Position Information

NY HELPNo

AgencyHealth, Department of

TitlePrincipal Health Care Management Systems Analyst - 61329

Occupational CategoryHealth Care, Human/Social Services

Salary Grade27

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

Salary RangeFrom $106898 to $131665 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

Location

County Albany

Street Address Office of Health Insurance Programs - Division of Health Plan Contracting and Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description Within the Division of Health Plan Contracting and Oversight, in the Bureau of Managed Care Fiscal Oversight t(BMCFO) the incumbent will be unit team lead and will be responsible for both the administration and management of the function and assignments for a given unit.

Specific responsibilities may include but are not limited to:

• Interact and collaborate with program, rate setting, legal affairs, and other policy staff within the Department as well as other state agencies, consultants, and MCO stakeholders that interact with MC cost report or encounter data and functions. Further, the incumbent will be tasked with developing deliverables (i.e., quarterly cost report and solvency analysis, annual MLR analysis and encounter data reporting oversight) and occasionally presenting materials to Division and Agency executive staff.
• Review, analyze and evaluate State and federal regulation's related to Medicaid and other public health insurance programs to improve program operations, ensure compliance of existing programs with new or changing requirements or guidelines, provides technical assistance to various groups on regulatory changes and impacts on program operations, as well as to evaluate reports and program data to identify deficiencies, perform quality assurance and program audit functions, and to improve administration of health insurance programs.
• Review and evaluate operations of health insurance plans to identify deficiencies and propose corrective actions to ensure compliance with DOH and federal laws, rules, and regulations in relation to the cost reporting and encounter reporting and oversight polices, rules and regulations.
• Supervise several layers of professional staff and provide staff oversight responsibilities to ensure accurate fiscal monitoring and utilization of appropriate financial methodologies in relation to the financial and encounter data reporting.
• Draft, review, and update training and guidance documents, provider manuals, and job aids for staff and contractors; provide oversight to contractors involved with health insurance administration through evaluation of program functions.
• Identify and implement changes needed in current operations to accommodate implementation of new legislation, regulations, contract provisions and policies.
• Review and evaluate on an ongoing basis, existing procedures impacting Unit activities and recommend changes to increase efficiency.
• Monitor tasks assigned to unit staff, identify potential issues, and ensure quality standards and deadlines are met. Prioritize assignments for staff when needed.
• Communicate information with management if potential issues are discovered and recommend solutions.

Minimum Qualifications Reassignment: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Principal Health Care Management Systems Analyst, SG-27.

Permanent Transfer Candidates: Current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title allocated to G-25 or higher, and eligible to transfer under Section 52.6 of the Civil Service Law.

Preferred Qualifications: Critical thinking skills, analytical skills with Microsoft Excel, ability to pull and analyze large data sets using SQL and or SAS Viya and any other data anlytics tools as well as ability to solve problems independently. Professional work experience and/or education in healthcare and data, trend analyses.

Additional Comments 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

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.

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

How to Apply

Name Human Resources Management Group

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 2217

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/PHCMSA/61329 included in the subject line or by mail to Human Resources Management Group, SCD/PHCMSA/61329, 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.