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Review Vacancy

Date Posted 11/29/23

Applications Due12/13/23

Vacancy ID144978

AgencyHealth, Department of

TitleSenior Health Care Management Systems Analyst - 80464, 87319 and 90732

Occupational CategoryFinancial, Accounting, Auditing

Salary Grade18

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

Salary RangeFrom $47925 to $80248 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 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address OHIP - Division of Health Plan Contracting and Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Minimum Qualifications Permanent transfer candidates: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Senior Health Care Management Systems Analyst (G18); OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to a Senior Health Care Management Systems Analyst (G18), Health Care Management Systems Analyst Trainee 1 (NS), or Health Care Management Systems Analyst Trainee 2 (NS). For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website. https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.

Public candidates: Active list candidate on the New York State Department of Civil Service’s Professional Career Opportunities – Select Titles (PCO) eligible list #50002 with a score of 100.0 or higher OR qualified 55 B/C candidate in possession of a bachelor’s degree or higher including or supplemented by 15 semester credit hours in accounting, business administration, economics, finance, health administration, health policy, health systems, political science and/or public administration.

Preferred Qualifications: Critical thinking skills, analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience and/or education in healthcare and trend analyses.

Duties Description The Senior Health Care Management Systems Analyst will serve as a financial analyst and play a vital role on the Contracting and Fiscal Oversight team ensuring that Managed Care Organizations (MCO's) meet mandated fiscal, regulatory and policy compliance standards.

The incumbent's duties will include but are not limited to:

• Review quarterly and annual financial reporting for managed care plans for timeliness and accuracy, including MMCORs, MLR reports, MCO Annual Certified Audited Financial Statements, MCO holding company statements and MCO NYS Escrow Fund bank statements submitted by MCOs.
• Review Managed Care Organizations (MCOs) filings and data for compliance with State and Federal regulations, along with notifying supervisory staff to provide outreach to ensure fiscal reporting requirements are met.
• Monitoring the financial condition and solvency of MCOs, including analysis of their financial operations and compliance with financial reporting for compliance with Public Health Law, regulations, and policies.
• Reviewing and evaluating equity transfers, such as dividend requests, asset transfers, and surplus note repayments.
• Using their MCO access to the State proprietary MMCOR software reports on the Health Commerce System (HCS) to evaluate fiscal solvency and other regulatory transactions.
• Communicating report findings and work with MCOs to improve compliance in all areas of fiscal reporting and data submission.

Additional Comments 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, MS/SHCMSA/80464,87319,90732

Telephone 5184861812

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 ApplyingPlease submit your resume and cover letter, preferably in PDF format, by email to resume@health.ny.gov, with Reference MS/SHCMSA/80464,87319,90732 included in the subject line or by mail to Human Resources Management Group, MS/SHCMSA/80464,87319,90732, 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.

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