Health Care Financing Program Manager 1 - 62234

New York State Department of Health; City of Albany (NY); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Holiday & Paid Time Off

Public Service Loan Forgiveness (PSLF)

Pension from NYS Employees’ Retirement

Shift & Geographic pay differentials

Affordable Health Care options

Dental and vision benefits

Job summary

The New York State Department of Health is seeking a Health Care Financing Program Manager 1 to lead the division’s Medicaid Global Cap activities and a range of supplemental Medicaid programs, including UPL. The role involves coordinating policy, overseeing multiple teams, and communicating with legislative and executive offices.

Responsibilities include setting spending targets, monitoring monthly spending, preparing required reports, and developing provider rate packages, with extensive

Qualifications

• A bachelor’s degree and four years professional experience in finance.
• One year of management/supervision experience in health care financing.
• Substitution: JD, master’s or higher degree can substitute for one year of specialized experience.
• Experience with health care financing mechanisms and policy development is preferred.

Responsibilities

• Establish annual Medicaid program spending targets and annual UPL demonstrations.
• Track, analyze, and project program spending monthly.
• Prepare quarterly Medicaid Global Cap reports and SPAs/State Regulations.
• Develop, organize, and improve policy and procedures for program transactions.
• Develop, track, review, and process provider rate packages.
• Collaborate with stakeholders and provide technical assistance to staff and external partners.

Skills

Leadership

Critical thinking

Analytical skills

Problem solving

Education

Bachelor's degree in finance/healthcare

Juris Doctor / Master’s or higher degree (substitution for experience)

Tools

Microsoft Excel

Microsoft Office

eMedNY

MDW

Job description

Duties Description

Within OHIP’s Division of Finance and Rate Setting, the Bureau of Global Cap & Supplemental Programs, the Health Care Finance Program Manager 1 will serve as Assistant Bureau Director and provide leadership in the development, implementation, management, oversight, and/or monitoring of the Medicaid Global Spending Cap, and a variety of supplemental Medicaid programs including the Upper Payment Limit (UPL) program. Duties of the position include, but are not limited to:

Performing Oversight Duties, Leading Multiple Teams To

Establish annual Medicaid program spending targets, annual UPL demonstrations;

Track, analyze, and project program spending on a monthly basis;

Calculate, review, and package the annual UPL demonstration calculations based on the latest policy decisions;

Develop, organize, and improve policy and procedures for program transactions;

Prepare quarterly Legislative mandated Medicaid Global Cap reports;

Prepare State Plan Amendments (SPAs) and State Regulations; and

Develop, track, review, and process provider rate packages.

Performing high-level analysis and strategic planning to identify trends and impacts to providers within the $135 billion Medicaid and the UPL demonstrations.

Serving as a liaison with stakeholders, providing technical assistance, leading briefings with Legislative, Executive Chamber, and the Division of the Budget (DOB) staff.

Interacting and collaborating with rate setting, fiscal management, and program staff within the Department as well as the Federal Government, other state agencies, consultants, and state auditors that interact with the Medicaid program.

Developing deliverables and presenting materials with executive staff in OHIP, DOB, and the Governor’s Office.

Qualifications

Minimum Qualifications

Permanent Transfer Candidates: Current New York State Department of Health employee with permanent or contingent permanent status as a Health Care Financing Program Manager 1, OR; Current New York State employee with one year or more of permanent or contingent permanent, competitive service in a title eligible to transfer under to a Health Care Financing Program Manager 1 under Section 52.6 of the Civil Service Law.

Non-Competitive Candidates Via NY HELPS Program

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.

• Substitution: a Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.

Preferred Qualifications: Strong leadership and critical thinking skills, exceptional analytical skills with Microsoft Excel, ability to solve problems independently, and knowledge in performing financial, statistical and database analysis. Professional work experience should include knowledge of NYS Medicaid policy and rate setting. The candidate should have the ability to interact and collaborate with other Medicaid-related State Agencies, as well as the Division of the Budget and Centers for Medicare & Medicaid Services. Additionally, an understanding of eMedNY, the Medicaid Data Warehouse (MDW), and Microsoft Office applications is preferred.

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 [phone] or email [e-mail] 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.