NY HELPNo

AgencyHealth, Department of

TitlePrincipal Health Care Management Systems Analyst - 62175

Occupational CategoryAdministrative or General Management

Salary Grade27

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

Salary RangeFrom $106898 to $131665 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 AM

To 4 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Programs / Division of Finance and Rate Setting / Bureau of Nursing Home & Long Term Care Rate Setting

99 Washington Avenue

City Albany

StateNY

Zip Code12206

Duties Description Within Division of Finance and Rate Setting (DFRS), the Bureau of Nursing Home and Long-Term Care Rate Setting (NH&LTCRS) 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. This position will serve as the lead for the Bureau’s Long-Term Care teams and be responsible for high-level programmatic and analytical functions essential to rate development, policy implementation, and Medicaid compliance across multiple long-term care service areas.
The incumbent will lead the Other Long Term Care Team. Duties include, but are not limited to: Leading programmatic and technical oversight of the Bureau’s Other Long-Term Care Team; Conducting complex data analysis related to Medicaid cost reports, State Plan Amendments, and program utilization to identify trends and support reimbursement strategies for the Home Care FFS portfolio (CDPAP-FI, Personal Care, Certified Home Health Agencies); Creating, reviewing, and managing annual and supplemental rate packages for FFS programs (CHHAs, Hospice, and Foster Care); Interpreting data from provider-submitted cost reports for nursing home, home care (including Statewide Fiscal Intermediary), hospice, and foster care services; Evaluating OMIG audits, rate appeals, and litigation cases, and providing expert-level recommendations; Conducting health care financing modeling and policy impact studies; Managing Home Care contractor staff conducting cost report audits and rate setting development; Collaborating with eMedNY and IT systems teams to implement timely rate changes and system updates; Interfacing with the Division of Budget (DOB) and other State Agencies to provide fiscal and programmatic data in support of Medicaid budget planning and oversight; Drafting technical policy briefs, regulatory analyses, and stakeholder guidance related to Medicaid long-term care reimbursement.

Minimum Qualifications Permanent Transfer Candidates: Current Department of Health (DOH) employee with permanent or contingent-permanent status as a Principal Health Care Management Systems Analyst, SG-27; OR current NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title allocated to G-25 or higher, and eligible to transfer under Section 52.6 of the Civil Service Law.

Preferred Qualifications: Strong critical thinking skills, exceptional analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience should include knowledge of Medicaid policy and rate setting. The candidate must also 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. This position requires experience with Medicaid cost report data. This position has significant demands and responsibility in preparing the annual rates for homecare and other long term care providers including hospice and foster care.

Additional Comments Microsoft Excel knowledge, skills, and abilities are a requirement.

NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.

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.

Name Human Resources Management Group, SCD/PHCMSA/62175

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Room 2217, Corning Tower Building

Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/PHCMSA/62175 included in the subject line or by mail to Human Resources Management Group, SCD/PHCMSA/62175, 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.