Health Care Analyst (Office/On-site)
Perks & Benefits:
- FACILITY: Western Connecticut Mental Health Network (WCMHN)
- TEAM: Quality & Information Management Team
- LOCATION: Waterbury
- SCHEDULE: Full-time, 1st Shift | Monday - Friday from 8:00am - 4:30pm
- POSITION NUMBER: 25022
- Visit our new State Employee Benefits Overview page!
- The opportunity to work for a Forbes top company: 'Forbes' State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule
- Professional growth and development opportunities
- A healthy work/life balance to all employees
- Be a part of a comprehensive team of caring professionals;
- Provide support to an agency that is passionate about improving the lives of those we serve;
- Assist our clients and employees so they can achieve success;
- Make a difference in the public sector; and
- Work together in a collaborative team environment.
Selection Plan
Please read or watch our Applicant Tips on How to Apply!
- In order to be considered for this job opening, you must meet the Minimum Qualifications as listed on the job opening. The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.
- You must specify your qualifications on your application. You will be unable to make revisions once you submit your application for this posting to the JobAps system.
- In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.
- All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to [email protected].
- This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules.
- Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process.
- This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting's closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the question's expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user's spam.
- Note: At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency.
- The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
- Interviews will be limited to candidates whose experience and training most closely meet the requirements of the position. Read through this helpful link to prepare for your interview.
- 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 which is available at www.ct.gov/ethics.
- Due to the large volume of applications received, we are unable to provide confirmation of receipt or status during the recruitment process.
- Updates will be available through your JobAps portal account. If you have any questions pertaining to this recruitment please contact Julie Barker via email at [email protected].
PURPOSE OF JOB CLASS (NATURE OF WORK)
EXAMPLES OF DUTIES
- 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, SKILL AND ABILITY
- 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.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
- 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 Bachelor's degree.
- A Master's 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.
PREFERRED QUALIFICATIONS
- Experience with Microsoft Excel spreadsheets.
- Experience with clinical documentation and billing requirements.
- Experience validating the plan of care and apply to client encounters.
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