99 Washington Avenue
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 #50000 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 using Microsoft Excel, ability to solve problems independently. Professional work experience should include policy, projections and trend analysis. The candidate must also have the ability to interact and collaborate with other staff with the Department of Health as well as Other State Agencies.
Duties Description "
This incumbent will function as a financial analyst within the Bureau of Public Hospital Reimbursement & Health Care Revenue (PHR) within OHIP’s Division of Finance and Rate Setting (DFRS) in the tracking, analyzing, auditing, and forecasting of the Health Care Reform Act (HCRA) and the Health Facility Cash Assessment Program (HFCAP).
HCRA and HFCAP are a major component of New York State´s Health Care financing laws which governs hospital reimbursement methodologies and targets funding for a multitude of health care initiatives. These laws require that certain third-party payors and providers of health care services participate in the funding of these initiatives through the submission of authorized surcharges and assessments.
The incumbent will perform analysis to identify trends and financial impacts within HCRA and HFCAP. The incumbent will also interact and collaborate with rate setting, fiscal management, legal affairs, and program staff within the Department as well as other state agencies, consultants, state auditors, the State’s Office of the Pool Administrator, and hospital Chief Financial Officers that interact with the HCRA and HFCAP programs. Further, the incumbent will often be tasked with developing deliverables and occasionally presenting materials with executive staff in PHR. Additional duties include:
• Establish annual HCRA and HFCAP program revenue targets;
• Track, analyze, and project program revenue on a monthly basis;
• Process and review HCRA audit reports;
• Develop, organize, and improve policy and procedures for both HCRA and HFCAP;
• Organize HCRA audit data, reports, and policies for executive staff review and recordkeeping;
• Prepare State Plan Amendments (SPAs) and State Regulations;
• Research, review, and interpret HCRA and HFCAP law; and
• Review, track, and process provider payments and recoupments.
This incumbent will function as a financial analyst within the Bureau of Global Cap, Rebates, and Supplemental Programs within OHIP’s Division of Finance and Rate Setting (DFRS) in the tracking, analyzing, and forecasting of the Medicaid Drug Rebate Program.
The Medicaid Drug Rebate Program requires drug companies to enter into a rebate agreement with the Federal Secretary of the Department of Health and Human Services (HHS) as a precondition for coverage of their drugs by Medicaid and Medicare Part B. New York State collects drug rebates for both Omnibus Reconciliation Act of 1990 (OBRA 90) managed care and fee-for-service drug utilization, and supplemental and diabetic supply rebates for fee-for-service utilization.
The incumbent will perform analysis and assist in strategic planning to identify trends and impacts to providers within the Medicaid Drug Rebate Program. The incumbent will also interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as other state agencies that interact with the Medicaid program. Further, the incumbent will often be tasked with developing deliverables and occasionally presenting materials with executive staff in the Bureau. Further duties include:
• Establish annual Medicaid Pharmacy Rebate Program collection targets;
• Track, analyze, and project program collections on a monthly basis;
• Develop reports on quantitative rebate metrics related to the Pharmacy Transition from Managed Care to Fee-for-Service;
• Process and review pharmacy rebate invoices and reports;
• Organize pharmacy data, analyses, and policies (State, Federal, Local) for executive staff review and recordkeeping; and
• Prepare State Plan Amendments (SPAs) and State Regulations.
Additional Comments Microsoft Excel knowledge, skills, and abilities are a requirement.
"Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
• Thirteen (13) paid holidays annually
• Up to Thirteen (13) days of paid vacation leave annually
• Up to Five (5) days of paid personal leave annually
• Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
• Up to Eight (8) days of paid sick leave annually for M/C
• Up to three (3) days of professional leave annually to participate in professional development
Health Care Benefits
• Eligible employees and dependents can pick from a variety of affordable health insurance programs
• Family dental and vision benefits at no additional cost
• New York State Employees’ Retirement System (ERS) Membership
• NYS Deferred Compensation
• Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
• Public Service Loan Forgiveness (PSLF)
• And many more.
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, preferably in PDF format, by email to firstname.lastname@example.org, with Reference JGL/SCHMSA/80458 included in the subject line or by mail to Human Resources Management Group, JGL/SCHMSA/80458, 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.