Duties Description The Bureau of Medicaid Long-Term Care Policy (BMLTCP) develops, implements, and manages Medicaid long-term care policies and programs across New York State. BMLTCP plays a critical role in overseeing reforms to Medicaid long-term care policy, managing vendor contracts, and supporting financial and operational integrity in long-term care reimbursement systems. The Bureau provides policy and fiscal oversight of essential services such as Consumer Directed Personal Assistance Program (CDPAP), Personal Care Services (PCS), and Personal Emergency Response Services (PERS), in collaboration with internal DOH divisions, healthcare providers, and stakeholders. The Bureau’s main functions are: Oversee the SFI contract represents a statewide administrative mechanism to ensure oversight and accountability in the delivery of consumer-directed services. Manage high-profile vendor contracts, including the SFI and New York Independent Assessor Program (NYIAP). Develop and implement long-term care policy reforms responding to changes in federal and state legislation and strategic Medicaid priorities. Establish, evaluate, and maintain fair Medicaid reimbursement rates for long-term care providers. Analyze cost reports and financial data to inform rate setting decisions. Provide educational and training resources to long-term care providers to support regulatory compliance. Coordinate long-term care reimbursement policies across state agencies and external stakeholders. This position will report to the BMLTCP Bureau Director as an Assistant Bureau Director and will be responsible for the portfolio provided above. The incumbent will lead a cross-functional team, manage high-visibility initiatives, and provide senior-level guidance on complex Medicaid policy issues. Job functions include but are not limited to: Serving as primary program liaison with oversight entities and stakeholders including the Centers for Medicare & Medicaid Services (CMS), Office of the Inspector General (OIG), Office of the State Comptroller (OSC), Office of the Medicaid Inspector General (OMIG), Division of Legal Affairs (DLA), other Department offices, health care associations, and managed care organizations; Overseeing the implementation of Medicaid policy improvements and providing direction on Fiscal Intermediary contracting that supports the CDPAP; Developing recommendations for Bureau leadership and directing the preparation of budget requests, briefing materials, and supporting documents required for the State Budget and State of the State processes; Collaborating with internal units, state agencies, providers, and advocacy organizations to advance public health policy for community-based long-term care services, including CDPAP, EVV, PERS, and other workforce initiatives; Designing and implementing surveillance plans to monitor the performance of community-based long-term care providers, Fiscal Intermediaries, managed care plans, independent assessors, and local districts of social services; Providing policy direction on legislative, regulatory, and monitoring activities related to the community-based long-term care workforce to support delivery system reform and value-based payment initiatives; Directing the preparation, review, and submission of federal approval documents including State Plan Amendments, Directed Payment Templates, Waiver Requests, and In Lieu of Services proposals to advance program goals; Overseeing the development of responses to audit inquiries and investigations related to community-based long-term care services, including coordinating document production, stakeholder communication, and deadline management, and escalating significant audit findings to Medicaid Executive leadership with recommended corrective actions. Provide educational and training resources to long-term care providers to support regulatory compliance. Coordinate long-term care reimbursement policies across state agencies and external stakeholders.

Minimum Qualifications Minimum Qualifications: Current NYS Department of Health (DOH) employee with permanent or contingent-permanent, competitive status as a Medicaid Redesign Analyst 4, G-29, OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above Grade 27 or M-2 and deemed eligible to transfer to the Medicaid Redesign Analyst 4 via 52.6 transfer of the Civil Service Law.

Preferred Qualifications: Candidates must have experience with managed long term care policies, specifically CDPAS, PCS, and PERS. Demonstrated experience writing and executing budget proposals. Experience working with executive level personnel and state agencies such as the Division of Budget and CMS. Implementing or operating large scale programs with multiple, complex projects vying for resources. Demonstrated experience managing complex state contracts with statewide scope; Familiarity with fiscal and regulatory requirements of personal care programs; Strong leadership, supervision, and stakeholder engagement skills. Experience managing and responding to legal claims and lawsuits. Some positions may require additional credentials or a background check to verify your identity.