excellent computer skills, with proficiency in Microsoft Office Suite software including One Drive, Outlook, Power Point, Excel, and Word  
    • Ability to demonstrate a professional, positive attitude and work ethic
    • Detail oriented and focused
    • Excellent interpersonal and communication skills (verbal and written)
    • Ability to manage multiple projects and work collaboratively as a team member as well as independently

 

PREFERRED SKILLS

  • Experience with or expertise in healthcare or social service operations and Medicaid policy.
  • Experience with or expertise in asthma and/or diabetes and/or hypertension and/or social determinants of health.
  • Experience with contract negotiation, healthcare billing and/or coordinating a program evaluation a plus.
  • Salesforce experience a plus.

 

LOCATION

Gotham Center, 42-09 28th Street LIC, NY 11101

 

SALARY AND BENEFITS

FPHNYC offers a comprehensive benefits package. The salary range for this position is approximately $75,000-$85,000.

 

 

TO APPLY

To apply, send Resume, with Cover Letter, including how your experience relates to this position. We ask that you do not contact our staff directly and no phone inquiries please. Applicants who best match the position needs will be contacted.

 

The Fund for Public Health in New York City is an Equal Opportunity Employer and encourages a diverse pool of candidates to apply.

 

Apply