Management Analyst II

State of Delaware•Dover, DE

2d•Onsite

About The Position

The incumbent duties include Medicaid rate setting, service taxonomy, maintain healthcare procedure codes, perform queries and reports, provider enrollment, and maintain compliance with state and federal regulations. Serves as a liaison between different departments and providers. Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. Interviews agency staff, observes work processes and gathers data relating to operational and managerial practices and procedures for use in evaluating services provided and/or determining compliance to goals and objectives. Reviews, performs statistical analysis and interpretation of collected data relating to policies, procedures, organization, managerial and operational practices; Defines and may make recommendations for correcting problems. Analyzes data gathered and develops solutions or alternative methods of proceeding. Analyzes and evaluates the effectiveness of operations in meeting established goals and objectives. Provides technical assistance in understanding and developing management objectives and controls for resolution of issues and concerns. Studies pertinent background material such as legislation, administrative orders and regulations. Makes recommendations for and assists in the implementation of new techniques or procedures to improve methods of operations, strengthen controls, and effectively utilize resources. Documents findings of studies and prepares recommendations for implementation of new systems, procedures, or organizational changes. May supervise administrative support and/or paraprofessional staff. Supervision is exercised over at least two or more merit full time positions per the Merit Rules. The elements of supervision include planning, assigning, reviewing, evaluating, coaching, training, recommending hire/fire and discipline.

Requirements

Six months experience in conducting studies which includes evaluating operations, programs, services, policies and procedures to determine efficiency, effectiveness, whether goals and objectives are met and compliance with laws, rules, regulations, policies and procedures.
Six months experience in descriptive statistics such as the mean, median, mode or standard deviation.
Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
Six months experience in narrative report writing.
Knowledge of designing studies which includes determining study goals and objectives, information needed, data sources, sampling and collection methods.
Knowledge of making recommendations for continuation or changes to operations, programs, services, policies or procedures based on findings.
Knowledge of inferential statistics such as correlation, t-tests, f-tests or analysis of variance.
Must be legally authorized to work in the United States.
Must undergo pre-employment drug testing.
Must pass a criminal background check.

Responsibilities

Medicaid rate setting
Service taxonomy
Maintain healthcare procedure codes
Perform queries and reports
Provider enrollment
Maintain compliance with state and federal regulations
Serve as a liaison between different departments and providers
Interview agency staff
Observe work processes and gather data relating to operational and managerial practices and procedures
Evaluate services provided and/or determine compliance to goals and objectives
Review, perform statistical analysis and interpretation of collected data relating to policies, procedures, organization, managerial and operational practices
Define and make recommendations for correcting problems
Analyze data gathered and develop solutions or alternative methods of proceeding
Analyze and evaluate the effectiveness of operations in meeting established goals and objectives
Provide technical assistance in understanding and developing management objectives and controls for resolution of issues and concerns
Study pertinent background material such as legislation, administrative orders and regulations
Make recommendations for and assist in the implementation of new techniques or procedures to improve methods of operations, strengthen controls, and effectively utilize resources
Document findings of studies and prepare recommendations for implementation of new systems, procedures, or organizational changes
Supervise administrative support and/or paraprofessional staff