Medicaid Redesign Analyst 2 - Albany, United States - Health, Department of

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Minimum Qualifications


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.

A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.


Duties Description


This incumbent will function as the Managed Long-Term Care Unit Lead within the Global Cap, Rebates, and Supplemental Programs Bureau within OHIP's Division of Finance and Rate Setting (DFRS) in the tracking, analyzing, and forecasting of the Medicaid Global Cap.

The Medicaid Global Cap is comprised of payments to plans and providers to cover medical services for over 7 million Medicaid recipients and spends over $100 billion gross annually.


Specific duties and responsibilities may include:

  • Supervise professional staff in the administration of program activities.

In addition, duties may include:

  • Establish annual Medicaid program spending targets
  • Drafts quarterly Legislative mandated Medicaid Global Cap and Medicaid Drug Cap reports.
  • Prepare presentation materials and deliverables for executive staff in the Bureau.
  • Respond to inquiries from Medicaid providers related to Medicaid billing and payments.
  • Review State and Federal health care statutes, regulations, and policies for their impact on health care delivery systems and systems' associated financing mechanisms.
  • Review and analyze Medicaid provider reimbursement rate adjustments.
  • Review and analyze current reimbursement systems for compliance with Executive direction and make recommendations for improvements to policies and procedures.
  • Review cost report information.
  • Prepare State Plan Amendments (SPAs) and State Regulations.
  • Work collaboratively with the Division of the Budget (DOB) and consultants.
  • Interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as other state agencies that interact with the Medicaid program
  • Draft quarterly Legislative mandated Medicaid Global Cap and Medicaid Drug Cap reports.
  • Determine and oversee staff assignments related to respective Medicaid program.
  • Review and provide feedback on staff assignments and work products.

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.

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

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