Health Care Financing Program Manager 2 (NY HELPS) - 61402

About the Role

The Health Care Finance Program Manager 2 serves as Bureau Director within OHIP’s Division of Finance and Rate Setting, Bureau of Global Cap & Supplemental Programs. This role provides leadership in the development, implementation, management, oversight, and monitoring of the Medicaid Global Spending Cap and various supplemental Medicaid programs, including the Upper Payment Limit (UPL) program.

Responsibilities

• Lead multiple teams to establish annual Medicaid program spending targets and 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.
• Develop, track, review, and process provider rate packages.
• Perform high-level analysis and strategic planning to identify trends and impacts to providers within the $135 billion Medicaid and UPL demonstrations.
• Serve as a liaison with stakeholders, providing technical assistance and leading briefings with Legislative, Executive Chamber, and Division of the Budget (DOB) staff.
• Interact and collaborate with rate-setting, fiscal management, and program staff within the Department, as well as the Federal Government, other state agencies, consultants, and state auditors.
• Develop deliverables and present materials with executive staff in OHIP, DOB, and the Governor’s Office.

Requirements

Candidates must meet one of the following criteria:

• Current Department of Health employee with permanent or contingent-permanent status as a Health Care Financing Program Manager 2.
• 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 2.
• A bachelor's degree and five years of professional experience in finance. Two years 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. These two years 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.
• Knowledge in performing financial, statistical, and database analysis.
• Professional work experience should include knowledge of NYS Medicaid policy and rate setting.
• Ability to interact and collaborate with other Medicaid-related State Agencies, the Division of the Budget, and Centers for Medicare & Medicaid Services.
• Understanding of eMedNY, the Medicaid Data Warehouse (MDW), and Microsoft Office applications.

Benefits

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.

For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position.