Senior Health Policy Analyst (Financial Services Specialist 2 (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 Senior 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 accident and health insurance products; o Assists with implementing Department procedures for review of provider network adequacy filings and reviews provider network submissions; o Assists with research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Reviews reports filed by utilization review agents, in relation to compliance with timeframes and requirements for making medical necessity determinations, for completeness and accuracy; o Assists with mental health and substance use disorder parity investigations, including review of reports and Mental Health Parity and Addiction Equity Act (MHPAEA) worksheets; o Collects, organizes, and presents data submitted by insurers for reports; o Assists with the handling of special projects, studies, data collection, and investigations; o Assists with health insurance programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Drafts, reviews, and submits various work-flow status reports; o Assists with additional Health Bureau functions, including the Department's health mailbox; and o Other duties as assigned. Preferred Qualifications o Ability to manage workload efficiently and timely. o Ability to identify issues that may implicate applicable law, coordinate activities, seek information and guidance where appropriate
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 Senior 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 accident and health insurance products; o Assists with implementing Department procedures for review of provider network adequacy filings and reviews provider network submissions; o Assists with research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Reviews reports filed by utilization review agents, in relation to compliance with timeframes and requirements for making medical necessity determinations, for completeness and accuracy; o Assists with mental health and substance use disorder parity investigations, including review of reports and Mental Health Parity and Addiction Equity Act (MHPAEA) worksheets; o Collects, organizes, and presents data submitted by insurers for reports; o Assists with the handling of special projects, studies, data collection, and investigations; o Assists with health insurance programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Drafts, reviews, and submits various work-flow status reports; o Assists with additional Health Bureau functions, including the Department's health mailbox; and o Other duties as assigned. Preferred Qualifications o Ability to manage workload efficiently and timely. o Ability to identify issues that may implicate applicable law, coordinate activities, seek information and guidance where appropriate
Salary Range:
From $79325 to $100342 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 three (3) years of specialized experience in one or more of the following:
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 accident and health insurance products; o Assists with implementing Department procedures for review of provider network adequacy filings and reviews provider network submissions; o Assists with research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Reviews reports filed by utilization review agents, in relation to compliance with timeframes and requirements for making medical necessity determinations, for completeness and accuracy; o Assists with mental health and substance use disorder parity investigations, including review of reports and Mental Health Parity and Addiction Equity Act (MHPAEA) worksheets; o Collects, organizes, and presents data submitted by insurers for reports; o Assists with the handling of special projects, studies, data collection, and investigations; o Assists with health insurance programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Drafts, reviews, and submits various work-flow status reports; o Assists with additional Health Bureau functions, including the Department's health mailbox; and o Other duties as assigned. Preferred Qualifications o Ability to manage workload efficiently and timely. o Ability to identify issues that may implicate applicable law, coordinate activities, seek information and guidance where appropriate
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 Senior 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 accident and health insurance products; o Assists with implementing Department procedures for review of provider network adequacy filings and reviews provider network submissions; o Assists with research, planning, administration, and/or analysis of the policies and procedures affecting health insurers; o Reviews reports filed by utilization review agents, in relation to compliance with timeframes and requirements for making medical necessity determinations, for completeness and accuracy; o Assists with mental health and substance use disorder parity investigations, including review of reports and Mental Health Parity and Addiction Equity Act (MHPAEA) worksheets; o Collects, organizes, and presents data submitted by insurers for reports; o Assists with the handling of special projects, studies, data collection, and investigations; o Assists with health insurance programs, including the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy program; o Drafts, reviews, and submits various work-flow status reports; o Assists with additional Health Bureau functions, including the Department's health mailbox; and o Other duties as assigned. Preferred Qualifications o Ability to manage workload efficiently and timely. o Ability to identify issues that may implicate applicable law, coordinate activities, seek information and guidance where appropriate
Salary Range:
From $79325 to $100342 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 three (3) years of specialized experience in one or more of the following:
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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