Program Research Specialist 2 (Health Care Finance) (NY HELPS) - 87324

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include only sections with real specific content. The posting includes description/duties: we have description of duties, qualifications, additional comments (benefits, travel, etc). No explicit Pay or Schedule given. Benefits are described: "We offer a work-life balance and a generous benefits package, worth 65% of salary, including: ..." So we can include Benefits section. No explicit Pay or Schedule, so omit those sections. We need to use

for section headings. Use

• for any list of duties/requirements/benefits. Use

  for prose. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. The text includes some boilerplate like "If you require reasonable accommodation..." and "The NYS Department of Health does not participate in E-Verify...". Those are likely boilerplate; we should remove them. Also "For more information on the NYS Department of Health’s Mission..." maybe not essential but could be considered boilerplate? It's not a duty/requirement/benefit. Probably remove. Also "Additional Comments" includes some info about qualifications, travel, benefits. We need to keep substantive info: duties, qualifications, benefits, travel requirement, work-life balance, etc. We need to avoid repeating job title as heading. No Job ID. We need to decide sections: maybe "About the role" (description), "Responsibilities" (duties), "Qualifications" (minimum and preferred), "Benefits". Possibly "Skills" if we have critical thinking etc. Could include "Skills" as part of qualifications. But we can combine. We need to output only HTML fragment. Let's extract duties: - Overseeing timely filing and accuracy of the quarterly and annual financial reporting for managed care plans, including Medicaid Managed Care Operating Reports (MMCORs), Medical Loss Ratio (MLR), Annual Certified Audited Financial Statements and NYS Escrow Fund bank statements submitted by managed care plans. - Monitoring the financial condition and solvency of managed care plans, including analysis of their financial operations and compliance with financial reporting such as the NYS Escrow Fund, Contingent Reserve and Net Worth requirements for compliance with Public Health Law, regulations and policies. - Review and evaluate equity transfers, such as dividend requests, asset transfers and surplus note repayments. - Maintain access to the Health Commerce System (HCS) MMCOR application access for managed care plans. - Communicate report findings and work with managed care plans to improve compliance in all areas of fiscal reporting and data submission. Qualifications: Minimum Qualifications: - Current New York State Department of Health employee with permanent or contingent permanent status as a Program Research Specialist 2 Health Care Finance (HCF), SG-23, OR; - Current New York State employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above SG-21, and eligible to transfer under Section 52.6 of the Civil Service Law to Program Research Specialist 2 Health Care Finance (HCF), SG-23. - Non-Competitive Candidates via NY HELPS Program: A bachelor's degree including or supplemented by NINE semester credit hours in statistics, biostatistics, economics, econometrics, research methods, mathematics, data analysis, or data modeling PLUS THREE YEARS of professional* research experience in the collection and evaluation of quantitative data directed toward review and analysis of healthcare reimbursement mechanisms, funding methodology, health economics, healthcare financing, cost containment, or patient classification systems. - Substitution: J.D. or master's degree may substitute for one year of the experience; a doctoral degree may substitute for two years of the experience. Preferred Qualifications: - Critical thinking skills and analytical skills, ability to solve problems independently. - Professional work experience and/or education in healthcare and trend analyses. 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. - This position may require travel throughout New York State including overnights to areas not served by public transportation. - 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. (maybe boilerplate) - 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 (boilerplate) - If you require reasonable accommodation... (boilerplate) - The NYS Department of Health does not participate in E-Verify and does not sponsor visa applications. (boilerplate) - For new State employees appointed to graded positions, the annual salary is the hiring rate of the position (beginning of the salary range). 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. (maybe not needed but could be considered Pay info? It mentions salary but not specific amount. It's generic. According to rule: never create Pay/Schedule/Benefits sections unless posting actually states them. It does state benefits but not specific pay. The paragraph about salary is generic but still mentions salary. However it's not a specific pay figure. The rule says "never create Pay/Schedule/Benefits sections unless the posting actually states them." It does state benefits (yes). For Pay, it mentions salary but not a specific number or range; it's generic. Likely we should not create a Pay section because no specific pay is stated. So omit Pay. Schedule: not stated. Thus sections: About the role (maybe a brief description), Responsibilities, Qualifications, Benefits. Could also include Skills as part of Qualifications but we can keep Qualifications covering both minimum and preferred. We need to use

  for each section heading. We need to use

  • for any list of duties/requirements/benefits. For qualifications, it's not a simple list but we can still use
    • for each bullet. We need to preserve all substantive information; do not invent or summarize away detail. So we must keep the exact wording? We can keep the substance but not necessarily verbatim? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Means we should not omit details, but we can rephrase? Safer to keep the original phrasing as much as possible. We'll produce:

      About the role

      In the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight within the Bureau of Managed Care Fiscal Oversight, the Program Research Specialist 2 (HCF)'s responsibilities include:

      Then maybe we can combine with Responsibilities? Actually the description already says responsibilities include. Could treat that as About the role paragraph then Responsibilities list. Better:

      About the role

      In the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight within the Bureau of Managed Care Fiscal Oversight, the Program Research Specialist 2 (HCF) oversees financial reporting and compliance for managed care plans.

      But that might be summarizing. Safer to keep the sentence as is: "In the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight within the Bureau of Managed Care Fiscal Oversight, the Program Research Specialist 2 (HCF)'s responsibilities include:" then follow with
      list of duties. Thus we can have About the role as a paragraph that ends with colon, then Responsibilities as a list? But we shouldn't duplicate heading. Maybe we just have one heading "Responsibilities" and include the introductory sentence as a

      before the list. The instruction: use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have both About the role and Responsibilities sections. But we need to avoid filler. We can put About the role as a short paragraph describing the role (maybe the first sentence). Then Responsibilities as a list. Let's craft:

      About the role

      In the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight within the Bureau of Managed Care Fiscal Oversight, the Program Research Specialist 2 (HCF) is responsible for overseeing financial reporting and compliance for managed care plans.

      But that is a summary; we risk losing detail. However the detail is captured in Responsibilities list. The About the role can be generic but still substantive? It might be considered filler if it's too generic. The instruction: "Prefer a few substantive sections over many thin ones." So maybe we can skip About the role and just have Responsibilities, Qualifications, Benefits. The intro sentence can be part of Responsibilities

      . Thus:

      Responsibilities

      In the Office of Health Insurance Program's Division of Health Plan Contracting and Oversight within the Bureau of Managed Care Fiscal Oversight, the Program Research Specialist 2 (HCF)'s responsibilities include:

      • Overseeing timely filing and accuracy of the quarterly and annual financial reporting for managed care plans, including Medicaid Managed Care Operating Reports (MMCORs), Medical Loss Ratio (MLR), Annual Certified Audited Financial Statements and NYS Escrow Fund bank statements submitted by managed care plans.
      • Monitoring the financial condition and solvency of managed care plans, including analysis of their financial operations and compliance with financial reporting such as the NYS Escrow Fund, Contingent Reserve and Net Worth requirements for compliance with Public Health Law, regulations and policies.
      • Review and evaluate equity transfers, such as dividend requests, asset transfers and surplus note repayments.
      • Maintain access to the Health Commerce System (HCS) MMCOR application access for managed care plans.
      • Communicate report findings and work with managed care plans to improve compliance in all areas of fiscal reporting and data submission.
      Then Qualifications:

      Qualifications

      Minimum Qualifications:

      • Current New York State Department of Health employee with permanent or contingent permanent status as a Program Research Specialist 2 Health Care Finance (HCF), SG-23, OR;
      • Current New York State employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above SG-21, and eligible to transfer under Section 52.6 of the Civil Service Law to Program Research Specialist 2 Health Care Finance (HCF), SG-23.
      • Non-Competitive Candidates via NY HELPS Program: A bachelor's degree including or supplemented by NINE semester credit hours in statistics, biostatistics, economics, econometrics, research methods, mathematics, data analysis, or data modeling PLUS THREE YEARS of professional* research experience in the collection and evaluation of quantitative data directed toward review and analysis of healthcare reimburs