Health Policy Analyst I

State of Maryland • Baltimore City, MD

23h • Onsite

About The Position

This position supports the LTSSMaryland DDA Provider Billing Support Office (PBSO). This position will learn to analyze Medicaid health care data to support Medicaid policies and programs. This position will learn how to prepare reports, conduct research and analysis relevant to LTSSMaryland providers, and address high priority projects. This includes the evaluation, analysis, research and development of health care services and policies within MDH. This position will learn to perform duties such as researching and evaluating policies, analyzing LTSSMaryland system requirements, coordinating service compliance projects, processing of provider authorizations and payments, and communicating with internal and external MDH stakeholders. This position processes certain billing activities, learns to evaluate internal workflow, learns how to monitor program integrity and reporting, performs data analysis with a focus on administrative support and the processing of provider adjustments, exceptions, and billing. Specific focus for this position will be to support the Electronic Visit Verification (EVV) and Non-EVV service billing for various Medicaid Home and Community-Based waivers including programs operated by the Developmental Disabilities Administration (DDA) and other administrations as necessary. The individual in this position will be required to learn and understand waiver service billing requirements, learn Person Centered Plan and/or Plan of Service structure, and communicate with program staff in order to address billing and policy issues.

Requirements

• A Bachelor's degree from an accredited college or university.
• One year of experience evaluating, analyzing, researching and developing health care services, policies and programs.
• Possession of a motor vehicle operator’s license valid in the State of Maryland (if assigned duties requiring vehicle operation).

Nice To Haves

• Experience in Google Suites, Microsoft Office, power BI, MMIS Maryland, LTSSMaryland.
• Experience in the HCBS waiver.
• Experience collecting and interpreting data.

Responsibilities

• Analyze Medicaid health care data to support Medicaid policies and programs.
• Prepare reports, conduct research and analysis relevant to LTSSMaryland providers, and address high priority projects.
• Evaluate, analyze, research and develop health care services and policies within MDH.
• Research and evaluate policies.
• Analyze LTSSMaryland system requirements.
• Coordinate service compliance projects.
• Process provider authorizations and payments.
• Communicate with internal and external MDH stakeholders.
• Process certain billing activities.
• Evaluate internal workflow.
• Monitor program integrity and reporting.
• Perform data analysis with a focus on administrative support and the processing of provider adjustments, exceptions, and billing.
• Support the Electronic Visit Verification (EVV) and Non-EVV service billing for various Medicaid Home and Community-Based waivers.
• Learn and understand waiver service billing requirements.
• Learn Person Centered Plan and/or Plan of Service structure.
• Communicate with program staff to address billing and policy issues.

Benefits

• Subsidized health benefits coverage for themselves and their dependents (for contractual employees working 30+ hours/week).
• Dental coverage (employee pays full premium).
• Accidental death and dismemberment insurance (employee pays full premium).
• Life insurance (employee pays full premium).
• Leave granted at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year (for contractual employees).

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level