Departmental Specialist 13 - HS Managed Care Rates & Analytics Section
About The Position
This position serves as the state’s specialist for Performance Monitor Reporting and the Encounter Quality Initiative for Medicaid Health Plan Encounter reporting. This individual is responsible for specialized complex analyses of data from various MDHHS databases, and the MDHHS CHAMPS data warehouse, with particular focus on Medicaid encounter data. These analyses are specifically used to monitor quality of data; health plan reporting and determining utilization patterns and access to care for Medicaid recipients; provide data and specific detailed complex analyses for research projects essential in providing information for administrative and policy decisions. This individual is responsible for monitoring the submission and quality of data from managed care entities; on-site health plan visits; preparing and presenting analytical findings; and compiling, manipulating, and analyzing large data sets. Encounter data currently drives billions in annual capitation payments and will increase significantly as more Medicaid programs and providers enter Managed Care contracts with the department.
Requirements
- Possession of a bachelor’s degree in any major
- Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.
- Apply for this position online via NEOGOV
- 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)
- Do not use AI software in any area of the selection process
Responsibilities
- Performance Monitor Reporting
- Encounter Quality Initiative for Medicaid Health Plan Encounter reporting
- Specialized complex analyses of data from various MDHHS databases, and the MDHHS CHAMPS data warehouse, with particular focus on Medicaid encounter data
- Monitoring the submission and quality of data from managed care entities
- On-site health plan visits
- Preparing and presenting analytical findings
- Compiling, manipulating, and analyzing large data sets
Benefits
- Computers will be provided to perform state work
- Phones may also be provided for necessary communications
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
