Position Information

NY HELPYes

AgencyHealth, Department of

TitleMedicaid Redesign Analyst 1 /Trainee 1 / Trainee 2 (NY HELPS) - 95243

Occupational CategoryHealth Care, Human/Social Services

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 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? Yes

Telecommuting allowed? Yes

Location

County Albany

Street Address Office of Health Insurance Programs/Division of Program Development and Management/Bureau of Medical and Dental Policy

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description The incumbent, along with other staff, will be responsible for developing, interpreting, and implementing Medicaid payment and coverage policy for a broad range of medical services reimbursed in both fee-for-service as well as Managed Care. Policy areas may include Physician Services, Physician Assistants, Nurse Practitioners, Midwives, Primary Care, Social Workers, Behavioral Analysts, Vision Services, Podiatry Services, Radiology Services, Acupuncture, and Chiropractic services. The individual will concentrate on practitioner policy, including budget planning and implementation and related Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding updates. This position also includes evaluating the appropriateness and pricing of service reimbursement and developing recommendations regarding existing or proposed policy, rules, and regulations and drafting proposed revisions. The individual will work with other DOH divisions and other state agencies to ensure that coverage and payment policy complies with federal and state statute and regulations. This work involves interacting with numerous stakeholders both internal and external to the Department.

Minimum Qualifications Permanent Transfer Candidates: Current NYS Department of Health employee with one year of permanent or contingent permanent, competitive, service as a Medicaid Redesign Analyst1, SG-18; OR current NYS employee with one year or more of permanent or contingent permanent, competitive, service in a title eligible to transfer under Section 52.6 of the NYS Civil Service Law to Medicaid Redesign Analyst 1, SG-18.

Non-Competitive Candidates via NY HELPS Program
Medicaid Redesign Analyst:
Six years of experience* in the administration of a public health insurance program performing one or more of the following duties: participation in the development or implementation of programs, policies, procedures, or regulations related to the delivery, reimbursement, eligibility, coverage, or payment of health care services; analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, or efficiency of health care services; participating in the development, implementation, or oversight of health plan contracts with organizations that provide insurance coverage of health care services.

Medicaid Redesign Analyst, Trainee 2:
Five years of experience* in the administration of a public health insurance program performing one or more of the following duties: participation in the development or implementation of programs, policies, procedures, or regulations related to the delivery, reimbursement, eligibility, coverage, or payment of health care services; analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, or efficiency of health care services; participating in the development, implementation, or oversight of health plan contracts with organizations that provide insurance coverage of health care services.

Medicaid Redesign Analyst, Trainee 1:
Four years of experience* in the administration of a public health insurance program performing one or more of the following duties: participation in the development or implementation of programs, policies, procedures, or regulations related to the delivery, reimbursement, eligibility, coverage, or payment of health care services; analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, or efficiency of healthcare services; participating in the development, implementation, or oversight of health plan contracts with organizations that provide insurance coverage of health care services.

Associate degree may substitute for two years of specialized experience; bachelor's degree may substitute for four years of specialized experience; master's degree may substitute five years of specialized experience; J.D. may substitute for six years of specialized experience.

Preferred Qualifications: The preferred candidate will work effectively in a fast-paced environment both independently as well as part of a team. They will have excellent organizational, analytical, verbal, and written communication skills and be able to prioritize multiple assignments. They will have experience with data systems and proficiency using Microsoft Office programs (Word, Excel, PowerPoint, Outlook and SharePoint).

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.

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, EW/MRA1/95243

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/MRA1/95243 included in the subject line or by mail to Human Resources Management Group, EW/MRA1/95243, 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.