Health Care Analyst
Hartford, CT - USA
Job Summary
- FACILITY: DMHAS Office of the Commissioner (OOC)
- LOCATION: 410 Capitol Ave Hartford CT
- SCHEDULE: Full-Time 40 Hours per Week First Shift Monday through Friday 8:00am - 4:30pm (Up to 5 days in office during probation period. Hybrid schedule after probation period)
- There is some flexibility to work remote during the probationary period.
- POSITION NUMBER: 125998
WHAT WE CAN OFFER YOU
- Visit our new State Employee Benefits Overview page!
- Professional growth and development opportunities
- A healthy work/life balance to all employees
- Ensurethe Medicare and Medicaid billing associated with billable Inpatient and Outpatient services provided by 7 DMHAS state operated facilities and 40 private non-profit contracted DMHAS agencies is maximized and done in accordance with state and federal guidelines;
- Researchand analyze data that is received from providers and that is released for billing;
- Analyzereports for further billable opportunities;
- Completepaid and denied claims analysis through review of Explanation of Benefits;
- Workclosely with program and quality staff who provide and monitor service delivery;
- Providetraining to staff of state agencies and private non-profit agencies;
- Prepareregular and special project data reports that analyze service delivery billing and revenue data;
- Conduct ongoingresearch of billing opportunities to increase revenue;
- Producereports routinely requested by DSS OPM state legislature CMS and other agencies;
- Workclosely with state facilities and private agencies assisting in their understanding of billing reports requirements and billable service delivery;
- TrackMedicare and Medicaid enrollment of facilities and providers;
- Ensure EHR implementation; and
- Workclosely with IT and DAS on system errors and on system changes including significant quality testing of systems.
- A comprehensive medical examination including a drug screening will be required of all applicants upon a conditional offer of employment.
- All state employees must adhere to Connecticuts Policy for a Drug Free Workplace.
FOR ASSISTANCE IN APPLYING:
Check out ourApplicant Tips on How to Apply! Need more resources Visit ourApplicant Toolkitfor additional support throughout the recruitment process.
BEFORE YOU APPLY:
- Meet Minimum Qualifications:Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening unless otherwise specified.
- Educational Credits:List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification the institution must be accredited. If the institution of higher learning is located outside of the U.S. you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below by the closing date listed on the job posting.
- Resume Policy:PerPublic Act 21-69 resumes are not accepted during the initial application process. As the recruitment process progresses candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter resume transcripts diplomas performance reviews attendance records supervisory references licensure etc. at the request and discretion of the hiring agency.
- Preferred Shift/Location:Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.
- Timely Submission:All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. Late submissions are rarely accepted with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailing.
- Salary Calculations: For current state employees salary calculations are not necessarily comparable from one of the three branches of state government (i.e. Executive Legislative Judicial) to the other.
- Note: Theonly wayto apply to this posting is via the Apply or Apply Online buttons on the official State of Connecticut Online Employment Center job posting.
AFTER YOU APPLY:
- Some email providers may experience delays or issues delivering messages. To avoid missing important updatessuch as referral questionnaires or interview scheduling linksplease check yourPersonal Status Boardregularly.
- For added convenience you can also enable text (SMS) notifications. To do this log in to your Personal Status Board and select Update My Contact Information.
- Referral Questions:This posting may require completion of additional Referral Questions (RQs) which must be completed by the questionnaires expiration date. If requested RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).
- Prepare For An Interview:Interviews are limited to those whose experience and training are most aligned with the role. To prepare review this helpfulInterview Preparation Guideto make the best impression!
- Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.
- The immediate vacancy is listed above however applications to this recruitment may be used for future vacancies in this job class.
- Note: This position will be filled in accordance with contractual language reemployment SEBAC transfer promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees available at employer may participate in EVerify and will provide the federal government with your Form I9 information to confirm work authorization.
QUESTIONS WERE HERE TO HELP:
Due to high volume we are unable to confirm receipt or provide status updates directly. For recruitment updates please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process reach out to Julie Barker at @.
Join the State of Connecticut and take your next career step with confidence!
- Reviews materials to determine compliance with requirements contained in Connecticut General Statutes and agency regulations;
- Reviews and evaluates financial utilization and management records of health care facilities and/or providers toward various ends;
- Prepares financial narrative and statistical reports;
- Reviews findings and conclusions with audit staff and members of senior staff;
- Performs special research projects as assigned;
- Performs related duties as required.
- Reviews various health care facility and/or physician Certificate of Need applications;
- Analyzes impact of proposals on other health care providers in Connecticut and makes recommendations;
- Writes related documents and assists employees of higher grade in writing decisions;
- Assists in preparing documentation for administrative hearings;
- Researches and analyzes data in preparation of various health care industry reports;
- Performs related duties as required.
- Analyzes and evaluates budget expenditure utilization reimbursement rate setting and/or revenue issues within social services programs including Medicaid;
- Participates in public hearings and assists in conferring with representatives of facilities and outside experts;
- Interacts under guidance with Office of the Attorney General in litigation including preparation of complete court records;
- May review Certificate of Need applications for nursing facility residential care homes and ICF/MR development;
- Performs related duties as required.
- Analyzes and evaluates budget expenditure utilization rate setting and/or revenue issues within behavioral health;
- Analyzes General Assistance authorizations and expenditures rate setting scenarios and new methodologies;
- Performs related duties as required.
- Analyzes financial and utilization data from vendor and state records concerning state employees and retirees health care plans;
- Answers inquiries from employees and retirees on issues of coverage and design pertaining to state health care plans;
- Performs related duties as required.
- Knowledge of
- principles and practices of financial management including organization administration management finance budgeting auditing and accounting;
- health care industry;
- Skills
- interpersonal skills;
- oral and written communication skills;
- Ability in interpretation and analysis of complex financial statistical and technical data;
- Ability to utilize computer software.
- College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelors degree.
- A Masters degree in accounting finance or other closely related field or public health with some college courses in accounting or finance may be substituted for one (1) additional year of the General Experience.
- Professional experience in health care facility administration health program administration health insurance administration health planning or other health care related fields may be substituted for the General Experience on a year for year basis to a maximum of one (1) year.
- Successful completion of a Connecticut Careers Trainee program approved by the Department of Administrative Services may be substituted for the General Experience.
- Inpatient and Outpatient Behavioral Health billing experience
- Experience with Microsoft Access and/or Microsoft Excel software to create analytical reports using database queries
- Experience with Microsoft Teams
- Experience with Microsoft Excel functions such as formulas pivot tables and VLOOKUPs
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women minorities and persons with disabilities.
Required Experience:
IC
About Company
CT Board of Regents (BOR) & Charter Oak State College Careers Thank you for visiting our BOR-Charter Oak Career Page! We value our employees and are often looking to add new talent to our team. We offer many opportunities for our employees to contribute and stand out as part of our co ... View more