What are the responsibilities and job description for the Associate Health Care Management Systems Analyst - 77118 position at New York State Department of Health?
Description
Duties Description
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 activities for public and private nursing homes and a range of long term care facilities and support services.
The Associate Health Care Management Systems Analyst will lead the Operating Rates unit within the Nursing Home Operating team.
Duties include: Draft, assemble, analyze and review rate packages for annual and supplemental Fee for Service rates; Review State and federal health care statutes, regulations, and policies for their impact on Medicaid Fee for Service nursing home programs and associated financing mechanisms; Conduct reviews related to rate appeals, OMIG audits, and litigation; Participate in the collection and analysis of nursing home cost report data and case mix data; Conduct surveys, studies, and health care modeling activities to analyze health care systems and validate health care financing and utilization information; Draft reports, policies, and procedures for internal and external review and distribution; Respond to requests for information or data from providers, associations, other DOH divisions, etc.; Supervise one to three G-18s (Senior Health Care Management System Analyst or comparable title) in the completion of similar tasks.
Qualifications
Minimum Qualifications
Permanent Transfer Candidates: Current New York State Department of Health employee with one year of permanent or contingent-permanent, competitive, service as an Associate Health Care MSA, SG-23, OR; Current New York State employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a SG-21 and deemed eligible for transfer to Associate Health Care MSA, SG-23 under section 52.6 of the NYS Civil Service Law.
Provisional Appointment: In the absence of an eligible list with three or more candidates willing to accept a position, a temporary provisional appointment may be considered. For provisional appointment, candidates must meet one of the following minimum qualifications: Be a current NYS Department of Health employee with one year of permanent competitive or 55-b/55-c service as a Senior Health Care Management Systems Analyst
If three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law. Employees must have one year of permanent or contingent-permanent, competitive service as a Senior Health Care MSA, full journey level. If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this title
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.
NY HELPS Non-Competitive Minimum Qualifications
A bachelor's degree and three years of specialized experience in either evaluation of programs in the health care financing field or in health services research in finance, design, or implementation and one year of which must include experience in conducting public policy research and analysis in finance.
Preferred Qualifications: Strong critical thinking skills, strong analytical skills, experience with Microsoft Excel, ability to solve problems independently. The candidate should 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.
Additional Comments
This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
Duties Description
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 activities for public and private nursing homes and a range of long term care facilities and support services.
The Associate Health Care Management Systems Analyst will lead the Operating Rates unit within the Nursing Home Operating team.
Duties include: Draft, assemble, analyze and review rate packages for annual and supplemental Fee for Service rates; Review State and federal health care statutes, regulations, and policies for their impact on Medicaid Fee for Service nursing home programs and associated financing mechanisms; Conduct reviews related to rate appeals, OMIG audits, and litigation; Participate in the collection and analysis of nursing home cost report data and case mix data; Conduct surveys, studies, and health care modeling activities to analyze health care systems and validate health care financing and utilization information; Draft reports, policies, and procedures for internal and external review and distribution; Respond to requests for information or data from providers, associations, other DOH divisions, etc.; Supervise one to three G-18s (Senior Health Care Management System Analyst or comparable title) in the completion of similar tasks.
Qualifications
Minimum Qualifications
Permanent Transfer Candidates: Current New York State Department of Health employee with one year of permanent or contingent-permanent, competitive, service as an Associate Health Care MSA, SG-23, OR; Current New York State employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a SG-21 and deemed eligible for transfer to Associate Health Care MSA, SG-23 under section 52.6 of the NYS Civil Service Law.
Provisional Appointment: In the absence of an eligible list with three or more candidates willing to accept a position, a temporary provisional appointment may be considered. For provisional appointment, candidates must meet one of the following minimum qualifications: Be a current NYS Department of Health employee with one year of permanent competitive or 55-b/55-c service as a Senior Health Care Management Systems Analyst
If three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law. Employees must have one year of permanent or contingent-permanent, competitive service as a Senior Health Care MSA, full journey level. If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this title
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.
NY HELPS Non-Competitive Minimum Qualifications
A bachelor's degree and three years of specialized experience in either evaluation of programs in the health care financing field or in health services research in finance, design, or implementation and one year of which must include experience in conducting public policy research and analysis in finance.
Preferred Qualifications: Strong critical thinking skills, strong analytical skills, experience with Microsoft Excel, ability to solve problems independently. The candidate should 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.
Additional Comments
This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
- Holiday & Paid Time Off
- Public Service Loan Forgiveness (PSLF)
- Pension from New York State Employees’ Retirement System
- Shift & Geographic pay differentials
- Affordable Health Care options
- Family dental and vision benefits at no additional cost
- NYS Deferred Compensation plan
- Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
- And many more.
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
Salary : $86,681 - $109,650