Health Care Data Analyst

The Research Foundation for Mental Health is seeking a qualified candidate to fill a full-time position of Health Care Data Analyst at the NYS-OMH.

Function and Scope

• New York is transitioning more than $2 billion in Medicaid supported Behavioral Health services for adults and children from Fee-for-Services to Medicaid Managed Care. This is a major transformation in the way care is delivered to individuals with Serious Mental Health and Substance Abuse issues and integrating medical care and behavioral health care. NYS-OMH through its Division of Managed Care is a key planner and enabler in this initiative along with the NYS-DOH, NYS-OASAS, & NYS-OPWDD. The selected candidate will have the ability to work independently and as a part of a team; fluency in the English language; expertise in analyzing large, complex, multi-dimensional datasets using a variety of tools; expertise in the research, development, and support of data visualization techniques; and solid presentation, organization and communication skills and the ability to work cooperatively with a wide variety of professional staff.

Mission of the NYS-OMH Office of Managed Care:

• To ensure recipients and providers of behavioral health services transition effectively from Managed Fee-For-Service to Medicaid Managed Care.
• To develop and implement Medicaid Behavioral Health Managed Care policy with NYS-OASAS and NYS-DOH.
• To monitor Managed Care Plan performance & ensure Medicaid Managed Care Plans deliver high quality care & continue to meet the needs of Medicaid recipient's w/behavioral Health conditions.
• To engage stakeholders, consumers, families, counties and providers and plan oversight & program development.
• To administer committed grant funding to provide technical infrastructure and expertise for providers to successfully contract w/Managed Care Plans through commercial payers.
• To provide Health Information Technology/Health Information Exchange adoption and support to providers.

NYS-OMH Division of Managed Care is seeking to hire a Health Care Data Analyst who will engage in several new initiatives and ongoing data projects. Current initiatives support behavioral health providers throughout New York State transitioning from Managed Fee-For-Services to Medicaid Managed Care. The responsibilities of the Health Data Analyst include but are not limited to:

• Developing and maintaining information and reporting systems necessary to evaluate managed care performance;
• Developing and overseeing the implementation of management reports and system documentation;
• Contributing to the development of programs and policies using data analysis (including analysis of Medicaid fee-for-service and encounter data, CFR data, PCS data, Health Home data, criminal justice data, housing/homeless data and other data);
• Respond to ad hoc data analysis requests and provide technical assistance;
• Using fiscal and billing data to investigate providers' financial viability and assist complaint investigations;
• Using geographic information systems to map data in ways that contribute to a better understanding of Plan performance and compliance with managed care behavioral health requirements; and
• Other duties as assigned.

Minimum Qualifications:

• Candidate must have a master's degree from an accredited college in public health, statistics, biostatistics, economics or related field.

Candidate should be proficient in various fields of endeavor surrounding Managed Care including:

• One-year experience with statistical software (e.g., SAS, R), data analytic programming (e.g. Python, Java) and database languages (e.g., SQL, PL/SQL);
• One-year experience with BI tools such as Tableau, Hyperion highly preferred;
• One-year experience with solving analytical problems using statistical approaches.
• Three-month or more experience working with claims or billing data highly preferred;

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

In accordance with NYS Office of Mental Health regulations, RFMH employees are required to be fully vaccinated.

To Apply: Submit an application by March 30, 2022, 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.