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Job Details

Production Support Specialist

Job Ref: 57840
Category: Information Technology
Location: 160 Water St. #3, New York, NY 10038
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $54,017.00
Salary Range: $54,017.00 - $54,017.00

About NYC Health + Hospitals

MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. 

Position Overview

Perform a variety of routine technical and administrative tasks accurately and timely processing of information in and through computer systems. This includes the running of daily weekly and monthly Production jobs. Interact with various regulatory agencies, H+H, vendors, business units and MIS Staff to analyze, troubleshoot and resolve production issues.

Job Description

  • Run customized queries and data extracts via PowerSTEPP/AS400 and Access Database
  • Perform all applicable QA on every production job processed
  • Secure FTP transmissions of files containing member eligibility, billing, claims, payment, encounter, and patient appointment information
  • Ensure the quality of the processes meet the specifications and requirements
  • Perform data corrections and analyze data inconsistencies in PowerStepp
  • Respond to information requests from other MetroPlus business areas
  • Run periodic reports in PowerSTEPP/AS400 to assure data quality on members and their providers, to assure that their PCPs have actual contract lines and are active providers. Perform special studies as directed to determine the cause of various types of provider data issues.  Work with the Business Units to ensure that necessary member updates are made.  Work on various projects as required for data analysis and quality assurance
  • Work with Operational areas to achieve mutual data and technical needs. Adhere to mandated response times as outlined in the MetroPlus policies and procedures
  • Interact with Production staff, DST, MIS developers and MetroPlus business areas to troubleshoot and correct system/data problems
  • Identify any potential quality issues per defined process and escalate potential quality issues immediately to management
  • Provide suggestions to supervisor to improve system/application performance
  • Maintain up to date documentation on parameters for successful execution of these production processes

Minimum Qualifications

  • High School Diploma or evidence of having satisfactorily passed a High School Equivalency Program 

Professional Competencies: 

  • Detail oriented, with good verbal and written communication skills 
  • Ability to work under minimal supervision: understands and follows directions easily and well; structures and sequences tasks to meet objectives, priorities and timetables set by supervisor; seeks guidance appropriately as needed to reconcile conflicts and solve problems requiring management intervention
  • Knowledge of MetroPlus products, including Medicaid, MarketPlace, Child Health Plus, Medicare 
  • Strong knowledge of MS Excel, Word and Access 
  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills