99 Washington Avenue
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.
Provisional Promotion*: NYS DOH employee with one year or more permanent or contingent-permanent, competitive status in a Senior Health Care Management Systems Analyst. If appointed provisionally, the incumbent will need to take the next Civil Service examination for this title and pass with a score that will be immediately reachable on the resulting eligible list. Failure to take, pass and achieve a reachable score on the examination may result in revocation of the appointment.
Preferred Qualifications: Professional work experience should include knowledge of Medicaid policy and rate setting. Strong critical thinking skills, strong analytical skills, experience with Microsoft Excel, ability to solve problems independently. The candidate should have knowledge of the NYS Medicaid program and have the ability to interact and collaborate with other Medicaid-related State Agencies, as well as the Division of the Budget and Centers for Medicare & Medicaid Services.
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 Upper Payment Limit (UPL) unit within the Nursing Home Operating team. Duties include: Draft, revise, and coordinate the annual Nursing Facility UPL demonstration submission and associated State Plan amendments and communications with providers, Federal CMS, etc., 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, Analyze and review rate packages for annual and supplemental Fee for Service rates, 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 G-18s (Senior Health Care Management System Analyst or comparable title) in the completion of similar tasks
Additional Comments If three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law. Employees must have one year of permanent or contingent-permanent, competitive service as a Senior Health Care MSA, full journey level . If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this title.
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.
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
Some positions may require additional credentials or a background check to verify your identity.
Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to email@example.com, with Reference SCD/AHCMSA/60206 included in the subject line or by mail to Human Resources Management Group, SCD/AHCMSA/60206, 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.