Position Information

NY HELPYes

AgencyHealth, Department of

TitleProgram Research Specialist 2 (HSA) (NY HELPS) - 15384

Occupational CategoryOther Professional Careers

Salary Grade23

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

Salary RangeFrom $86681 to $109650 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

Location

County Albany

Street Address Office of Health Insurance Programs/Division of Eligibility and Marketplace Integration/Bureau of Program Review

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description As part of the Bureau of Program Review within the Division of Eligibility and Marketplace Integration, the Program Research Specialist 2 (PRS2) will conduct Medicaid and Child Health Plus (CHPlus) pre- and post-eligibility reviews and develop case data for:

Child Health Plus Health Plan Reviews,
Local District Monitoring Reviews,
Public Health Emergency Unwind and Special Reviews and/or,
Medicaid Eligibility Quality Control Reviews,
to evaluate and monitor health plan, local district and/or other State agency compliance with State and federal Medicaid rules involving recipient eligibility and enrollment processes, using eligibility policies, evaluation standards and applicable data systems and other resources.

Duties will include, but not be limited to:

Developing methodologies for identifying appropriate case universes and generating test and/or review samples and assisting systems staff with the development of review case data needs and data collection.

Developing and maintaining suitable knowledge of Excel and/or other software used to analyze data and/or identify cases at risk for irregularities or vulnerabilities.

Developing training, testing, and review protocols that are specific to each review project, including designing, updating and/or revising standardized review worksheets, and generating test and/or review samples.

Conducting policy research and thoroughly reviewing New York State of Health, and Welfare Management System (WMS) system sample cases to determine the correct eligibility for review. This includes working with other Department agencies to obtain documentation information pertinent for the review of cases.

Reviewing initial and peer worksheets completed by subordinate staff, performing quality control reviews/writing up findings and assigning finding codes for all cases, drafting and editing reports that summarize case review results for management review and approval.

Drafting correspondence to, and liaise with CHPlus health plans, local social service districts and NY State of Health staff concerning their review results.

Providing supervision to professional subordinate staff, coordinating staff assignments, setting priorities and deadlines, resolving issues as necessary, and reviewing, monitoring and evaluating staff performance.

Minimum Qualifications Reassignment:
Current NYS Department of Health employee with one year of permanent or contingent-permanent, competitive services as a Program Research Specialist 2 (Health Systems Analyst), SG23.

Permanent Transfer Candidates:
Current NYS employee with one year of permanent or contingent-permanent, competitive, service in a title SG21 or higher and eligible to transfer under Section 52.6 of the NYS Civil Service Law.

Non-Competitive Candidates Via NY HELPS:
A bachelor's degree including or supplemented by nine semester credit hours in statistics, biostatistics, economics, econometrics, research methods, mathematics, data analysis, or data modeling PLUS THREE YEARS of professional* research experience in the collection and evaluation of quantitative data directed toward review and analysis or healthcare delivery systems, State and federal surveillance systems, health regulatory or policy analysis, or clinical outcomes.

J.D. or master's degree may substitute for one year of the experience; a doctoral degree may substitute for two years of the experience.

*For purpose of these qualifications professional research experience cannot be part of your degree requirements. You must clearly demonstrate how you meet the supplemental coursework and degree requirements for this position.

Preferred Qualifications: Preferred candidates will have strong analytical skills and the ability to pay attention to details and will also have good oral and written communication skills. Candidates should have proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team and to manage multiple priorities to meet deadlines. Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.

Additional Comments This position is part of the NYS HELPS program. No examination is required.

We offer a work-life balance and a generous benefits package, worth 65% of salary, including:

• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees’ Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...

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

If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.

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.

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

How to Apply

Name Human Resources Management Group

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 2217

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/PRS2HSA/15384 included in the subject line or by mail to Human Resources Management Group, SCD/PRS2HSA/15384, 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.