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Director of Healthcare Payment
1 week ago
The Center for Health Equity and Community Wellness (CHECW) of the NYC Health Department aims to eliminate racial inequities in premature mortality, with a focus on chronic disease, by addressing the social and environmental factors that impact health. CHECW works to increase place based investments in priority neighborhoods with community programming and services based investments in priority neighborhoods with community programming and services based on epidemiology; influence and leverage the health system to promote whole person care; intensify the agency's approach to tackling big salt, sugar and tobacco; and finding innovative ways to improve the built environment and address other social determinants of health. CHECW is comprised of the Bureau of Brooklyn Neighborhood Health, the Bureau of Bronx Neighborhood Health, the Bureau of Harlem Neighborhood Health, the Bureau of Chronic Disease Prevention, the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration and Services. The Bureau of Equitable Health Services is the healthcare systems bureau of the NYC Health Department.
Our mission is to apply policy, evidence, and practical expertise to improve equity in health care delivery at the individual organizational and systems levels. We do this to engage primary care providers and other healthcare organizations to implement evidence-based strategies; leveraging information to support planning and technical assistance for providers and payers, advancing policy to close the racial equity gap for priority health outcomes; and surfacing opportunities where health care can influence and connect consumers to social support and addressing the whole person beyond physical ailments. Within BEHS sits the Office of Healthcare Systems Strategy and Accountability (OHSSA), which has three key priorities: 1) Eliminate the portion of healthcare segregation and financial harms that is possible to overcome through healthcare actions; 2) Foster a well funded, less-crowded safety net; 3) Catalyze the growth of a social/preventive care system that improves health outcomes and is of easy access to patients and clinicians. The Bureau of Equitable Health Services seeks to hire a Director of Healthcare Payment & Financing Initiatives.
DUTIES WILL INCLUDE BUT NOT BE LIMITED TO:
Lead the healthcare payment and financing team:
Direct a critically important unit comprised of multiple teams that are responsible for scientific research aimed at improving payment and delivery of care.
Communicate and coordinate programmatic innovations and research across multi-disciplinary teams to align with agency priorities.
Supervise and Develop Staff; Develop and implement innovative programs in healthcare payment and financing:
Develop and implement value-based payment models and/or alternative payment models.
Lead agency position on Medicaid redesign policy and innovation.
Advise and assist OSHSSA Executive Director, Chief Medical Officer and other agency executives on healthcare related initiatives.
Assist DOHMH's involvement in Social Care Networks and/or Health Equity Regional Organizations for Medicaid.
Conduct analyses and disseminate key findings for research policy and programmatic change and improvement related to healthcare system transformation and accountability: Engage with partners on implementation of city legislation related to healthcare systems strategy and accountability.
Plan and direct research related to Medicaid payment and financing.
Plan and direct research related to social and/or commercial determinants of health.
Generate revenue for ongoing fiscal health of the unit: Demonstrate impact and design high quality programs and policies that are fundable.
Lead seeking and writing of grants. Develop the relationship and partnership networks required for revenue generation.
1. For Assignment Level I (only physical, biological and environmental sciences and public health) A master's degree from an accredited college or university with a specialization in an appropriate field of physical, biological or environmental science or in public health.
To be appointed to Assignment Level II and above, candidates must have:
1. A doctorate degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and one year of full-time experience in a responsible supervisory, administrative or research capacity in the appropriate field of specialization; or
2. A master's degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and three years of responsible full-time research experience in the appropriate field of specialization; or
3. Education and/or experience which is equivalent to "1" or "2" above. However, all candidates must have at least a master's degree in an appropriate field of specialization and at least two years of experience described in "2" above. Two years as a City Research Scientist Level I can be substituted for the experience required in "1" and "2" above.
NOTE:
Probationary Period
Appointments to this position are subject to a minimum probationary period of one year.
Health Policy and Management, Economics degree, Public Health, or similiar7+ years of experience in roles that provide an in-depth understanding of financial incentives in the healthcare delivery and payment system, preferably in managerial capacity, healthcare, government, or consulting.3+ years of experience in policy writing, analyses3+ years of experience in healthcare or public health program design and implementation.3+ years of experience in payment models (Value-based payment and/or alternative payment models), in-lieu-of-services, etc.3+ years of experience analyzing hospitals, Medicaid and/or Medicare Federal/State policies and regulation.2+ years experience in stakeholder engagement(managed care, healthcare, public health, community-based organizations, preferably related to contracting with government and/or insurance companies.Experience guiding insurance claims data analysis.Experience in Management ServiceOrganizations, Independent Practice Associations, or other shared service organizations. Why you should work for us: -Loan Forgiveness: As a prospective employee of the City of New York, you may be eligible for federal/state loan forgiveness and repayment assistance programs that lessen your payments or even fully forgive your full balance. For more information, please visit the U.S. Department of Education's website (-Benefits: City employees are entitled to unmatched benefits such as:oa premium-free health insurance plan that saves employees over $10K annually, per a assessment. oadditional health, fitness, and financial benefits may be available based on the position's associated union/benefit fund. oa public sector defined benefit pension plan with steady monthly payments in retirement.oa tax-deferred savings program andoa robust Worksite Wellness Program that offers resources and opportunities to keep you healthy while serving New Yorkers.-Work From Home Policy: Depending on your position, you may be able to work up to two days during the week from home. -Job Security - you could enjoy more job security compared to private sector employment and be able to contribute to making NYC a healthy place to live and work. Established in , the New York City Department of Health and Mental Hygiene (NYC Health Department) is the oldest and largest health department in the U.S., dedicated to protecting and improving the health of NYC. Our mission is to safeguard the health of every resident and cultivate a city where everyone, regardless of age, background, or location, can achieve their optimal health. We provide a wide array of programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, environmental health, mental health, and social justice initiatives. As the primary population health strategist and policy authority for NYC, with a rich history of public health initiatives and scientific advancements, from addressing the yellow fever outbreak to the COVID-19 pandemic, we serve as a global leader in public health innovation and expertise. Come join us and help to continue our efforts in making a difference in the lives of all New Yorkers Commitment to Equity: The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy. The NYC Health Department is an inclusive equal opportunity employer committed to providing access and reasonable accommodation to all individuals. To request reasonable accommodation to participate in the job application or interview process, contact Sye-Eun Ahn, Director of the Office of Equal Employment Opportunity, at or --.
Residency Requirement
New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.
