NY HELPYes

AgencyHealth, Department of

TitleProgram Research Specialist 1 (HCF) - 60291

Occupational CategoryAdministrative or General Management

Salary Grade18

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

Salary RangeFrom $52198 to $82656 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 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address OHIP/Division of Finance and Rate Setting / Bureau of Managed Long Term Care Rate Setting

99 Washington Ave

City Albany

StateNY

Zip Code12210

Minimum Qualifications Reassignment: Current NYS Department of Health (DOH) employee with permanent or contingent-permanent status as a Program Research Specialist 1 (Health Care Finance), G-18, Program Research Specialist Trainee 1 (Health Care Finance), NS or Program Research Specialist Trainee 2 (Health Care Finance), NS.

Transfer: Current NYS employee with one or more years of permanent or contingent permanent, competitive service in a title eligible for transfer to Program Research Specialist 1 (Health Care Finance), Grade 18, under Section 52.6 of the Civil Service Law.

NY HELPS:

Program Research Specialist Trainee 1 (Health Care Finance): A bachelor's degree including or supplemented by nine semester credit hours in biostatistics, data analysis, data modeling, economics, econometrics, mathematics, research methods, or statistics.

Program Research Specialist Trainee 2 (Health Care Finance): A bachelor’s degree including or supplemented by nine semester credit hours in statistics, biostatistics, economics, econometrics, mathematics, research methods, data analysis, data science, or data modeling and one year of professional research experience in health care financing performing the collection, manipulation (e.g., data construction, merging data files, data cleaning, working with data files containing different levels of data) and evaluation of quantitative data directed toward review, analysis, and presentation related to program operations.?

Program Research Specialist 1 (Health Care Finance): A bachelor’s degree including or supplemented by nine semester credit hours in statistics, biostatistics, economics, econometrics, mathematics, research methods, data analysis, data science, or data modeling and two years of professional research experience in health care financing performing the collection, manipulation (e.g., data construction, merging data files, data cleaning, working with data files containing different levels of data) and evaluation of quantitative data directed toward review, analysis, and presentation related to program operations.?

Preferred qualifications: Strong analytical thinking, writing and time management skills; the ability to effectively analyze large datasets; the ability to communicate effectively both verbally and in writing; and a strong competency with Excel software application.

Duties Description The Program Research Specialist 1 (Health Care Finance) will work in the Office of Health Insurance Programs, Division of Finance and Rate Setting. This position will perform research, evaluation, and analytical studies relating to the fiscal oversight of the Partial Capitation, Medicaid Advantage Plus (MAP) and Program of All-inclusive Care for the Elderly (PACE) Managed Long Term Care Programs.

Tasks will include performing capitation rate setting, quality pool awards, directed payments and payment reconciliations. Funding methodologies will be developed, implemented and reviewed that incorporate specified quality metrics, fee-for-service rate schedules, health plan encounter data and community health assessment data as well as plan cost report and data surveys.

The incumbent will participate in Partial Cap, MAP and PACE program premium rate setting activities including rate package review and premium rate development. This includes calculating rates, developing fiscal impacts, and preparing documentation for review and approval by the Division of Budget and Centers for Medicare and Medicaid Services. Further, the incumbent will develop surveys to collect and analyze managed care worker wage spending and plan provider contracted rate information. Other duties can include additional data management and analytics responsibilities such as advanced data extraction from various data sources including but not limited to the Medicaid Data Warehouse (MDW), OHIP Datamart and Plan Cost Reports.

Additional Comments Full-time, contingent permanent position. Transfer candidates, you may be asked for your Social Security Number to verify your transfer eligibility. NY HELPS candidates, please include a copy of your college transcripts (can be unofficial) for your bachelor's degree. Please be sure the name of the college or university appears on it along with degree received and date conferred.

For more information on transfer types, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website: https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.

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..."

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/PRS1HCF/60291

Telephone 5184681812

Fax (518)473-3395

Email Address resume@health.ny.gov

Address

Street Rm 2217, Corning Tower Bldg

Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on ApplyingPlease submit your resume, copy of your college transcripts, and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/PRS1HCF/60291/OHIP included in the subject line or by mail to Human Resources Management Group, SCD/PRS1HCF/60291/OHIP, 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.