- Experience in Medicaid Managed Care
- Knowledge of clinical quality improvement and/or performance measurement
- Intermediate or advanced Microsoft Excel skills
- Research and review of bundled payment/episodic payment arrangements for maternal population services
- Documentation of evidence-based quality improvement strategies and associated quality metrics
- Development of data measurement plan, to include developing measure specifications and data collections plans
- Management of financial data sets
- Preparation of documents and materials for presentations to leadership
- Coordination of cross-agency workgroups and meetings
- Thirteen (13) paid holidays annually
- Up to Thirteen (13) days of paid vacation leave annually
- Up to Five (5) days of paid personal leave annually
- Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
- Up to Eight (8) days of paid sick leave annually for M/C
- Up to three (3) days of professional leave annually to participate in professional development
- Eligible employees and dependents can pick from a variety of affordable health insurance programs
- Family dental and vision benefits at no additional cost
- New York State Employees' Retirement System (ERS) Membership
- NYS Deferred Compensation
- Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
- Public Service Loan Forgiveness (PSLF)
- And many more.
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medicaid redesign analyst 2 - Albany, NY, United States - StateJobsNY
Description
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:
Duties Description The Medicaid Redesign Analysts (MRA) 2 will support development and implementation of a Medicaid Value-based Payment (VBP) initiative for maternal health under the supervision of the unit director.
The MRA 2 will conduct research, measurement, analysis, and financial/rate setting activities for an alternate payment arrangement to support improved access to and quality of Medicaid maternal health services.
Responsibilities may include:
Additional Comments For the duration of the NY HELPS Program, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply.
In May 2024, if a temporary NY HELPS employee is satisfactorily performing in the position, the appointment will be changed from temporary pending Civil Service Commission Action to permanent non-competitive and the official probationary period will begin.
Benefits of Working for NYSGenerous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group, MVS/MRA 2/99382
Telephone
Fax
Email Address
Address
Street Rm 2217, Corning Tower Building, Empire State Plaza
City Albany
State NY
Zip Code 12237
Notes on Applying Please submit your resume and cover letter, preferably in PDF format, by email to , with Reference MVS/MRA2/99382 included in the subject line or by mail to Human Resources Management Group, MVS/MRA2/99382, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY , or by fax to Failure to include the required information may result in your resume not being considered for this position.