Departmental Analyst 12 - BPHASA - QUALITY PERFORMANCE, PAYMENT & INTEGRITY SECTION

Position is the recognized resource for monthly PIHP capitation payment summary reports. Monthly, multiple queries are run in the MDHHS data warehouse from the contractor payment area to report payments broken down by fund source (Medicaid, Healthy Michigan, HSW, Children’s Waiver, Serious Emotional Disturbance Waiver) for each PIHP. Reports include each month’s payments and cumulative payments for the fiscal year.

This position functions as the recognized resource for Prepaid Inpatient Health Plan (PIHP) capitation payment summary reports. It interacts with MDHHS and external personnel on matters relating to the CHAMPS Medicaid management information system enrollment, encounter and capitation payment data. The individual is responsible for monitoring the quality of PIHP data and working with PIHPs and other external partners to resolve data quality issues. This individual is responsible for compiling, manipulating, and analyzing large data sets including capitation payment, benefit plan enrollment, encounters, and CHAMPS provider enrollment. These analyses are used to fulfill legislative, federal and other reporting requirements and to determine rate adjustor payment amounts. Position is responsible for updating reporting processes to adjust to CHAMPS changes in benefit plans and capitation payments.

Position Description
Job Specification

To be considered for this position you must:

• apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
• relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
• attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
• attach a cover letter.
• if applicable, attach a copy of an official transcript(s).  We accept scanned copies of official transcripts.  We do not accept web-based, internet, or copies of unofficial transcripts.  Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.

Failure to complete any of the above items may result in your application not being considered.  See instructions for attaching files here:  Instructions

Education
Possession of a bachelor's degree in any major.

Preferred:  Bachelor’s degree in statistics, social science, information management, or a health-related field.


Experience
Three years of professional experience, including one year of experience equivalent to the experienced (P11) level in state service.

Preferred: Experience in complex data analysis and data management - monitoring, evaluating or reviewing data systems to improve data quality.  Considerable experience with analytical software such as Excel, Access, SAS or SPSS.  Experience with developing own computer queries or programs for data analysis.

This position is being reposted.  If you applied previously, there is no need to apply again.

The physical location of this position is located: 400 South Pine, Lansing MI 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

Employees will be provided computers to perform state work.  Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:                

        o A secure work location that allows privacy and prevents distractions.
        o A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
        o Suitable lighting, furniture, and utilities.

As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check. 

Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration.  Only those applicants interviewed will be notified of the results. 

The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.    

The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.


If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required. 

Salary : $29 - $42