Program Research Specialist Jobs (NOW HIRING)

Duties Description The Program Research Specialist 1 will work in the Office of Health Insurance Programs, Division of Finance and Rate Setting. This position will perform 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. Tasks will include performing capitation rate setting, quality pool awards, directed payments and payment reconciliations.

Funding methodologies will be developed, implemented and reviewed that incorporate specified quality metrics, fee-for-service rate schedules, health plan encounter data and community health assessment data as well as plan cost report and data surveys. The incumbent will participate in Partial Cap, MAP and PACE program premium rate setting activities including rate package review and premium rate development. This includes calculating rates, developing fiscal impacts, and preparing documentation for review and approval by the Division of Budget and Centers for Medicare and Medicaid Services.

Further, the incumbent will develop surveys to collect and analyze managed care worker wage spending and plan provider contracted rate information. Other duties can include additional data management and analytics responsibilities such as advanced data extraction from various data sources including but not limited to the Medicaid Data Warehouse (MDW), OHIP Datamart and Plan Cost Reports. 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 (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 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; the ability to effectively analyze large datasets; the ability to communicate effectively both verbally and in writing; and a strong competency with Excel software application. 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 518-486-1812 or email doh.sm.Reasonable.Accommodation@health.ny.gov to make a request. The 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 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. Some positions may require additional credentials or a background check to verify your identity.