Health care finance program manager

New York State Department of Health
Albany, NY

The duties that the incumbent of the vacancy will be expected to perform. Duties Description Under the supervision and direction of the Bureau Director, this position will serve as an Assistant Bureau Director and provide leadership in the development, implementation, management, and oversight associated with Article 28 rate setting and cost reporting for New York State hospitals. This position will also review and approve provider rate appeals and statewide budget packages, provide guidance for State Plan Amendments, provide insight into various Medicaid program areas for budget making decisions, and oversee data collection and other various analyses. In addition, this position will include making policy recommendations related to rate setting and provide oversight for the eMedNY rate load function within the bureau. This position will ultimately oversee two G-27 Teams. Other functions include, but are not limited to: Oversees the development and implementation of pricing methodologies and mechanisms used for reimbursement of hospital services; Reviews rate appeals and statewide budget packages for hospitals and/or freestanding clinics prior to advancement to upper management; Plans, assigns, and directs the work of multiple work sections, and manages rate setting, financial analysis, and evaluation activities for hospitals and/or freestanding clinics; Develops recommendations for health care financing policy, regulatory changes and systems modifications; and Reviews State Plan Amendments prepared by staff based on required changes to rate setting methodologies, and implementation of budgetary actions.

The minimum qualifications required for this vacancy. Minimum Qualifications Current Department of Health employee with permanent or contingent-permanent status as a Health Care Financing Program Manager 1; OR 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 1. You may be asked for a Social Security Number to verify your transfer eligibility. For more information on the types of transfers, transfer eligibility criteria, and the current transfer determinations for your title, visit the following website. HELPS Non-Competitive Minimum Qualifications: A bachelor's degree and four years professional* experience in finance. One year 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. This one year 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.A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Preferred Qualifications: Familiarity with hospital cost reports and Medicaid rate setting.

Additional comments regarding the vacancy. Additional Comments 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: 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 [email protected] to make a request.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 (beginning of the Salary Range) of the position. 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.

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Posted 2025-10-06

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