Program Research Specialist 1/ Trainee 1, 2 (HCF) (NY HELPS) - 60291

About the role

The Program Research Specialist 1 will work in the Office of Health Insurance Programs, Division of Finance and Rate Setting. This position performs research, evaluation, and analytical studies relating to the fiscal oversight of the Partial Capitation, Medicaid Advantage Plus (MAP), and Program of All-inclusive Care for the Elderly (PACE) Managed Long Term Care Programs.

Responsibilities

• Perform capitation rate setting, quality pool awards, directed payments, and payment reconciliations.
• Develop, implement, and review funding methodologies incorporating quality metrics, fee-for-service rate schedules, health plan encounter data, community health assessment data, plan cost reports, and data surveys.
• Participate in Partial Cap, MAP, and PACE program premium rate setting activities, including rate package review and premium rate development.
• Calculate rates, develop fiscal impacts, and prepare documentation for review and approval by the Division of Budget and Centers for Medicare and Medicaid Services.
• Develop surveys to collect and analyze managed care worker wage spending and plan provider contracted rate information.
• Perform advanced data extraction and analytics from various data sources, including the Medicaid Data Warehouse (MDW), OHIP Datamart, and Plan Cost Reports.

Qualifications

Minimum Qualifications:

• Current New York State Department of Health employee with permanent or contingent-permanent status as a Program Research Specialist 1 Health Care Finance (HCF), SG-18, 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 Section 52.6 of the Civil Service Law to a Program Research Specialist 1 (HCF), SG-18, Program Research Specialist Trainee 1 (HCF), NS, or Program Research Specialist Trainee 2 (HCF), NS.

Non-Competitive Candidates Via NY HELPS Program:

• Program Research Specialist 1 (HCF): A bachelor’s degree including or supplemented by nine semester credit hours in statistics, biostatistics, economics, econometrics, mathematics, research methods, data analysis, data science, or data modeling and two years of professional research experience in health care financing performing the collection, manipulation (e.g., data construction, merging data files, data cleaning, working with data files containing different levels of data), and evaluation of quantitative data directed toward review, analysis, and presentation related to program operations.
• Program Research Specialist Trainee 2 (HCF): A bachelor’s degree including or supplemented by nine semester credit hours in statistics, biostatistics, economics, econometrics, mathematics, research methods, data analysis, data science, or data modeling and one year of professional research experience in health care financing performing the collection, manipulation, and evaluation of quantitative data directed toward review, analysis, and presentation related to program operations.
• Program Research Specialist Trainee 1 (HCF): A bachelor's degree including or supplemented by nine semester credit hours in biostatistics, data analysis, data modeling, economics, econometrics, mathematics, research methods, or statistics.

Preferred Qualifications:

• Strong analytical thinking, writing, and time management skills.
• Ability to effectively analyze large datasets.
• Strong verbal and written communication skills.
• Proficiency with Excel software application.

Benefits

The position offers a generous benefits package worth 65% of salary, including:

• Holiday and paid time off.
• Public Service Loan Forgiveness (PSLF).
• Pension from the New York State Employees’ Retirement System.
• Shift and 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.