StateJobsNY

NY HELPNo

AgencyHealth, Department of

TitlePrincipal Health Care Fiscal Analyst - 61107

Occupational CategoryHealth Care, Human/Social Services

Salary Grade27

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

Salary RangeFrom $90375 to $111316 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 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

County Albany

Street Address OHIP, Division of Health Plan Contracting and Oversight

OCP

City Albany

StateNY

Zip Code12260

Minimum Qualifications

Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Principal Health Care Fiscal Analyst; 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 or Section 70.1 of the Civil Service Law to a Principal Health Care Fiscal Analyst. 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


Experience reviewing financial statements and performing fiscal analysis of healthcare services.

Duties Description
The Principle Health Care Fiscal Analyst is responsible for managing the Contract Fiscal Management and Oversight Unit and reports to the Bureau Director for the Bureau of Managed Care Fiscal Oversight. Principle duties of this position are to provide direction and supervision to Unit staff performing the review, analysis and validation of financial and statistical data of managed care insurance plans certified under Article 44 of the PHL. Activities within the Unit include: reviewing capitalization requirements of proposed health plans and plan expansions, evaluating provider/IPA contracts that contain risk and/or Value Based Payment arrangements, reviewing managed care plan net worth solvency and NYS Escrow Fund requirements, reviewing Management Service Agreements and Staff Leasing Agreements between plans and arms-length and related party contractors, reviewing equity/asset transfer requests, surplus note requests and evaluating plan acquisitions, purchases and mergers in conjunction with the NYS Department of Financial Services. Duties also include developing data queries from the Data Warehouse, Salient, eMedNY, MMCOR , etc. as required for financial and statistical reviews, creating and maintaining tracking systems for provider and management contract reviews, coordinating provider numbers, locator codes and HIOS IDs for all managed care products; including mainstream Medicaid (Medicaid Managed Care, HARP, HIV SNP and Medicaid Advantage) and Long Term Care (MLTC partial cap, PACE, Medicaid Advantage Plus, FIDA) lines of business. In addition, preparing Statement of Deficiency and Plan of Correction responses for the Bureau.

Additional Comments Contingent Permanent/Full-Time

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

Name Human Resources Management Group - WN/PHCFA/61107

Telephone 5184861812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street ESP - Corning Tower

Room 2217

City Albany

State NY

Zip Code 12237

Notes on ApplyingSubmit resume, preferably in PDF format, to Human Resources Management Group, WN/PHCFA/61107, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, or fax to (518) 473-3395, or by email to resume@health.ny.gov, with Reference Code, WN/PHCFA/61107 included in the subject line. Failure to include the required information in the subject line of your email or fax may result in your resume not being considered for this position. Resumes will be accepted until May 31, 2019.