Health, Department of
Permanent transfer candidates: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Senior Health Care Management Systems Analyst (G18); OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to a Senior Health Care Management Systems Analyst (G18), Health Care Management Systems Analyst Trainee 1 (NS), or Health Care Management Systems Analyst Trainee 2 (NS). For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website. https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm. Public candidates: Active list candidate on the New York State Department of Civil Service’s Professional Career Opportunities – Select Titles (PCO) eligible list #50000 with a score of 100.0 or higher OR qualified 55 B/C candidate in possession of a bachelor’s degree or higher including or supplemented by 15 semester credit hours in accounting, business administration, economics, finance, health administration, health policy, health systems, political science and/or public administration.
Preferred Qualifications: Critical thinking skills, analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience and/or education in healthcare and trend analyses.
The Office of Health Insurance Programs (OHIP) is responsible for operating the State’s Medicaid program, which provides coverage to over 7.5 million members and totals over $100 billion in annual expenditures.
The Division of Finance and Rate Setting (DFRS) is responsible for all functions within OHIP related to rate setting, including fee for service and managed care rates. This division has full oversight of the Medicaid budget, is the liaison with the Division of Budget, and manages the Medicaid Global Spending Cap.
Within DFRS, the Bureau of Nursing Home and Long Term Care Rate Setting consists of four teams that conduct rate setting, cost analysis, and other financial evaluation activities for public and private nursing homes and a range of long term care facilities and support services.
The Senior Health Care Management Systems Analyst will serve as a financial analyst in the rate setting functions for Medicaid fee-for-service nursing home programs.
The incumbent will:
Perform analysis in their review and preparation of rate packages for annual and supplemental rates for their programs, participate in the collection of cost report data, and conduct reviews related to rate appeals;
Interact and collaborate with rate setting, fiscal management, legal affairs, and program staff within the Department as well as other state agencies, consultants, state auditors, and Medicaid providers;
Develop deliverables and occasionally present materials to executive staff in DFRS;
Calculate and load Medicaid fee-for-service rates for health care service providers;
Track, analyze, and project payment rates on a quarterly and annual basis;
Process and review programmatic audit reports;
Organize data, reports, and policies for executive staff review and recordkeeping;
Draft and prepare State Plan Amendments (SPAs) and State Regulations, including the fiscal impacts of proposed changes;
Maintain rate information on the Department’s public website; and
Develop, organize, and improve policy and procedures for rate-setting; and
Research, review, and interpret relevant rate setting law.
Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
Thirteen (13) paid holidays annually
Up to Thirteen (13) days of paid vacation leave annually
Up to Five (5) days of paid personal leave annually
Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
Up to Eight (8) days of paid sick leave annually for M/C
Up to three (3) days of professional leave annually to participate in professional development
Health Care Benefits
Eligible employees and dependents can pick from a variety of affordable health insurance programs
Family dental and vision benefits at no additional cost
New York State Employees’ Retirement System (ERS) Membership
NYS Deferred Compensation
Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
Public Service Loan Forgiveness (PSLF)
And many more…
For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
To apply for this job please visit statejobsny.com.