Research Foundation for Mental Hygiene, Inc.
  • 04-Feb-2020 to 11-Mar-2020 (EST)
  • 44 Holland Avenue
  • Albany, NY, USA
  • $81,391
  • Salary
  • Full Time

Full benefits package based on percentage of full time effort.


The Research Foundation for Mental Hygiene, Inc. is seeking a qualified candidate to fill the full-time, salaried position of Behavioral Health Managed Care Financial Analyst at the New York State Office of Mental Health, Division of Managed Care.

FUNCTION AND SCOPE

New York is charged with supporting and monitoring more than $2 billion in Medicaid behavioral health services for adults and children in Medicaid managed care. Medicaid managed care has recently become the primary way care is delivered to individuals with serious mental health and/or substance use issues in New York State.

The mission of the OMH Division of Managed Care is (1) to ensure that recipients and providers of behavioral health services transition effectively from Medicaid fee-for-service to Medicaid managed care; (2) to develop and implement Medicaid behavioral health managed care policy with OASAS and DOH; (3) to monitor plan performance and ensure that Medicaid managed care plans deliver high-quality care and continue to meet the needs of Medicaid recipients with behavioral health conditions; and (4) to engage stakeholders including consumers, families, counties, and providers in Plan oversight and program development.

RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:

  1. Qualifying of Medicaid managed care plans to provide behavioral health services;
  2. Working with the NYS Department of Health to develop, implement, and monitor behavioral health managed care reimbursement policies;
  3. Providing claims and billing technical assistance to behavioral health providers;
  4. Monitoring/tracking/analyzing Medicaid managed care plan spending and compliance with managed care behavioral health financial requirements;
  5. Assisting in the development of state regulations and contracts related to Medicaid managed care for people with behavioral health needs;
  6. Reviewing and analyze federal/state Medicaid rules affecting rate setting.

MINIMUM QUALIFICATIONS

  1. Candidate must have a bachelor's degree from an accredited college in Accounting, Finance, Public Administration, Business Administration, Data Analytics, or a related field.
  2. 4 years of advanced experience with Medicaid, Medicaid Managed Care billing or other health insurance billing environment.

PREFFERED QUALIFICATIONS:

  1. A Master's degree in one of the concentrations outlined above.
  2. Experience with managed care contracting and oversight.
  3. Ability to provide managed care claim/billing provider assistance.
  4. Demonstrated ability to produce technical guidance documents.

Work Location: 44 Holland Avenue, Albany, New York 12229

Salary: Based on experience.

To Apply: Submit an application by March 11, 2020 on our website at http://corporate.rfmh.org. Click on Employment Opportunities. Please note only applications submitted through our website will be considered.

The Research Foundation is a private not-for-profit corporation and is not an agency or instrumentality of the State of New York. Employees of the Research Foundation are not state employees, do not participate in any state retirement system, and do not receive state fringe benefits. Excellent Benefits Package. Employer/Minority/Women/ Disabled/Veteran Employer. VEVRAA 41 CFR 60-300.5(a) compliant.

Research Foundation for Mental Hygiene, Inc.
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