Permanent Transfer: Current NYS Department of Health employee with permanent or contingent-permanent competitive service as an Associate Health Care Fiscal Analyst, SG-23; OR a current NYS employee with one year of permanent or contingent-permanent competitive service in a title allocated to G-21 or higher, and eligible for transfer to under Section 70.1 of the Civil Service Law.
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 Associate Health Care Fiscal Analyst (AHCFA) G-23 will play a vital role on the Contracting and Fiscal Oversight team ensuring that Managed Care Organizations (MCO’s) meet mandated fiscal, regulatory and policy compliance standards and submit cost report and financial information, as necessary, in accordance with regulatory and statutory requirements. The candidate will provide subject matter expertise with evaluating, reviewing, approving, and cataloguing MCO management and provider risk contracts which include value based or alternative payment methodologies and routine or ad hoc MCO financial reports. Duties include but are not limited to:
Ensuring managed care plans submit provider contracts that comply with state and federal requirements, including methodologies for confirming member attribution, target budgets, performance payments, and shared savings and/or losses. In addition, ensure contracts comply with the State Statute, Regulations and published contracting guidelines as such relate to the financial stability and solvency of the Managed Care Organization.
Reviewing MCO quality improvement contracts for safety net hospitals in relation to existing and new initiatives.
Evaluating the timeliness and accuracy of MCO financial reports submitted by the MCOs to include monitoring the financial condition, analysis of fiscal operations and compliance with fiscal reporting requirements, reserve and escrow fund requirements and related laws, regulations and policies and other duties as assigned.
Ensure accurate fiscal monitoring and utilization of appropriate financial methodologies for established MCO’s, new MCO applications, service area expansions or new lines of business.
Supervise a team engaged in financial analysis and review.