Steven Simmons
Saint Johns
Summary
Dynamic Senior Health Economics and Policy Advisor with extensive experience at Capital Health Consulting LLC, specializing in Medicaid reimbursement and strategic planning. Proven track record in advocating for policy solutions and conducting comprehensive financial analyses, ensuring compliance and optimizing operational objectives for diverse healthcare providers. Skilled in grant writing and fostering government relations.
Overview
37
37
years of professional experience
Work History
Senior Health Economics and Policy Advisor
Capital Health Consulting LLC
Albany
08.2017 - Current
- Manage health care operational objectives for a wide variety of health care providers, including hospitals, nursing homes, assisted living programs, clinics, and home health care agencies.
- Assist clients with financial analysis, Medicaid reimbursement, Certificate of Need applications, grant writing, licensure applications, and establishment of new services.
- Provide expert guidance on health policies and potential economic impacts.
- Engage with policymakers, legislative representatives, and healthcare organizations to advocate for policy solutions to achieve client objectives.
- Conduct a thorough review and analysis of New York State annual budget proposals and the enacted budget, summarizing the potential impacts on health care providers.
- Develop strategic plans with health care clients regarding policy and regulatory goals.
- Coordinate outreach to state agencies, the executive office, and legislative members regarding issues identified in client strategic plans.
- monitor and research current healthcare trends to identify opportunities for health care providers,
Direcor Bureau of Long-Term Care Reimbursement T
New York State Department of Health
Albany
01.2014 - 07.2017
- Management and oversight of the Medicaid Long-Term Care payment program, with annual expenditures exceeding $6B.
- Financial oversight of skilled nursing facilities, home care agencies, assisted living programs, foster care, and adult day health programs.
- Management and oversight of bureau analysts providing financial analysis of health facility cost reports and financial information used to determine appropriate Medicaid reimbursement rates.
- Ensure compliance with federal and state Medicaid payment regulations, and payment limitations.
- Develop program spending targets, and analyze target compliance.
- Develop and implement state budget initiatives, providing guidance and support to the state Medicaid Director.
- Develop and manage the submission and approval of Medicaid state plan amendments.
- Provide informational updates regarding Medicaid payment issues to stakeholders, and trade organizations through periodic meetings and public presentations.
Chief Healthcare Fiscal Analyst
New York State Department of Health
Albany
10.2008 - 01.2014
- Act as the assistant director, managing all functional units within the Bureau of Long-Term Care, Reimbursement Division of Finance, and Rate Setting.
- Ensure proposed Medicaid payments meet statutory and regulatory federal and state guidelines.
- Collaborate with the New York State Division of Budget, Office of Financial Services, and Office of the State Comptroller to develop budget recommendations and analysis of budget initiatives.
- Assist health care providers with payment issues and financial concerns.
- Assure regulatory compliance with Certificate of Need approvals for new construction, renovation, and the addition of services to be provided.
Principle Healthcare Fiscal Analyst/HCA
New York State Department of Health
Albany
12.1987 - 01.2008
- Analyze annual cost reports and financial information to calculate appropriate Medicaid reimbursement rates for long-term care providers.
- Process rate appeals for Medicaid rates.
- Assist in the preparation of financial analysis of budget initiatives.
- Manage approximately thirty long-term care providers by evaluating various issues pertaining to payment and finance issues.
- Conducted complex financial analysis for management review.
- Researched federal regulations related to fiscal operations and prepared compliance reports.
- Collaborated with departmental managers to develop annual budgets.
Education
Associate of Applied Science - Business/ Accounting
State University of New York
Cobleskill, NY05-1982
Skills
- Health policy analysis
- Medicaid reimbursement
- Financial analysis
- Grant writing
- Regulatory compliance
- Strategic planning
- Advocacy skills
- Government relations
- Statistical analysis
- Policy compliance
Accomplishments
- 2016 New York State Health Department Commissioner recognition award for successful negotiation and implementation of a Statewide negotiated Medicaid appeal settlement.
- Election to the governing Board of Directors for The Brielle Senior Living, Staten Island, New York
Timeline
Senior Health Economics and Policy Advisor
Capital Health Consulting LLC
08.2017 - Current
Direcor Bureau of Long-Term Care Reimbursement T
New York State Department of Health
01.2014 - 07.2017
Chief Healthcare Fiscal Analyst
New York State Department of Health
10.2008 - 01.2014
Principle Healthcare Fiscal Analyst/HCA
New York State Department of Health
12.1987 - 01.2008
Associate of Applied Science - Business/ Accounting
State University of New York
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