Management Analyst II

State of Delaware•Dover, DE

About The Position

This position is responsible for the collection and analysis of capitation and enrollment data for our three managed care companies. This work is vital to the operations of our Medicaid managed care delivery system, and the oversight of accurate capitation payments to the Managed Care Organizations (MCOs). Work involves developing solutions to problems, deciding on a course of action, and making recommendations to management. This position provides analytical, technical and financial support for the management of the Medicaid Operations Unit, and monitors reports to identify and track trends.

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.

Responsibilities

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.