Health Care Analyst (Hybrid)
Full Time
Waterbury, CT 06702
Posted
Job description
Are you a hardworking, motivated finance professional
looking to make a difference while working with a collaborative team in the public sector?
If so, we want you to join us!
The State of Connecticut, Department of Mental Health and Addiction Services (DMHAS) is seeking a qualified and experienced individual for the position of
Health Care Analyst to join our team. This role involves compiling, extracting, and consolidating large volume data, analyzing audit data results, and generating meaningful quality reports to the Executive leadership.
POSITION HIGHLIGHTS:
- Facility: Western Connecticut Mental Health Network (WCMHN)
- Program/Unit: Quality and Information Management
- Work Schedule: Full-Time, 40 hours, Monday through Friday, 8:00 a.m. to 4:30 p.m.
- Address: 55 West Main Street, Suite 410, Waterbury, CT
- Position Number: 25022
- Work for a Forbes top company: ‘Forbes’ State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule;
- Comprehensive benefits plan that includes industry leading health benefits with medical and dental coverage;
- Extensive pension plan and supplemental retirement offerings;
- Retirement healthcare offerings;
- Accrued vacation, personal and sick leave;
- 13 paid holidays per calendar year;
- Professional growth and development opportunities; and
- Outstanding work-life balance!
Please Note: DMHAS is a loan forgiveness organization, you may be able to qualify for one or more State or Federal loan forgiveness programs.
AS A HEALTH CARE ANALYST YOU WILL:
- Conduct monthly billing audits for Target Case Management, Behavioral Health Home, and Outpatient Services;
- Develop, maintain, and utilize software, database, and reporting tools to extract data and generate reports;
- Liaison with DMHAS Office of the Commissioner regarding billing and claims-related business;
- Conduct monthly medical records audit for ongoing quality assurance to meet external regulatory requirements and standards, as well as WCMHN policies and procedures;
- Assist in development of training materials for clinical and billing staff relative to accurate coding, documentation billing and regulatory guidelines; and
- Participate and assist agency preparation of The Joint Commission survey, Centers for Medicare and Medicaid Services (CMS) survey, as needed.
OUR MISSION:
DMHAS is a health care agency whose mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective, and efficient services and supports that foster dignity, respect, and self-sufficiency in those we serve.
ABOUT THE FACILITY:
WCMHN was formed in 1996 by DMHAS, in order to coordinate clinical, fiscal and administrative oversight of Region 5 contracted and state-operated mental health services. Within this service system, there are three state-operated Local Mental Health Authorities, which are located in Waterbury, Danbury and Torrington. In partnership with WCMHN they provide and coordinate local clinical services. Over 200 staff including psychiatrists, nurses, social workers, rehabilitation and mental health workers provide services for persons with a long-term mental illness.
Watch the video below to learn more about becoming a State of Connecticut employee!
Selection Plan
FOR ASSISTANCE IN APPLYING:
Please visit our 'Applicant Tips on How to Apply' page.
This position may be subject to Federal requirements for COVID-19 Vaccination Immunization.
Please Note: In order to receive educational credits toward qualification for this job posting, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the recruiter listed on this job posting.
To Apply:
- In order to be considered for this job opening, you must meet the Minimum Qualifications as listed on the job opening. The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.
- You must specify your qualifications on your application. You will be unable to make revisions once you submit your application for this posting to the JobAps system.
- In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.
- All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to DAS.SHRM@ct.gov.
- This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules.
Important Next Step Information for After You Apply:
- Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process.
- This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting's closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the question's expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user's spam.
- Note: At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency.
- The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
- Interviews will be limited to candidates whose experience and training most closely meet the requirements of the position.
- Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State Employees which is available at www.ct.gov/ethics.
Connect With Us:
- Due to the large volume of applications received, we are unable to provide confirmation of receipt or status during the recruitment process.
- Updates will be available through your JobAps portal account. If you have any questions pertaining to this recruitment, please contact Doreen Clemson via email at Doreen.Clemson@ct.gov.
PURPOSE OF JOB CLASS (NATURE OF WORK)
In the Departments of Mental Health and Addiction Services, Public Health, Social Services or the Office of the State Comptroller, this class is accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.
EXAMPLES OF DUTIES
- Reviews materials to determine compliance with requirements contained in Connecticut General Statutes and agency regulations;
- Reviews and evaluates financial, utilization and management records of health care facilities and/or providers toward various ends;
- Prepares financial, narrative and statistical reports;
- Reviews findings and conclusions with audit staff and members of senior staff;
- Performs special research projects as assigned;
- Performs related duties as required.
- Reviews various health care facility and/or physician Certificate of Need applications;
- Analyzes impact of proposals on other health care providers in Connecticut and makes recommendations;
- Writes related documents and assists employees of higher grade in writing decisions;
- Assists in preparing documentation for administrative hearings;
- Researches and analyzes data in preparation of various health care industry reports;
- Performs related duties as required.
- Analyzes and evaluates budget, expenditure, utilization, reimbursement rate setting and/or revenue issues within social services programs, including Medicaid;
- Participates in public hearings and assists in conferring with representatives of facilities and outside experts;
- Interacts, under guidance, with Office of the Attorney General in litigation including preparation of complete court records;
- May review Certificate of Need applications for nursing facility, residential care homes and ICF/MR development;
- Performs related duties as required.
- Analyzes and evaluates budget, expenditure, utilization, rate setting and/or revenue issues within behavioral health;
- Analyzes General Assistance authorizations and expenditures, rate setting scenarios and new methodologies;
- Performs related duties as required.
- Analyzes financial and utilization data from vendor and state records concerning state employees and retirees health care plans;
- Answers inquiries from employees and retirees on issues of coverage and design pertaining to state health care plans;
- Performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
- Knowledge of
- principles and practices of financial management including organization, administration, management, finance, budgeting, auditing and accounting;
- health care industry;
- Skills
- interpersonal skills;
- oral and written communication skills;
- Ability in interpretation and analysis of complex financial, statistical and technical data;
- Ability to utilize computer software.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Six (6) years of professional experience in financial management with some experience in health care management.
NOTE: Financial management is defined as professional accounting or auditing work with responsibility for the review and recommendation of financial policies and procedures of a business organization.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
- College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
- A Master's degree in accounting, finance or other closely related field or public health with some college courses in accounting or finance may be substituted for one (1) additional year of the General Experience.
- Professional experience in health care facility administration, health program administration, health insurance administration, health planning or other health care related fields may be substituted for the General Experience on a year for year basis to a maximum of one (1) year.
- Successful completion of a Connecticut Careers Trainee program approved by the Department of Administrative Services may be substituted for the General Experience.
PREFERRED QUALIFICATIONS
- Experience with Microsoft Excel and Access.
- Experience with CMS billing standards.
- Experience working in health care.
- Experience with The Joint Commission standards.
- Experience with health care related state and federal regulations.
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