Professional Career Opportunities - Job Title Details
Medicaid Redesign Analyst 1, G-18
Health and Human Services
Medicaid Redesign Analysts (MRA) address reform of public health care delivery and payment systems and public health care programs by reviewing the Medicaid services and delivery systems used by health care providers or managed care entities, and propose and implement changes to address specific goals.
Under the supervision of a higher level MRA or program manager, a Medicaid Redesign Analyst 1 conducts research, analysis, design, development, implementation, and/or financial/rate setting activities for the provision of health care services and benefits provided through Medicaid.
Who has this title?
You must meet the requirements below to qualify for this title.
A bachelor's degree or higher degree; AND two years of professional experience in the administration of a public health insurance program performing one or more of the following duties in a qualifying setting*: Participating in the development and/or implementation of programs, policies, procedures, and/or regulations related to the delivery, reimbursement, eligibility, coverage, and/or payment of health care services; Analyzing demographic, economic, financial, clinical usage, or clinical quality assurance data to improve the quality, availability, and/or efficiency of health care services; Participating in the development, implementation, and/or oversight of health plan contracts with organizations that provide insurance coverage for health care services.
*Qualifying settings for this experience include, but are not limited to: health insurance companies; health research groups; local, State, and/or federal agencies; health policy think tanks; and health insurance exchanges.
Examples of non-qualifying experience include answering phones; printing and copying; filing; data entry and word processing; office inventory management; database maintenance; opening, sorting, and routing mail; scheduling; and direct patient care activities.
You must have or expect to receive a bachelor's or higher degree by September 1, 2020.
The 2019 PCO will be open for application from January 18, 2019. To apply for the examination for this PCO Select Job Title you must apply for the PCO examination by February 20, 2019, fill out and submit the PCO Questionnaire by April 5, 2019, and take the PCO written test in April of 2019. The application for and information about the PCO examination is at: https://www.cs.ny.gov/pco/