Experience Inc. Jobs

NY HELP Yes

Agency Health, Department of

Title Associate Health Care Management Systems Analyst (NY HELPS) - 60286

Occupational Category Financial, Accounting, Auditing

Salary Grade 23

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $84156 to $106454 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 4 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Programs / Division of Finance and Rate Setting / Bureau of Nursing Home & Long Term Care Rate Setting

99 Washington Avenue

City Albany

State NY

Zip Code 12260

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 theNursing Home UPL unit within the Nursing Home Operating team. Duties include:• Perfom high level analysis of Medicare and Medicaid cost report data, State Plan amendments, and patient acuity classification data in order to complete the annual Nursing Home UPL demonstration• 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

Minimum Qualifications Current permanent or contingent-permanent, competitive status as an Associate Health Care MSA, G-23 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G-21 and deemed eligible for transfer to Associate Health Care MSA, G-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 AnalystIf 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 titleOpen 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: Critical thinking skills, analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience and/or education in accounting and trend analyses. Preferred Qualifications: Strong critical thinking skills, exceptional analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience should include knowledge of Medicaid policy and rate setting. 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 position requires experience with nursing home cost report data. This position has significant demands and responsibility in preparing the annual Nursing Home Upper Payment Limit demonstration submission to CMS.

Additional Comments Microsoft Excel knowledge, skills, and abilities are a requirement.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...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. The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. 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

Some positions may require additional credentials or a background check to verify your identity.

Name Human Resources Management Group, SCD/AHCMSA/60286

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Room 2217, Corning Tower Building, Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/AHCMSA/60286 included in the subject line or by mail to Human Resources Management Group, SCD/AHCMSA/60286, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.