Associate Health Care Management Systems Analyst - Albany, United States - Health, Department of

Mark Lane

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Mark Lane

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Description

Minimum Qualifications


Current NYS Department of Health (DOH) employee with 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.


NY HELPS Non-Competitive Minimum Qualifications:


A bachelor's degree in accounting, business administration, economics, finance, health care administration, health policy, health systems, or public administration; 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.


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 G18s (Senior Health Care Management System Analyst or comparable title) in the completion of similar tasks

Additional Comments
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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