PURPOSE OF JOB CLASS (NATURE OF WORK)
In the Departments of Mental Health and Addiction Services, Public Health, Social Services or the Office of the State Comptroller, this class is accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.
Works under the general supervision of an employee of higher grade.
May lead and/or supervise other support staff as assigned.
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.
DEPARTMENT OF PUBLIC HEALTH: 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.
DEPARTMENT OF SOCIAL SERVICES: 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.
DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES: 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.
OFFICE OF THE STATE COMPTROLLER: 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; some knowledge of health care industry; 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
Six (6) 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
1. 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.
2. 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.
3. 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.
JOB CLASS DESIGNATION
(16)-ADMIN & RESID (P-5)
This replaces the existing specification for the class of Health Care Analyst in Salary Group AR 22 approved effective June 4, 2010. (2012 SCOPE Review)