NY HELP Yes
Agency Health, Department of
Title Health Care Finance Program Manager 1 (NY HELPS) - 62217
Occupational Category Financial, Accounting, Auditing
Salary Grade 663
Bargaining Unit M/C - Managerial/Confidential (Unrepresented)
Salary Range From $115283 to $1456682 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Competitive Class
Travel Percentage 10%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 9 AM
To 5 PM
Flextime allowed? No
Mandatory overtime? Yes
Compressed workweek allowed? No
Telecommuting allowed? Yes
County Albany
Street Address Office of Health Insurance Programs/Division of Finance and Rate Setting/Managed Long Term Care Rate Setting
99 Washington Avenue
City Albany
State NY
Zip Code 12210
Duties Description This Health Care Finance Program Manager 1 will act as an Assistant Bureau Director in the Division of Finance & Rate Setting, Bureau of Managed Long Term Care Rate Setting, and is responsible for the oversight and development of several funding mechanisms including the Consumer Directed Personal Assistance Program (CDPAP) Statewide Fiscal Intermediary (SFI). Additionally, the HCFPM1 will oversee and evaluate rates for all Managed Long-Term Care (MLTC) programs including Partial Capitation, MAP, MA, PACE and the FIDA demonstration. Duties include, but are not limited to: Manage a team responsible for setting the Medicaid MLTC rates which is primarily driven by MLTC plans managing home care services (CDPAP/FI, Personal Care, CHHAs); Ensuring that Bureau staff and supervisors provide accurate rate setting information to health care providers, health plans, health care associations, control agencies, health care advocates, and other DOH programs; Develop and implement policies and standards for MLTC rate setting; Oversee data collection and analysis efforts related to MLTC rate setting management and evaluation, using this information to inform policy and decision-making; Represent the Bureau in stakeholder meetings, interdisciplinary teams, interagency work groups, and conferences related to MLTC MRT implementation, integrated care, and Value-Based Payment (VBP) issues, providing expert insights and recommendations; Partner with other units, programs, agencies, providers, health plans, and advocacy groups to develop, implement, design, or redesign MLTC rates, ensuring collaboration and alignment with organizational goals; Develop and coordinate MLTC rate setting methodologies based on changes in policy, regulations, projects, and procedures, ensuring accuracy and compliance with regulations.
Minimum Qualifications Current Department of Health employee with permanent or contingent-permanent status as a Health Care Financing Program Manager 1; 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 Civil Service Law to a Health Care Financing Program Manager 1. You may be asked for a Social Security Number to verify your transfer eligibility. For more information on the @types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website.https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm.NY HELPS Non-Competitive Minimum Qualifications:A bachelor's degree and four years professional experience in finance. One year of this experience must be in the management and supervision of health care financing, including any of the following: health care facility reimbursement, managed care capitation models, health care fiscal analysis, or health care fiscal policy development. This one year must include making policy recommendations regarding health care financing mechanisms and must include the oversight of staff who have supervisory responsibilities for professional staff. Clerical or secretarial experience will NOT be considered qualifying.A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Preferred Qualifications: Knowledge of NYS public health insurance programs including Medicaid Managed Care and Managed Long Term Care, as well as capitation payment rate setting methodology including quality and value based payment strategies. The Health Care Finance Program Manager will have experience in health finance and budgeting as well as developing and implementing financing strategies.
Additional Comments 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...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. 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
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group, CD/HCFPM1/62217
Telephone 518-486-1812
Fax 518-473-3395
Email Address resume@health.ny.gov
Address
Street 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 resume@health.ny.gov, with Reference CD/HCFPM1/62217 included in the subject line or by mail to Human Resources Management Group, CD/HCFPM1/62217, 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.
