Departmental Analyst 9-12 - Integrated Programs Management Section

State of Michigan•Lansing, MI

1d•Hybrid

About The Position

The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan. This position is responsible for the quality program and performance evaluation standards for the Michigan Department of Health and Human Services (MDHHS) MI Coordinated Health program. At the 9-P11 Level Analyst, with management supervision, this position will monitor contracted health plans’ quality programs including Healthcare Effectiveness Data and Information Set (HEDIS), Health Outcomes Surveys (HOS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Performance Improvement Plans (PIPs) data. With management support, this position will also serve as a liaison between MDHHS and its contracted External Quality Review Organization (EQRO) for assigned activities, participate in intradepartmental and interdepartmental meetings, and collaborate with team members on crosscutting quality related issues and initiatives. The incumbent in the position will perform basic comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries, make recommendations for future contract language to maintain compliance with evolving quality related regulatory requirements, prepare and submit required annual report data, and engage in Continual Quality Improvement (CQI) to strengthen the MI Coordinated Health quality program. At the 12 Level Analyst (senior level), this position is responsible for the quality program and performance evaluation standards for the Michigan Department of Health and Human Services (MDHHS) MI Coordinated Health program. This position monitors contracted health plans’ quality programs including Healthcare Effectiveness Data and Information Set (HEDIS), Health Outcomes Surveys (HOS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Performance Improvement Plans (PIPs) data. This position also serves as a liaison between MDHHS and its contracted External Quality Review Organization (EQRO) for assigned activities, represents the MI Coordinated Health program as a lead analyst during intradepartmental and interdepartmental meetings, collaborates with team members on crosscutting quality related issues and initiatives, and organizes and facilitates Quality Workgroup Meetings (QWG) with the contracted Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs). The incumbent in the position performs complex comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries, drafts future contract language to maintain compliance with evolving quality related regulatory requirements, prepares and submits required annual report data, and engages in Continual Quality Improvement (CQI) to strengthen the MI Coordinated Health quality program. This position represents MI Coordinated Health in meetings and on work related to the department’s Comprehensive Quality Strategy (CQS) as well as health plan Network Adequacy activities.

Requirements

Possession of a bachelor’s degree in any major.
Departmental Analyst 9: No specific type or amount is required.
Departmental Analyst 10: One year of professional experience.
Departmental Analyst P11: Two years of professional experience, including one year of experience equivalent to the intermediate (10) level in state service.
Departmental Analyst 12: Three years of professional experience, including one year of experience equivalent to the experienced (P11) level in state service.
Educational level typically acquired through completion of high school and the equivalent of at least two years of full-time active-duty experience at or above the E-6 level in the uniformed services may be substituted for the education requirement.
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.

Nice To Haves

If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.

Responsibilities

Monitor contracted health plans’ quality programs including Healthcare Effectiveness Data and Information Set (HEDIS), Health Outcomes Surveys (HOS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Performance Improvement Plans (PIPs) data.
Serve as a liaison between MDHHS and its contracted External Quality Review Organization (EQRO) for assigned activities.
Participate in intradepartmental and interdepartmental meetings.
Collaborate with team members on crosscutting quality related issues and initiatives.
Perform basic comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries.
Make recommendations for future contract language to maintain compliance with evolving quality related regulatory requirements.
Prepare and submit required annual report data.
Engage in Continual Quality Improvement (CQI) to strengthen the MI Coordinated Health quality program.
Represent the MI Coordinated Health program as a lead analyst during intradepartmental and interdepartmental meetings.
Organize and facilitate Quality Workgroup Meetings (QWG) with the contracted Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs).
Perform complex comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries.
Draft future contract language to maintain compliance with evolving quality related regulatory requirements.
Represent MI Coordinated Health in meetings and on work related to the department’s Comprehensive Quality Strategy (CQS) as well as health plan Network Adequacy activities.