Departmental Analyst Trainee 9-P11 - Program Review Division

State of Michigan•Lansing, MI

1d•Hybrid

About The Position

This position is identified as the compliance data analyst for the Program Review Division (PRD). This position conducts research and analysis of prior authorization data and regulatory requirements related to health care prior authorization (PA) requirements for fee-for-service (FFS) Medicaid/Children’s Special Health Care Services (CSHCS). This position identifies compliance issues and establishes recommendations for program policies and operational procedures/strategies in order to improve efficiency, effectiveness, and provision of technical knowledge regarding coverage inquiries. This position interprets data and prepares reports of analytical findings, statistical summaries and conducts correspondence related to PRD compliance with MDHHS policy, state, and federal regulations. This position may rely on consultation with management for issues of higher-than-normal complexity such as broad-ranging implications beyond PRD (claims implications or potential need for amendment to Health Services policy or State Plan). This position will participate as an alternate to ensure operational turnaround time is met.

Requirements

Possession of a bachelor's degree in any major.
Relevant experience and/or education referred to in the supplemental questions must be documented in the resume, transcript and/or application to allow for accurate screening.
Attach a resume identifying specific experience and dates of employment.
Dates of employment should include month and year and hours per week.
Attach a cover letter.
If applicable, attach a copy of an official transcript(s).
We accept scanned copies of official transcripts.
We do not accept web-based, internet, or copies of unofficial transcripts.
Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.
Failure to complete any of the above items may result in your application not being considered.
The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.
Successful completion of a background investigation and a criminal records check.

Nice To Haves

Four years of experience as an advanced 9-level worker in an ECP Group One classification.
Three years of experience as an E9, E10, or E11-level worker in an ECP Group One classification.
Two years of experience as an experienced level worker in an ECP Group One technician or paraprofessional classification.
Two years of experience as a first-line supervisor in an ECP Group Three classification.
One year of experience as a second-line supervisor in an ECP Group Three classification.
College credits may be substituted on a proportional basis (one year of college education may substitute for one quarter of the required experience) for up to one half of the required experience.

Responsibilities

Conducts research and analysis of prior authorization data and regulatory requirements related to health care prior authorization (PA) requirements for fee-for-service (FFS) Medicaid/Children’s Special Health Care Services (CSHCS).
Identifies compliance issues and establishes recommendations for program policies and operational procedures/strategies in order to improve efficiency, effectiveness, and provision of technical knowledge regarding coverage inquiries.
Interprets data and prepares reports of analytical findings, statistical summaries and conducts correspondence related to PRD compliance with MDHHS policy, state, and federal regulations.
May rely on consultation with management for issues of higher-than-normal complexity such as broad-ranging implications beyond PRD (claims implications or potential need for amendment to Health Services policy or State Plan).
Participates as an alternate to ensure operational turnaround time is met.