Associate Health Policy Analyst (Financial Services Specialist 4 (Policy Analysis)
The New York State Department of Financial Services seeks to build an equitable, more transparent and resilient financial system that benefits New Yorkers and supports business. Through engagement, data-driven regulation, and operational excellence, DFS is responsible for empowering consumers and protecting them from financial harm; ensuring the health and stability of the financial entities we regulate; and driving economic growth through responsible innovation. The Department of Financial Services is seeking candidates for the position of Associate Health Policy Analyst in the Health Bureau. Duties include, but are not limited to, the following:
o Reviews files and materials submitted by insurers for approval in relation to certain accident and health insurance products; o Manages investigations and responses to complaints on a wide range of health insurance topics; o Assists management with developing procedures and standards for review of provider network adequacy filings, oversees review of the filings, and coordinates with other state agencies; o Oversees and develops standards for the review of reports filed by utilization review agents in relation to compliance with timeframes and requirements for making medical necessity determinations; o Researches and analyzes State and federal statutes and regulations and their effects upon health insurers, and assists in drafting and implementing legislation, regulations, and circular letters; o Oversees research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Assists with work and review of issues related to the federal No Surprises Act and the Mental Health Parity and Addiction Equity Act (MHPAEA); o Manages Health Bureau programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Works closely with the Health Bureau's management team to assess current priorities and practices including making recommendations for improvements; o Meets with representatives of the health insurance industry, trade groups, and other governmental agencies to discuss public policy, market and product issues, health programs and other initiatives, and explaining or advocating for the Department; o Participates in task forces/workgroups with the health insurance industry or other governmental agencies; o Assists with the handling of special projects, studies, data collection, and reports; o May supervise lower level staff; and o Other duties as assigned.
Job Function
The New York State Department of Financial Services seeks to build an equitable, more transparent and resilient financial system that benefits New Yorkers and supports business. Through engagement, data-driven regulation, and operational excellence, DFS is responsible for empowering consumers and protecting them from financial harm; ensuring the health and stability of the financial entities we regulate; and driving economic growth through responsible innovation. The Department of Financial Services is seeking candidates for the position of Associate Health Policy Analyst in the Health Bureau. Duties include, but are not limited to, the following:
o Reviews files and materials submitted by insurers for approval in relation to certain accident and health insurance products; o Manages investigations and responses to complaints on a wide range of health insurance topics; o Assists management with developing procedures and standards for review of provider network adequacy filings, oversees review of the filings, and coordinates with other state agencies; o Oversees and develops standards for the review of reports filed by utilization review agents in relation to compliance with timeframes and requirements for making medical necessity determinations; o Researches and analyzes State and federal statutes and regulations and their effects upon health insurers, and assists in drafting and implementing legislation, regulations, and circular letters; o Oversees research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Assists with work and review of issues related to the federal No Surprises Act and the Mental Health Parity and Addiction Equity Act (MHPAEA); o Manages Health Bureau programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Works closely with the Health Bureau's management team to assess current priorities and practices including making recommendations for improvements; o Meets with representatives of the health insurance industry, trade groups, and other governmental agencies to discuss public policy, market and product issues, health programs and other initiatives, and explaining or advocating for the Department; o Participates in task forces/workgroups with the health insurance industry or other governmental agencies; o Assists with the handling of special projects, studies, data collection, and reports; o May supervise lower level staff; and o Other duties as assigned.
Salary Range:
From $97826 to $120492 Annually
Minimum Qualification
Appointment method:
Candidates must meet the minimum qualifications listed below in order to be eligible for appointment. Non-Competitive:
A Bachelor's Degree in Business, Business Administration, Economics, Econometrics, Finance, Health, Health Administration, Health Policy, Law, Mathematics, Political Science, Public Administration, Public Health, Public Policy, Risk Management or Statistics and five (5) years of specialized experience in one or more of the following of which two (2) years must have been at a supervisory level:
o Research, planning, administration, and/or analysis of the policies and procedures affecting regulated entities and how they conduct business activities with the public and/or other regulated entities. o Research and analysis of State and federal statutes and regulations and their effects upon the business activities of financial services entities with regard to the public and/or other financial services entities. A Master's Degree in one (1) of the related fields or a J.D. may substitute for one (1) year of specialized experience. A Ph.D. in one (1) of the related fields may substitute for two (2) years of specialized experienceEstimated Salary: $20 to $28 per hour based on qualifications.
o Reviews files and materials submitted by insurers for approval in relation to certain accident and health insurance products; o Manages investigations and responses to complaints on a wide range of health insurance topics; o Assists management with developing procedures and standards for review of provider network adequacy filings, oversees review of the filings, and coordinates with other state agencies; o Oversees and develops standards for the review of reports filed by utilization review agents in relation to compliance with timeframes and requirements for making medical necessity determinations; o Researches and analyzes State and federal statutes and regulations and their effects upon health insurers, and assists in drafting and implementing legislation, regulations, and circular letters; o Oversees research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Assists with work and review of issues related to the federal No Surprises Act and the Mental Health Parity and Addiction Equity Act (MHPAEA); o Manages Health Bureau programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Works closely with the Health Bureau's management team to assess current priorities and practices including making recommendations for improvements; o Meets with representatives of the health insurance industry, trade groups, and other governmental agencies to discuss public policy, market and product issues, health programs and other initiatives, and explaining or advocating for the Department; o Participates in task forces/workgroups with the health insurance industry or other governmental agencies; o Assists with the handling of special projects, studies, data collection, and reports; o May supervise lower level staff; and o Other duties as assigned.
Job Function
The New York State Department of Financial Services seeks to build an equitable, more transparent and resilient financial system that benefits New Yorkers and supports business. Through engagement, data-driven regulation, and operational excellence, DFS is responsible for empowering consumers and protecting them from financial harm; ensuring the health and stability of the financial entities we regulate; and driving economic growth through responsible innovation. The Department of Financial Services is seeking candidates for the position of Associate Health Policy Analyst in the Health Bureau. Duties include, but are not limited to, the following:
o Reviews files and materials submitted by insurers for approval in relation to certain accident and health insurance products; o Manages investigations and responses to complaints on a wide range of health insurance topics; o Assists management with developing procedures and standards for review of provider network adequacy filings, oversees review of the filings, and coordinates with other state agencies; o Oversees and develops standards for the review of reports filed by utilization review agents in relation to compliance with timeframes and requirements for making medical necessity determinations; o Researches and analyzes State and federal statutes and regulations and their effects upon health insurers, and assists in drafting and implementing legislation, regulations, and circular letters; o Oversees research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Assists with work and review of issues related to the federal No Surprises Act and the Mental Health Parity and Addiction Equity Act (MHPAEA); o Manages Health Bureau programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Works closely with the Health Bureau's management team to assess current priorities and practices including making recommendations for improvements; o Meets with representatives of the health insurance industry, trade groups, and other governmental agencies to discuss public policy, market and product issues, health programs and other initiatives, and explaining or advocating for the Department; o Participates in task forces/workgroups with the health insurance industry or other governmental agencies; o Assists with the handling of special projects, studies, data collection, and reports; o May supervise lower level staff; and o Other duties as assigned.
Salary Range:
From $97826 to $120492 Annually
Minimum Qualification
Appointment method:
Candidates must meet the minimum qualifications listed below in order to be eligible for appointment. Non-Competitive:
A Bachelor's Degree in Business, Business Administration, Economics, Econometrics, Finance, Health, Health Administration, Health Policy, Law, Mathematics, Political Science, Public Administration, Public Health, Public Policy, Risk Management or Statistics and five (5) years of specialized experience in one or more of the following of which two (2) years must have been at a supervisory level:
o Research, planning, administration, and/or analysis of the policies and procedures affecting regulated entities and how they conduct business activities with the public and/or other regulated entities. o Research and analysis of State and federal statutes and regulations and their effects upon the business activities of financial services entities with regard to the public and/or other financial services entities. A Master's Degree in one (1) of the related fields or a J.D. may substitute for one (1) year of specialized experience. A Ph.D. in one (1) of the related fields may substitute for two (2) years of specialized experienceEstimated Salary: $20 to $28 per hour based on qualifications.
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