Senior Analysis and Information Manager 2026-01318

State of Wyoming•Cheyenne, WY

20h•Onsite

About The Position

This position is responsible for leading and managing functions related to analysis and information management for the Division of Health Care Financing. It requires considerable judgment and specialized knowledge of health and utilization management data, eligibility and claims data systems, and multiple Medicaid programs and policies. The role involves making recommendations for new or improved policy and planning decisions, projects, and programs based on analysis findings. This position manages high-level projects, studies, and coordinates with staff and other Department of Health Divisions. Projects include collaboration on reporting efforts and projects within the Department and the Business Operations Unit. The position serves as a resource and consultant for Medicaid data, reviewing and validating other programs or vendors' efforts related to data and data extraction. It is responsible for leading and managing all functions for incoming public data, internal, and other requests, including assigning tasks and managing response timelines. The role involves preparing staff for division and department HealthStat presentations and serving as the central point of contact for the division's participation in HealthStat, functioning as the designated HealthStat coordinator. This includes liaising with other positions with HealthStat-related duties, scheduling and leading all division meetings, assisting program managers with necessary forms, and leading the final submission of HealthStat forms. The Senior Medicaid Analysis and Information Manager must apply judgment concerning communications and confidentiality and requires intermediate or advanced proficiency in standard desktop and Google applications.

Requirements

Bachelor's Degree (typically in Human Services)
1-2 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Quality Assurance Specialist
Intermediate or advanced-level proficiency in the use of standard desktop applications and Google applications (mail, calendar, sites, docs) used by the State of Wyoming.
Knowledge of accounting, healthcare billing, statistics, and management analysis.
Experience demonstrating knowledge of specialized accounting, budgeting, and data analysis.
Ability to plan and analyze, conceptualize and communicate data analysis effectively.
Understand the complexity of agency programs.
Skilled in various data analyses such as data mining, statistical analysis, categorical analysis, exploratory analysis, confirmatory analysis, and predictive analytics.
Ability and experience in understanding and using complex database systems and tools, including a Data Warehouse, Cognos, Tableau, R, or other business intelligence tools.
Skilled in the Google Suite, Microsoft Office, including Excel, Access, Word, and PowerPoint.
Ability to examine and review data and reports for completeness, accuracy, and conformance with regulations.
Skills in research and analysis of complex problems; use of complex software systems; analysis of data and identification of problems and solutions; decision-making and evaluation of results.
Ability to project trends and expenditures.
Working with complex data in undefined activities and constantly changing conditions, situations, and problems requires good judgment in determining work methods to achieve desired results.
Ability to quickly identify problems, prioritize needs, research solutions, make decisions, and implement policies and processes in a timely, responsive, and cost-effective manner.
Analyze research data, assist in designing projects; establish methodologies for consistent data collection; prioritize projects; recommend project enhancement; research issues using statutes, rules, and regulations; may assist in preparing a procedures manual.
Knowledge of Medicaid, Health Information Exchanges, HIPAA, Privacy and Security, Electronic Medical Records, and governance surrounding the same.
Knowledge of federal government laws related to state programs using federal funding sources.
Knowledge of State and Federal government functions, procedures, concepts, principles, and practices of professional healthcare administration; policies and procedures established for the work system; Medicaid law and regulatory structure.
The ability to comprehend federal regulations, state statutes, program rules, and policy.
Able to interpret and integrate the foregoing into processes, state and federal laws, policies, and procedures established for the work system.
The ability to manage and coordinate complex integration of unique programs, research and analyze issues; identification of options and solutions ability to build consensus among stakeholders.
Skills in program management and functional areas; interpersonal relations; team building; goal setting; performance evaluation; and individual motivation.
Oral and written communication skills to communicate with a broad audience range, including administrators, legislators, contractors, and staff.
Ability to communicate Medicaid program information and policy to public and private entities.
Ability to create publications informing stakeholders and the general public of critical program information.
Ability to organize and conduct successful and informative meetings and presentations for a diverse audience, including state, federal, and local agencies, legislators, professional associations, medical care providers, and other stakeholders.
Skills in public speaking, oral and written communication at a variety of levels and with multiple audiences.
Education & Experience Substitution: 4-6 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Quality Assurance Specialist

Nice To Haves

Bachelor's Degree in statistics, information technology, business administration, public administration, healthcare administration, computer science, or a similar field with demonstrated knowledge and experience using related ad-hoc reporting, dashboarding, or statistical tools.
Master’s Degree and experience/ expertise with data and reporting tools, such as IBM Cognos, Tableau, and R.

Responsibilities

Respond to data requests by ascertaining user requirements, collecting, organizing, and analyzing data, and furnishing accurate and comprehensive reports.
Analyze, collect, classify, manipulate, store, retrieve, move, and disseminate information pertinent to the Wyoming Medicaid program, Division of Healthcare Financing.
Extract and manipulate data utilizing approved Agency business intelligence tools through the development of extensive and intricate queries.
Identify salient trends and fluctuations.
Execute checks and audits of various data sources to ensure data integrity and completeness.
Generate ad-hoc and standard periodic reports to fulfill user needs, employing a variety of business intelligence tools, including Cognos, Tableau, and R.
Serve as an internal subject matter expert and consultant on Medicaid health data, encompassing the validation of program initiatives related to data and data extraction methodologies.
Develop a thorough understanding of performance metrics, design requisite reports, and conduct analysis to track and evaluate the efficacy of process modifications.
Communicate effectively across all organizational levels, verbally to foster teamwork and collaboration, and in written format via reports and summaries.
Adhere to assignment timelines and established due dates.
Prioritize and manage assigned workload based on user requirements and leadership directives.
Undertake other assigned projects as required.
Provide the organization with information for strategic planning purposes regarding enrollment, financial data, utilization, and health outcomes.
Contribute to the planning, organization, and development of projects and coordinate efforts with staff and other Department of Health Divisions.
Function as the key liaison for the Healthcare Financing Division in the Wyoming Department of Health HealthStat performance management initiative and provide assistance to program managers in presenting data pertaining to their program performance.
Serve as the lead Analyst for all incoming public data, internal, and other requests.
Prepare staff for division and department HealthStat presentations.
Serve as the central point of contact for the division's participation in HealthStat and function as the designated HealthStat coordinator for the division, liaising with other positions that have HealthStat-related duties.
Schedule and lead all division meetings.
Assist all program managers with the completion of necessary forms and serve as the lead for the final submission of HealthStat forms to the Department binder.
Undertake special projects and studies pertaining to healthcare and the provision of services.
Provide project coordination, support, and assistance across all phases of projects, ranging from simple to moderately complex.
Assist in the design, sampling, and implementation of specialized review programs.
Coordinate internal plan audits to ensure compliance with both state and federal guidelines, analyze project outcomes and trends, and provide recommendations regarding related programs.
Develop reporting requirements and criteria.
Determine program effectiveness in achieving established goals and objectives through assistance with HealthStat and other performance improvement initiatives.
Develop and implement communication tools for new and existing providers, recipients, and external agencies.
Evaluate budgetary impact, track and submit review findings, and ensure that all outcomes are accurate and timely.
Collaborate with and train other analysts to execute various ad-hoc analyses and reports as requested.
Perform user acceptance testing on vendor-created reports, and provide assistance to other analysts in validating their reports.
Attend training or conferences specific to data management and reporting.
Prepare specialized, high-level deliverables, encompassing comprehensive projects, in-depth studies, and formalized reports, including the official Medicaid Annual Report, the detailed Medicaid Per Member Per Month (PMPM) report, strategic data dashboards, and authoritative data whitepapers.
Develop research that may inform new or improved policy and planning decisions, projects, and programs.
Prepare ad-hoc and topical reports and analyses as required.