Position Information

NY HELPNo

AgencyHealth, Department of

TitleSenior Health Care Management Systems Analyst (NY HELPS) - 80464

Occupational CategoryFinancial, Accounting, Auditing

Salary Grade18

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

Salary RangeFrom $53764 to $85138 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 5%

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 OHIP - Division of Health Plan Contracting and Oversight - Bureau of Managed Care Fiscal Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description The Senior Health Care Management Systems Analyst (SHCMSA) G-18, in the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight, will serve within the Bureau of Managed Care Fiscal Oversight in the Financial Report and Oversight Unit, and will play a vital role in the review of Cost Reports and Medical Loss Ratio (MLR) Reports to ensure compliance/accuracy of Managed Care Organizations (MCO’s) mandated program regulations and compliance standards.

The Associated Duties for this position are as follows:
1. Collaborate with other BMCFO and Plan staff to develop program analysis, evaluate the effectiveness of the alternatives, and assess data output to ensure it supports the needs of the agency.

2. Responsible for reviewing the quarterly financial reports for Medicaid Managed Care plans and Managed Long Term Care Plans. Make changes to the software to account for new benefits, programmatic changes, new premium groups, etc. BMCFO makes changes and test software as well as assist plans with reporting questions.

3. Develop and maintain MLR SFY Annual Reporting for Managed Care lines of business (Medicaid, HARP, HIV SNP, MLTC Partial, MAP and PACE) by premium group, quarter, and region. Also develop and maintain the EP MLR and CHP MLR CY Annual Reporting.

4. Development and maintenance of review tools to review plan Solvency including tools for the calculation of the Contingent Reverse Requirement, Escrow Requirement, Premium Income and Net Income Profit & Loss, and MLR Liability for plan solvency and a multi-year trend analysis of different categories.

5. Maintain and develop Excel spreadsheet to prepare statistical reports to develop policy and procedure briefs, letters, memoranda and other written materials on specific Financial Reporting issues.

Minimum Qualifications Permanent Transfer Candidates: Current New York State Department of Health employee with permanent or contingent-permanent, competitive, status, as a Senior Health Care Management Systems Analyst, SG-18 OR; a current New York State employee with one year of permanent or contingent-permanent, competitive, service in a title eligible for transfer under Section 52.6, 70.1 or 70.4 of the NYS Civil Service Law to Senior Health Care Management Systems Analyst, SG-18, Health Care Management Systems Analyst, Trainee 1, NS, or Health Care Management Systems Analyst, Trainee 2, NS.

Non-Competitive Candidates via NY HELPS Program:

Senior Health Care Management Systems Analyst: A bachelor's or higher degree and two years of professional experience in conducting public policy research and analysis in finance.

Health Care Management Systems Analyst, Trainee 2: A bachelor's degree AND one year of professional experience in conducting public policy research and analysis in finance.

Health Care Management Systems Analyst, Trainee 1: A bachelor's or higher degree.

*Substitution: a Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.

Preferred Qualifications: Critical thinking skills and analytical skills, ability to solve problems independently. Professional work experience and/or education in healthcare and trend analyses.

Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

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

This position may require travel throughout New York State including overnights to areas not served by public transportation.

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.

The 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 of the position (beginning of the salary range). 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, EW/SHCMSA/80464

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 EW/SHCMSA/80464 included in the subject line or by mail to Human Resources Management Group, EW/SHCMSA/80464, 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.