Managed Care Data Analyst
Managed Care Data Analyst
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Job Description
Title: Managed Care Data Analyst
State Role Title: Info Technology Specialist II
Hiring Range: $83323- $89712
Pay Band: 5
Agency: Dept of Med Assistance Svcs
Location:Dept of Medical Asst Services
Agency Website:
Recruitment Type: General Public - G
Job Duties
The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as a Managed Care Data Analyst. The selected competitive candidate will provide exceptional delivery of services to the agencys Integrated Care Division.
Job responsibilities will include but are not limited to:
This position is a healthcare encounter data programmer responsible for developing and maintaining advanced data extraction transformation and analysis processes using Statistical Analysis System (SAS) and Structured Query Language (SQL) to support healthcare analytics and reporting. The primary objective is to ensure the accuracy completeness and consistency of healthcare encounter data used for utilization analysis performance monitoring regulatory compliance and inter-agency reporting. This role integrates data from multiple sources including managed care organizations and state systems to support comprehensive data analysis and facilitate efficient data exchange with the Department of Medical Assistance Services (DMAS). The incumbent will design and implement automated routines for processing large-scale datasets identify trends and anomalies in healthcare service utilization and generate statistical reports to support operational and strategic decision-making.
As an employee of DMAS you are entitled to the many comprehensive benefits the Commonwealth has to offer. This includes health benefits 12 paid holidays paid leave flexible work schedules & retirement plans. For more specific details please visit: in beautiful Central Virginia the Richmond area puts you just 2 hours from the Blue Ridge Mountains Virginia Beach and Washington DC. To learn more about the Richmond VA area visit: Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.
DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service collaboration trust problem solving and adaptability.
At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are Become who you want to be That is our promise.
Minimum Qualifications
Competitive candidates will meet these minimum qualifications:
Considerable knowledge of healthcare technology systems claims and database structures.
Considerable knowledge of reporting tools and analysis methodologies.
Considerable experience in programming with SAS and SQL including data extraction transformation and analysis in relational database systems.
Considerable experience in healthcare data workflows such as validation quality assurance encounter data reconciliation and regulatory reporting processes.
Considerable work-related experience in Teradata SQL/SAS Microsoft Excel and data visualization tools (e.g. Tableau Power BI).
Knowledge in interpreting and applying state and federal laws and regulations such as the Health Insurance Portability and Accountability Act. (HIPAA) Electronic Data Interchange (EDI) and state-specific Medicaid policies.
Considerable experience meeting deadlines.
Considerable experience in reporting data to internal/external stakeholders.
Additional Considerations
Competitive candidates should meet these additional considerations:
Knowledge of Medicaid enrollment systems and managed care encounter systems.
Special Instructions
You will be provided a confirmation of receipt when your application and/or rsum is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.
The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the EVerify Program.
The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures to include the Commonwealths Department of Human Resource Management Policy 1.61 Teleworking.
This position requires a fingerprint based Criminal History Background Check Education Checks if applicable Work History Verification with references.
If you wish to apply for a job with the Department of Medical Assistance Services an application and/or resume for employment must be submitted electronically through this website. Mailed faxed emailed or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability in the recruitment selection and hiring of its workforce.
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealths Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter use this link: or call DARS at or DBVI at
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29 (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member DMAS encourages you to apply and respond accordingly on your state application.
Contact Information
Name: DMAS Talent Acquisition
Phone:
Email:
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.
Required Experience:
IC
Employment Type
Full-Time
