99 Washington Avenue
Minimum Qualifications Current NYS Department of Health (DOH) employee with permanent or contingent-permanent, competitive status as a Chief Health Care Fiscal Analyst, G29 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G27 and deemed eligible for transfer to Chief Health Care Fiscal Analyst, G29 under Section 70.1 or Section 52.6 of the NYS Civil Service Law.
Preferred Qualifications: Strong leadership and critical thinking skills, exceptional analytical skills with Microsoft Excel, ability to solve problems independently, and knowledge in performing financial, statistical and database analysis. Professional work experience should include knowledge of NYS Medicaid policy and rate setting. The candidate should 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. Additionally, an understanding of eMedNY, the Medicaid Data Warehouse (MDW), Salient, and Microsoft Office applications is preferred.
Duties Description This incumbent will lead financial analysts within the Bureau of Global Cap, Rebates, and Supplemental Programs within OHIP’s Division of Finance and Rate Setting in the tracking, analyzing, and forecasting of the Upper Payment Limit (UPL) Program and the Medicaid Pharmacy Rebate Program. The incumbent will serve as an Assistant Bureau Director overseeing two Teams, consisting of 25 FTEs fully staffed to:
• Oversee high-level analysis and strategic planning to identify trends and impacts to providers within Upper Payment Limit demonstrations and the Medicaid Drug Rebate program.
• Work with the Centers for Medicare & Medicaid Services (CMS) towards approval of the State’s UPL demonstrations.
• Review and approve State Plan Amendments (SPAs) and State Regulations
• Oversee the calculation of the Inpatient, Outpatient, Clinic and Physician Upper Payment Limit Demonstrations.
• Manage the invoicing and collections of OBRA, Supplemental and Drug Cap pharmacy rebates.
• Coordinate reports on quantitative rebate metrics related to the Pharmacy Transition from Managed Care to Fee-for-Service.
• Develop deliverables and occasionally present materials with executive staff in OHIP, the Division of the Budget (DOB), and the Governor’s Office.
• Interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as the Federal Government, other state agencies, consultants, and state auditors that interact with the Medicaid program.
• Oversee data collection and analysis.
• Serve as program expert in stakeholder meetings, interdisciplinary teams, interagency work groups, and in conferences.
Some positions may require additional credentials or a background check to verify your identity.
Notes on ApplyingPlease submit your resume and cover letter, preferably in PDF format, by email to firstname.lastname@example.org, with Reference SCD/CHCFA/80345 included in the subject line or by mail to Human Resources Management Group, SCD/CHCFA/80345, 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.