NY HELPNo

AgencyHealth, Department of

TitleHealth Program Administrator 2 - 89046

Occupational CategoryOther Professional Careers

Salary Grade25

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

Salary RangeFrom $96336 to $121413 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 Health Plan Contracting and Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Duties Description Within the Division of Health Plan Contracting and Oversight, in the Bureau of Managed Fiscal Oversight, the incumbent will have both administrative and managerial responsibilities associated with oversight of the MCO encounter data and all relevant duties.

Specific responsibilities may include but are not limited to:

Supervision, oversight and training of the professional staff assigned to the Unit. Serving in a liaison role, providing technical assistance to MCO’s and Department staff on encounters compliance and oversight with State and federal policy, rules and regulations. Collaborate with program, rate setting and State’s actuary staff to develop and recommend objectives for encounter oversight and analysis in relation to data submitted by the MCO -- to assure data timeliness, completeness and accuracy as well as, assesses data output quality to ensure it supports the analytic needs of the agency.

Responsible for the analysis and interpretation of monthly validation and compliance reports used to determine adherence to data accuracy, review data completeness and timely submission and monitors the enforcement and adherence to the submission and reporting guidelines.

Provide oversight of staff research, analysis and evaluation of encounter data submitted by Managed Care Organizations.

Review validation and compliance report findings identified by staff and prepares comprehensive reports of analysis for distribution and outreach to MCO’s. Address ad hock data request including data pulls for policy/ program development and audit/ oversight agency responses. Collaborating with the members of the cost report and rate setting teams to ensure data correlation and accuracy meet State established standards.

Leading and monitoring processes performed by staff necessary to evaluate timeliness and accuracy of MCO financial reports submitted by the MCOs to successfully verify financial condition, analyze fiscal operations and compliance with fiscal reporting requirements, reserve and escrow fund requirements pursuant to related laws, regulations and internal Bureau policies.

Maintain and develop SAS and SQL coding to extract data from MDW and OHIP Data-mart as necessary to prepare statistical reports to develop policy and procedure briefs, letters, memoranda and other written materials on specific encounter data issues. Use SAS Viya and other analytical tools to present data analysis in a dynamic interactive manner.

Minimum Qualifications Current NYS DOH employee with a permanent of contingent-permanent, competitive status as a Health Program Administrator 2, G25 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G23 and deemed eligible for transfer to a Health Program Administrator 2, G25 under Section 70.1 or Section 52.6 of the NYS Civil Service Law.

Preferred Qualifications: Critical thinking skills, analytical skills SAS Viya, Microsoft Excel, with ability to manipulate large databases, and write and or utilize SQL code to pull data as need to solve problems. Professional work experience and/or education in healthcare and data and trend analyses.

Additional Comments 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.

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 EM/89046/HPA2 included in the subject line or by mail to Human Resources Management Group, EM/89046/HPA2, 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.