Closing Date: 31st May, 2024

Description:

A Government Entity seeks a dedicated and motivated attorney to oversee the Health Care Bureau Helpline in Albany. The Health Care Bureau (HCB) uses the law in all its forms to find solutions to health care inequities rooted in historical, persistent, and systemic discrimination. The HCB conducts investigations and brings enforcement actions in a variety of areas involving health care including protecting consumers from deceptive or illegal practices and ensuring access to health care by enforcing public health, insurance, civil rights, antidiscrimination, and other applicable laws. The Bureau has been recognized for its work during the COVID-19 pandemic in responding to unfair billing practices and fraudulent marketing of treatment and testing products, as well as for its settlements in mental health parity.

In addition to the attorneys who work on investigations and enforcement actions related to health care, the HCB also includes a group of advocates who staff the Health Care Bureau Helpline and resolve thousands of health-related complaints annually against insurance companies, medical providers, and other businesses involved in the health care market.

Specific Helpline Manager duties include, but are not limited to, the following:

Directly supervising health care advocates and support staff.
Overseeing the assignment of cases and reviewing advocates' resolution of consumer complaints.
Providing guidance and training to staff as appropriate.
Overseeing operation of the Health Care Helpline, including development and implementation of business processes and procedures.
Identifying systemic issues concerning New York State health plans, medical providers, and other entities, based on consumer complaints and Helpline data.
Leading investigations of violations of law by medical providers, health insurance companies, and pharmaceutical companies.
Negotiating settlements resulting in penalties and reforms, as well as restitution to consumers.
Other duties and special projects as assigned.

The Helpline Manager also supervises advocate duties, including but not limited to, the following:

Responding to and resolving health care complaints from consumers regarding New York State health plans and other health issues.
Reviewing health care plan policies and documents and writing inquiries to the subjects of the complaints.
Monitoring health plans for violations of state and federal laws.
Maintaining database regarding consumer and provider complaints and inquiries.
Assisting with the development of health care consumer pamphlets and other written materials.

Qualifications:

At least five (5) to six (6) years of experience in health law and/or affirmative litigation.
Strong analytic, writing, research, interpersonal, and communication skills.
Highly proactive with the ability to work independently and self-manage deadlines.
Prior management experience is desirable but not required.
A commitment to public service is essential.