Associate Healthcare Management Systems Analyst (NY HELPS)

Current permanent or contingent-permanent, competitive status as an Associate Health Care MSA, G-23 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G-21 and deemed eligible for transfer to Associate Health Care MSA, G-23 under section 52.6 of the NYS Civil Service Law.Provisional Appointment: In the absence of an eligible list with three or more candidates willing to accept a position, a temporary provisional appointment may be considered. For provisional appointment, candidates must meet one of the following minimum qualifications: Be a current NYS Department of Health employee with one year of permanent competitive or 55-b/55-c service as a Senior Health Care Management Systems AnalystIf three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law. Employees must have one year of permanent or contingent-permanent, competitive service as a Senior Health Care MSA, full journey level. If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this titleOpen to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.NY HELPS Non-Competitive Minimum Qualifications:A bachelor's degree and three years of specialized experience in either evaluation of programs in the health care financing field or in health services research in finance, design, or implementation and one year of which must include experience in conducting public policy research and analysis in finance.Preferred Qualifications: Critical thinking skills, analytical skills using Microsoft Excel, ability to solve problems independently. Professional work experience should include policy, projections and trend analysis. The candidate must also have the ability to interact and collaborate with other staff with the Department of Health as well as other state agencies.Duties Description The Associate Health Care Management Systems Analyst (AHCMSA) G-23 will play a vital role on the Contracting and Fiscal Oversight team ensuring that Managed Care Organizations (MCO's) meet mandated fiscal, regulatory and policy compliance standards and submit cost report and financial information, as necessary, in accordance with regulatory and statutory requirements. The candidate will provide subject matter expertise with evaluating, reviewing, approving, and cataloguing MCO management and provider risk contracts which include value based or alternative payment methodologies and routine or ad hoc MCO financial reports. Duties include but are not limited to:Ensuring managed care plans submit provider contracts that comply with state and federal requirements, including methodologies for confirming member attribution, target budgets, performance payments, and shared savings and/or losses. In addition, ensure contracts comply with the State Statute, Regulations and published contracting guidelines as such relate to the financial stability and solvency of the Managed Care Organization. Reviewing MCO quality improvement contracts for safety net hospitals in relation to existing and new initiatives. Evaluating the timeliness and accuracy of MCO financial reports submitted by the MCOs to include monitoring the financial condition, analysis of fiscal operations and compliance with fiscal reporting requirements, reserve and escrow fund requirements and related laws, regulations and policies and other duties as assigned.Ensure accurate fiscal monitoring and utilization of appropriate financial methodologies for established MCO's, new MCO applications, service area expansions or new lines of business.Supervise a team engaged in financial analysis and review. Additional Comments Benefits of Working for NYSGenerous benefits package, worth 65% of salary, including:Holiday & Paid Time Off•Thirteen (13) paid holidays annually •Up to Thirteen (13) days of paid vacation leave annually •Up to Five (5) days of paid personal leave annually•Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA•Up to Eight (8) days of paid sick leave annually for M/C•Up to three (3) days of professional leave annually to participate in professional developmentHealth Care Benefits•Eligible employees and dependents can pick from a variety of affordable health insurance programs •Family dental and vision benefits at no additional cost Additional Benefits •New York State Employees' Retirement System (ERS) Membership•NYS Deferred Compensation•Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds•Public Service Loan Forgiveness (PSLF)•And many more.. For more information on the NYS Department of Health's Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htmSome positions may require additional credentials or a background check to verify your identity.Name Human Resources Management Group, WDW/AHCMSA/60287 Telephone 518-486-1812 Fax 518 473-3395 Email Address resume@health.ny.gov AddressStreet Rm 2217, Corning Tower Building, Empire State Plaza City Albany State NY Zip Code 12237 Notes on Applying Please submit your resume and cover letter, PREFERABLY in PDF format, by email to resume@health.ny.gov, with Reference WDW/AHCMSA/60287 included in the subject line or by mail to Human Resources Management Group, WDW/AHCMSA/60287, 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.