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Senior Healthcare Data Specialist

SSO
Full-time
On-site
Albany, New York, United States

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Senior Healthcare Data Specialist in Albany, NY

DFRS - 1012

Summary

This incumbent will function as a financial analyst within the Bureau of Global Cap, Rebates, and Supplemental Programs within OHIP’s Division of Finance and Rate Setting in the tracking, analyzing, and forecasting of the Upper Payment Limit (UPL) Program.

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The Federally mandated UPL program provides annual supplemental payments (over $800 million) to providers based on Federal matching funds how much Medicare would pay for the

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same Medicaid services. The UPL requirement must be met for states to receive Federal financial participation in each state’s Medicaid program. The UPL calculation is performed annually for hospitals, nursing homes, clinics, and physician services and results in annual supplemental payments to providers. .

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Basic Responsibilities:

  • Perform analysis and assist in strategic planning to identify trends and impacts to providers within Medicaid and the UPL Program.
  • Interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as the Federal Government, other state agencies, and consultants that interact with the Medicaid program.
  • Develop deliverables and occasionally present materials with executive staff in the Bureau.

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Additional duties include:

  • Establish annual UPL awards for providers;
  • Track, analyze, and project program spending on a monthly basis;
  • Calculate, review, and package the periodic UPL calculations based on the latest policy decisions;
  • Prepare State Plan Amendments (SPAs) and State Regulations; and
  • Develop, track, and process provider rate packages."

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Basic Qualifications:

-5 years of experience managing/administering/reporting dataΒ 

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*Employees must follow established work schedules. The usual work schedule is 37.5 hours per week, Monday through Friday. Normal work hours are 8:30 a.m. to 4:30 p.m. unless otherwise specified by the supervisor, this includes a half hour unpaid lunch break. Total work hours must equal 37.5 hours per week.

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.β€―As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an Employment Visa at this time.

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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.Β Staffing Solutions Organization LLC is an e-Verify participant.

Other details

  • Pay Type Salary
  • Min Hiring Rate $70,000.00
  • Max Hiring Rate $85,000.00
  • Required Education Equivalent Experience
  • Job Start Date Monday, December 16, 2024