Associate Health Care Analyst

Introduction

Join a forward-thinking team in Hartford, CT. As an Associate Health Care Analyst, you'll have a meaningful role in our accounting division within an encouraging setting. The�State of Connecticut, Department of Developmental Services (DDS)�- Central Office - has a full-time 1st shift job opportunity for an Associate Health Care Analyst in the Operations Center to be based in Hartford. As an Associate Health Care Analyst, your key responsibilities will include: Analyzing complex Non-POS provider and vendor enrollment applications. Reviewing required supporting documentation, including financial reports, budgets, line of credit, entity incorporation papers, certificates of insurance, business and strategic plans, Board of Directors or Advisory Board compositions, biographical summaries, clinical credentials, mission statements, organizational charts, letters of reference, background check information, and provider policies and procedures. Arranging for the Qualified Provider Committee to review provider applications and credentials and facilitating interviews. Ensuring Individual Budget authorizations, services, and payments align with DDS approved waivers. Leading all aspects of growing provider/vendor applications within the Fiscal Intermediary (FI) system. Monitoring revenue for FI claims and contributing to quarterly consensus revenue estimates. Work Schedule This is a full-time position with a standard work schedule of 8:00 a.m. - 4:30 p.m., Monday through Friday. However, flexibility is required to meet the needs of the agency. Join us in an environment that promotes collaboration and strives for world-class results. Why Join Us? At the State of Connecticut, we value our employees and aim to build an encouraging and inclusive work environment. As a member of our team, you will enjoy: Opportunities for professional growth and development. Competitive salary with benefits. A positive and collaborative workplace culture. The chance to contribute to the well-being of the community. A flexible work schedule to meet the needs of the agency. Visit our�new�State Employee Benefits Overview�page! 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. How To Apply If you are ready to take the next step in your career, we invite you to apply. Please submit your application through the JobAps system. Note that once you submit your application, no revisions can be made. Ensure that all qualifications and experiences are clearly detailed in your application. We look forward to welcoming a proven professional to our team!

Selection Plan

In order to be considered for this job opening, you must be a current State of CT�employee, who has worked for the state for at least six (6) months of full-time service or full-time equivalent service, absent any applicable collective bargaining language, and meet the Minimum Qualifications as listed on the job opening.� You must�specify your qualifications on your application. FOR ASSISTANCE IN APPLYING:� Check out our�Applicant Tips on How to Apply! Need more resources? Visit our�Applicant Reference Library�for 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.�� If you require an accommodation to participate fully and fairly under the provisions of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418-6148 or�Edward.Magnano@ct.gov. 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. Resume Policy:�Per�Public 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�DAS.SHRM@ct.gov.� 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: The�only way�to 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:� Referral Questions:�This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s 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 helpful�Interview Preparation Guide�to 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�www.ct.gov/ethics. QUESTIONS? WE’RE 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 Liz Pinette at�elizabeth.pinette@ct.gov. Join the State of Connecticut and take your next career step with confidence!

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Departments of Developmental Services, Mental Health and Addiction Services, Public Health, Social Services or the Office of the State Comptroller this class is accountable for performing the most complex tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.

EXAMPLES OF DUTIES

Performs the most complex duties in the review of materials to determine compliance with requirements contained in Connecticut General Statutes and agency regulations; Assists in development of procedures, documentation references and computer programming and data base management to provide efficient and effective use of staff resources; Reviews and evaluates financial, utilization and management records of health care facilities and/or providers toward various ends; Prepares complex financial, narrative and statistical reports; Reviews findings and conclusions with senior staff; Conducts research and analysis as needed for special projects; Provides staff training and assistance; Performs related duties as required. DEPARTMENT OF DEVELOPMENTAL SERVICES: Analyzes complex provider enrollment applications and required supporting documentation which includes, but not limited to: financial reports to demonstrate solvency, budget, line of credit, entity incorporation papers, certificates of insurance, business and strategic plans, Board of Directors or Advisory Board composition and their biographical summaries and clinical credentials, mission statement, organizational charts, letters of references, background check information and provider's policies and procedures; Arranges for the Qualified Provider Committee to review acceptable provider application and credentials and to interview applicants recommended as a qualified provider; Performs related duties as required. DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES: Analyzes and evaluates complex budget, expenditure, utilization, rate setting and/or revenue issues within behavioral health programs; Prepares reports of findings for decision and policy making purposes; May prepare cost-based rate proposals for provider services; Performs related duties as required. DEPARTMENT OF PUBLIC HEALTH: Reviews various complex health care facility and/or provider Certificate of Need applications; Analyzes impact of proposals on other health care providers in Connecticut; Prepares necessary related written documents and assists employees of higher grade by drafting decisions; Reviews revenue, expense, uncompensated care and utilization data to measure the financial condition of hospitals and to provide data for decision and policy making; Performs related duties as required. DEPARTMENT OF SOCIAL SERVICES: Analyzes and evaluates complex budget, expenditure, utilization, reimbursement rate setting and/or revenue issues within social services programs, including Medicaid; Participates in public hearings and assists senior staff in conferring with representatives of facilities and outside experts with respect to issues; Interacts, under guidance, with Office of the Attorney General in any agency litigation including preparation of complete court records and substantive writing of technical issues for inclusion in legal brief; May review complex Certificate of Need applications for nursing facility, residential care homes and ICF/ID development; Performs related duties as required. OFFICE OF THE STATE COMPTROLLER: Analyzes complex health care financial and utilization data for state employees and retirees; Analyzes and evaluates health insurance plans; Answers inquiries and assists in processing appeals on health care benefit issues for state employees and retirees; Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

Considerable knowledge of principles and practices of financial management including organization, administration, management, finance, budgeting, auditing and accounting; Knowledge of health care industry; Skills interpersonal skills; oral and written communication skills; Considerable ability in interpretation and analysis of complex financial, statistical and technical data; Ability to utilize computer software.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Seven (7) years of professional experience in financial management with some experience in health care management. NOTE: Financial management is defined as professional accounting or auditing work with responsibility for the review and recommendation of financial policies and procedures of a business organization.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

College training 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.

PREFERRED QUALIFICATIONS

Experience working with Fiscal Intermediaries. Experience reviewing DDS claims. Experience with Medicaid Consensus Revenue. Ability to communicate effectively and efficiently to a diverse group of stakeholders. Experience and proficiency using Microsoft Office, specifically Excel, and Access.

Conclusion

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.

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes.� As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

Salary : $86,068 - $110,931