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Medicaid Program Advisor - DFRS - Item 1028

Department: Division of Finance and Rate Setting (DFRS)
Location: Albany, NY

Medicaid Program Advisor - DFRS - Item 1028 in Albany, NY

Responsibilities:

Working under the supervision of the VBP Finance and Data Analytics Manager this position will conduct VBP and DSRIP data analytics research, SAS/SQL, regression analysis, CRG grouping and risk adjustment modeling. This individual will also supervise and manage the workflow of Data Analysts engaged in similar tasks. This information will be utilized for the purpose of managed care financial/rate setting activities for premium payment to Managed Care Organizations (MCOs). Specific duties are related to comprehensive Medicaid payment reform focused on Managed Care premium development under DSRIP and VBP, and include:

  • Query, collect, analyze, manipulate and summarize large Medicaid data sets for use in development of VBP quality and efficiency adjustments to be utilized in Managed Care reimbursement and premium development.
  • Prepare narrative reports, comparative analyses and draft correspondence concerning Managed Care encounter and cost data surrounding the provision of health care services related to Managed Care premium development under DSRIP and VBP.
  • Describe and report on the progress of data analysis, modeling and metric evaluation related to Managed Care premium development under DSRIP and VBP to supervisors and other managers.
  • Examine underlying VBP and DSRIP related data trends to inform the Managed Care rate setting process.
  • Supervise and Manage the work of Data Analysts within the team
  • Develop trainings with the support of other Data analysts on pulling and analyzing Medicaid and encounter data
  • Engaging in the development and implementation of strategies for measuring and incentivizing efficiency and quality of care in collaboration with other Divisions and Offices within the Department of Health

QUALIFICATIONS: 

  • The ability to think creatively and strategically, with strong attention to detail and problem solving skills.
  • Computer literacy in the use of data structures, databases and analytical software
  • The demonstrated ability to design, manage and work with databases/systems.
  • Proficient in the use of standard office technology and basic Microsoft applications including Word, Excel, and PowerPoint.
  • Ability to work well independently and with little supervision.
  • The ability to travel within NYS as needed.
  • Strong analytical and communication (both written and verbal) skills with the ability to present data to interested parties with varying technical backgrounds.
  • The ability to supervise team members, manage a workplan, and maintain momentum on a variety of projects and activities.
  •   

EDUCATION & EXPERIENCE: 

  • Bachelorís degree in computer science, statistics, public administration, finance, or a related field, required; Masterís degree preferred.  
  • Eight (8) years of demonstrated progressive work history.
  • Two (2) years of experience with SAS business analytics software or SQL programming, required.
  • Experience in using HTML coding is preferred 
  • Experience with data collection, merging data and analysis of very large data sets, preferred.  
  • Proficiency in Microsoft Office applications including Excel, Access, and Power point, required.
  • Experience in developing Access databases is strongly preferred.
  • Familiarity with Salient and use of the Medicaid Data Warehouse preferred.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. VEVRAA Federal Contractor.  

Staffing Solutions Organization LLC is an e-Verify participant.

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