Supervising Accountant

2 months ago


Albany, United States NYS Department of Health Full time

**Minimum Qualifications**: NYS employee with one year or more of permanent or contingent-permanent, competitive service as a Supervising Accountant (G25); OR a NYS employee with one year or more of permanent or contingent-permanent competitive service in a title at or above a salary grade 23 and eligible for transfer under Section 70.1 or 52.6 of the NYS Civil Service Law.

Preferred Qualifications: Critical thinking skills, analytical skills with Microsoft Excel, ability to solve problems independently. Professional work experience and/or education in accounting and and trend analyses.

**Duties Description**:This incumbent will function as a financial unit lead within the Division of Finance and Rate Setting, within the Bureau of Financially Distressed Hospitals (FDH).

The Bureau of Financially Distressed Hospitals Bureau’s goal is to promote financial sustainability for healthcare providers, thereby improving health service quality, preserving access, and decreasing statewide provider reliance on State aid to fund operations. In addition, this Bureau works directly with hospitals on their cash flow, hospital needs, and various payment mechanisms, including Directed Payment Templates (DPT), Vital Access Program (VAP) funding, and Vital Access Provider Assurance Program (VAPAP) awards.

**Duties Include**:
Create a transition plan and language for VAPAP subsidy funds to occur on a quarterly disbursement schedule; Provide updates to reported information, closing the loop on what funds are used and address requests for emergent funds for a significant need; Focus on cash flow metrics with enhanced specificity and breakdowns that allow for a better understanding of root cause and potential solutions (e.g., payer class break out, asset types); Collect operational and quality measures to allow NYS to better assess FDH needs, validate submitted transformation plans, and track towards DOH’s regional health care delivery planning objectives; Facilitate FDHs moving towards monthly and quarterly data submissions (depending on the program) following the updated excel cash flow template which includes financial, operational, and quality measures; Track hospitals receiving subsidies by utilizing a redesigned, statewide hospital subsidy portfolio tracker which will provide insight into where each NYS hospital stands across the subsidy continuum (e.g., applied for a specific subsidy, receiving a single or multiple subsidies, has not applied for subsidy, program status); Regulate legal agreements that FDHs will sign outlining stipulations and expectations for subsidy recipients, including 1) business terms and performance standards (both hospital and State terms and responsibilities) and 2) enforcement and monitoring policies.
Foster relationships between FDH Bureau staff and specific FDHs by geographic region; Work with institutions to provide financial projections attested by the FDH’s CEO/CFO; Performs the full range of accounting, auditing, and financial reporting activities within the FDH Bureau; Trains and supervises staff within a Strategic Finance Unit, which consists of two Sub-Units; Reviews and analyzes FDH financial reports and systems ensuring accounting and reporting objectives are met; Develops ongoing analyses of hospital financial data and prepares appropriate reports; Implements standardized hospital analyses ensuring all distressed hospital programs are reviewed and analyzed; Supervises two Associate Accountants and assigns/schedules work and reviews completed work for accuracy and completeness; Oversees FDH examinations and preparation of annual reports; Provides technical assistance on FDH accounting problems and provides financial services relating to the establishment, maintenance, interpretation and reporting of the Medicaid Global Cap and cash management practices; Oversees hospital fund transfers and reviews supporting accounting documentation; communicates significant banking changes; Collaborates and assists in the development and execution of financially distressed policies, procedures, protocols, and performance measures, and recommends changes or revisions to procedures, systems, and reports; Conducts assessments and facilitates coordination FDH Bureau audits by developing and reviewing cost allocation plans and methodologies for all FDH programs of funding; Manages the preparation of federal funding resources through analysis of financial and statistical data and establishes federal cost allocation methodologies for various distressed hospital funding sources; Develops distressed hospital fiscal systems that allow FDH staff to manage, analyze, and report data.
Prepares cost impact estimates for distressed hospital support program changes; Presents distressed hospital related issues and identifies any apparent or potential accounting errors, coordinates with outside entities to resolve accounting disputes, and develops and enhances automated accounting programs; Develops and enhances



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