Senior Health Care Management System Analyst/Trainee 1 (NY HELPS) - 80208
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Duties Description This incumbent will function as an analyst within the Division of Finance and Rate Setting, within the Bureau of Financially Distressed Hospitals (FDH).The Bureau of Financially Distressed Hospitals Bureau's goal is to promote financial sustainability for healthcare providers, thereby improving health service quality, preserving access, and decreasing statewide provider reliance on State aid to fund operations. In addition, this Bureau works directly with hospitals on their cash flow, hospital needs, and various payment mechanisms, including Directed Payment Templates (DPT), Vital Access Program (VAP) funding, and Vital Access Provider Assurance Program (VAPAP) awards.Duties Include:Reviews financial information accompanying contracts, construction applications, reports, and other operational documents for financial feasibility and impact on Medicaid reimbursement rates; Develops and reviews cost reports, including CFRs, for State-operated programs. Tracks and ensures that reports are filed timely; conducts cost data or desk audits to ensure accuracy of filings; and follows-up on late reports; Reviews budget proposals for programs, contracts, grants, and solicitations for consistency with financial requirements.Ensures quarterly statistical and ancillary financial information is accurately reported; identifies and addresses deficiencies; determines impact of incorrect reporting and communicates requirements to health care providers; Reviews billing processes or assists with reviews to determine compliance with rules, and identifies and implements billing system edits and process changes in conjunction with information technology staff; Consults with agency audit staff on accounting issues requiring comprehensive review. Performs financial and statistical analysis of health care financing methodologies to assess viability.Reviews statutory and regulatory requirements and amendments and assesses their impact on existing heath care financing systems and models. Drafts reports documenting impacts and required system billing changes; Researches new health care financing methods to determine viability, and reviews existing methods to assess effectiveness and modification possibilities. Conducts financial feasibility studies of health care provider capital projects and financial agreements; Analyzes financial documents and assesses need and availability of capital, operating costs, revenues, and other considerations; Reviews proposals for consistency with operating plans, expansion criteria, sound fiscal practices, character and competence of operator, and overall fiscal viability and cost effectiveness of proposals. Provides technical assistance to budget and fiscal management, treatment, field office, and/or local government staff in the monitoring of health care provider revenues, fiscal planning needs, claiming, and cost reports. Oversees financial databases for assigned program areas. Performs Medicaid rate setting activities.Calculates and updates Medicaid reimbursement rates by reviewing and analyzing relevant information consistent with applicable laws, rules, and regulations; Reviews and analyses requests for rate adjustments and appeals; Assists upper-level Health Care Fiscal Analysts and other staff in developing specialty rates. Resolves health care provider audit and rate appeal issues; Develops necessary information and analyses to resolve outstanding financial issues. Communicates verbally and in writing with providers regarding reimbursement rate adjustments; Resolves questions raised by health care providers and outside auditors relative to assigned reimbursement rates; Reviews audit reports from the Office of the Medicaid Inspector General and other entities to determine impact on assigned health care providers and any changes to reimbursement rates or systems; Reviews rate appeals from health care providers to determine merits and responds in writing to providers regarding appeal outcomes. Communicates with outside audit firms to provide required information, and reviews findings to determine impact on assigned programs. Minimum Qualifications Reassignment: Current New York State Department of Health employee with permanent or contingent-permanent status as a Senior Health Care Management System Analyst, Grade 18.Transfer: New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer to Senior Health Care Management System Analyst, Grade 18, under Section 70.1 of the Civil Service Law.NY HELPS:Trainee 1: A bachelor's or higher degree.Trainee 2: A bachelor's degree AND one year of professional experience in conducting public policy research and analysis in finance. A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Grade 18: A bachelor's or higher degree AND two years of professional experience in conducting public policy research and analysis in finance. 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, analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience and/or education in accounting and and trend analyses.Additional Comments 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...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: Some positions may require additional credentials or a background check to verify your identity.Name Human Resource Management Group, SCD/SHCMSA/80208 Telephone (518)###-#### Fax (518) ###-#### Email Address ...@health.ny.gov AddressStreet Room 2217, Corning Tower Building, Empire State Plaza City Albany State NY Zip Code 12237 Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to ...@health.ny.gov, with Reference SCD/SHCMSA/ 80208 included in the subject line or by mail to Human Resources Management Group, SCD/SCHMSA/80208 Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) ###-####. Failure to include the required information may result in your resume not being considered for this position.