Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Redesign Analyst 2, Grade 23.
OR: New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer to Medicaid Redesign Analyst 2, Grade 23, under Section 70.1 or 70.4 of the Civil Service Law.
Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.
Public Candidates: A bachelor's and three years of professional experience in the administration of a public health insurance program performing one or more of the following duties in a qualifying setting: participation in the development and/or implementation of programs, policies, procedures, and/or regulations related to the delivery, reimbursement, eligibility, coverage, and/or payment of health care services; analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, and/or efficiency of health care services; participating in the development, implementation, and/or oversight of health plan contracts with organizations that provide insurance coverage of health care services. Qualifying settings for this experience include, but are not limited to: health insurance companies; health research groups; local, State, and/or federal agencies; health policy think tanks; and health insurance exchanges. Examples of non-qualifying experience include answering phones; printing and copying; filing; data entry and word processing; office inventory management; database maintenance; opening, sorting, and routing mail; scheduling; and direct patient care activities.
A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.
Preferred Qualifications: Strong critical thinking skills, exceptional analytical skills using Microsoft Excel, ability to solve problems independently. Professional work experience should include knowledge of health care policy, projections and trend analysis. The candidate must also have knowledge of the NYS Medicaid program and have the ability to interact and collaborate with other Medicaid-related State Agencies, as well as the Division of the Budget and Centers for Medicare & Medicaid Services.

This incumbent will supervise financial and systems analysts within the Bureau of Managed Care Reimbursement within OHIP’s Division of Finance and Rate Setting (DFRS) and will report to the Bureau’s Principal Health Care Fiscal Analyst (PHCFA). The Bureau of Managed Care Reimbursement is responsible for the calculation and evaluation of Managed Care (MC) rates, additional MC reimbursement and MC fiscal analysis.
The incumbent will manage both professional and administrative staff tasked with calculating, evaluating, and monitoring MC reimbursement and reimbursement rates. The incumbent will work closely with various rate setting teams throughout DFRS and must have knowledge of DFRS rate setting and reimbursement methods. Additionally, the incumbent will work with the State’s consulting actuary on rate development and reimbursement methodologies.
Under the CHSA’s direction, the incumbent will perform analysis and strategic planning to identify expenditure trends within the MC landscape. Additionally, the incumbent will serve as a liaison with stakeholders, providing technical assistance and must have the ability to administer meetings. The incumbent will also interact and collaborate with Medicaid Global Cap, Managed Care Long Term (MLTC) rate setting, FFS rate setting teams, and other State agencies. The incumbent will focus on withhold processing and other special projects