Medicaid Redesign Analyst 2 (NY HELPS)

• 99388 State of New York
• Health, Department of Albany, NY Job Details Full-time $86,681
• $109,650 a year 3 hours ago Benefits Paid holidays Dental insurance Paid time off Vision insurance Loan forgiveness Qualifications Public policy development ADA accessibility regulations Managed care Managed care organization experience Program development Mid-level Master's degree Doctor of Law (JD) Medicaid health insurance Policy & process development Implementing health screening services Doctor of Philosophy Surveillance Quality improvement Data analytics Contracts Healthcare regulatory compliance policy development Medicaid regulations Medicaid Healthcare policy implementation Associate's degree 2 years Government healthcare agency experience Policy Development Stakeholder relationship building Quality assurance experience within healthcare Disability rights laws Full Job Description Duties Description The incumbent serves as a critical policy and technical staff person within the Bureau of Program Implementation and Enrollment.

The incumbent will be responsible for assisting in the planning, development, and implementation of policies governing New York State's Medicaid Managed Care program. The incumbent will provide surveillance and oversight of the Managed Care Organizations new enrollee health screening, which is required per the Medicaid Managed Care/Family Health Plus/HIV Special Needs Plan/Health and Recovery Plan Model Contract between NYS and the Managed Care Organizations. The incumbent will also participate in quality improvement initiatives, including Performance Improvement Projects, participate on workgroups with the Office of Health Services Quality and Analytics (OHSQA), and coordinate activities with managed care organizations. The incumbent will review and approve and provide surveillance and regulation of the Managed Care Organizations related to compliance with the Americans with Disabilities Act to ensure that care provided meets standards of practice and complies with State and federal statutes and regulations. They will also provide technical assistance to managed care organizations to assist with compliance in serving persons with disabilities. Minimum Qualifications Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Redesign Analyst 2, Grade 23,

OR:

New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer to Medicaid Redesign Analyst 2, Grade 23, under Section 52.6, 70.1 or 70.4 of the 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 service or 55-b/55-c service as a Medicaid Redesign Analyst 1. If 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 Medicaid Redesign Analyst 1. If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this title. Open 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.

HELPS quals:

Seven 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. 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 for five years of specialized experience; J.D. may substitute for six years of specialized experience; Ph.D. may substitute for seven years of specialized experience.

Preferred Qualifications:

The preferred candidate will have robust knowledge of the New York State Medicaid Managed Care (MMC), program benefits, managing complex programs that service high need populations, and relationships with relevant stakeholders. Additional Comments 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 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.