Review Vacancy
TitleMedicaid Redesign Analyst 2 (NY HELPS) - 80415
Occupational CategoryAdministrative or General Management
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $84156 to $106454 Annually
Minimum Qualifications Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Redesign Analyst 2, Grade 23.
OR: New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer to Medicaid Redesign Analyst 2, Grade 23, under Section 70.1 or 70.4 of the Civil Service Law.
Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.
Public Candidates: A bachelor's and three years of professional experience in the administration of a public health insurance program performing one or more of the following duties in a qualifying setting: participation in the development and/or implementation of programs, policies, procedures, and/or regulations related to the delivery, reimbursement, eligibility, coverage, and/or payment of health care services; analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, and/or efficiency of health care services; participating in the development, implementation, and/or oversight of health plan contracts with organizations that provide insurance coverage of health care services. Qualifying settings for this experience include, but are not limited to: health insurance companies; health research groups; local, State, and/or federal agencies; health policy think tanks; and health insurance exchanges. Examples of non-qualifying experience include answering phones; printing and copying; filing; data entry and word processing; office inventory management; database maintenance; opening, sorting, and routing mail; scheduling; and direct patient care activities.
A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.
Preferred Qualifications: Knowledge of NYS Medicaid or other public health programs and related policies including coverage, reimbursement and claims processing, knowledge of NYS Medicaid data systems including eMedNY, familiarity with federal and NYS Medicaid policy guidance documents, knowledge of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding, proficiency with Microsoft Excel and Word.
Duties Description The incumbent, along with other staff, will be responsible for developing, interpreting, and implementing Medicaid payment and coverage policy for a broad range of medical services. Policy areas may include Physician Services, Physician Assistants, Nurse Practitioners, Midwives, Primary Care, Social Workers, Behavioral Analysts, Durable Medical Equipment, Vision Services, Audiology Services, Podiatry Services, Radiology Services Acupuncture and Chiropractic services. The individual will support staff in developing and implementing evidence-based benefit redesign initiatives, budget planning and implementation, along with Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding updates. This position also includes evaluating the appropriateness and pricing of services and service reimbursement and developing recommendations regarding existing or proposed policy, rules, and regulations and drafting proposed revisions. The incumbent will also monitor program metric dashboards for program trends and make recommendations to program policy and regulations to improve program quality and efficiency based on review of performance metrics. The incumbent will work on projects on policy and coverage issues raised by the Office of the Medicaid inspector General, the Office of the State Comptroller, and the Deputy Attorney General’s Medicaid Fraud Control Unit. This work involves interacting with numerous stakeholders both internal and external to the Department. This position may supervise multiple entry level professional staff.
Additional Comments For the duration of the NY HELPS Program, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making temporary appointments. In May 2024, if a temporary NY HELPS employee is satisfactorily performing in the position, the appointment will be changed from temporary pending Civil Service Commission Action to permanent non-competitive and the official probationary period will begin.
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, SCD/MRA2/80415
Email Address resume@health.ny.gov
Address
Street Rm 2217, Corning Tower Building, Empire State Plaza
Notes on ApplyingPlease submit your resume and cover letter, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/MRA2/80415 included in the subject line or by mail to Human Resources Management Group, SCD/MRA2/80415, 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.