Associate Health Care Fiscal Analyst; Central Office;

Duties Description

The Office of Mental Health, Strategic Finance and Managed Care Group is recruiting for an Associate Health Care Fiscal Analyst, G-23, in the Bureau of Managed Care & Data Analytics, Billing Unit. The position supports the Bureau’s commercial billing activities, including monitoring and responding to inquiries from health plans and providers and maintaining accurate, public facing billing guidance. Job duties and responsibilities include but are not limited to the following:

- Coordinating annual updates to four program-, provider-, and site-specific fee schedules used by commercial insurers to comply with Part AA.
- Providing billing and technical assistance to providers and supporting development of
educational materials to improve stakeholder understanding of commercial reimbursement requirements.
- Assist with internal and external processes related to provider payment complaints and billing guidance related to behavioral health commercial reimbursement mandates.
- Serve as a liaison and collaborate with other NYS human service agencies including OASAS, DOH, OPWDD, and OCFS as well as other Divisions within OMH on billing issues.
- Support the development of communications originating from the Finance and Data Analytics Bureau, including guidance and policies issued to providers and MCOs related to behavioral health commercial billing and claims requirements.
- Monitor and review State and Federal healthcare and Medicaid statutes, regulations, and policies to identify pertinent billing and finance related issues and assess their programmatic and financial impact on NYS behavioral health managed care.
- Communicate and assist in developing briefings for key executive leadership on systemic MCO issues related to claims denial issues, provider viability, or member access issues.
- Collaborate with state agency partners to identify and investigate issues and prescribe solutions as needed.
-Attend and present at multiple stakeholder forums for behavioral health commercial billing or managed care.
- Other duties as assigned..

Minimum Qualifications

Candidates must be employed by New York State to be eligible to apply for this position.

Transfer:
Candidates must have permanent status as an Associate Health Care Fiscal Analyst and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1 or Section 52.6 of the Civil Service Law by having at least one year of permanent service in a qualifying title within two salary grades or one M-grade of this position.

Additional Comments

Specific scheduled hours and telecommuting availability for this position will be discussed during the interview process. Please note, employees are required to apply and obtain approval through management to telecommute according to operational needs and Agency Telecommuting Program Guidelines.

The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer.

Salary : $86,681 - $109,650