Are you looking for an opportunity to improve business processes, and deliver value-added programs? If so, we’re looking for you!
The State of Connecticut, Department of Social Services (DSS) delivers and funds a wide range of programs and services as Connecticut’s multi-faceted health and human services agency. Guided by our shared belief in human potential, we envision a Connecticut where all have the opportunity to be healthy, secure and thriving. We, along with our partners, provide person-centered programs and services to enhance the well-being of individuals, families and communities. Follow us on twitter@ctdss and see what we are all about!
We are recruiting for a Planning Analyst for the Office of Quality Assurance’s Special Investigations Division. Duties include but are not limited to reviewing billing to ensure compliance with federal Third Party Liability requirements and recovering tax-payer funded health care from commercial health insurance companies, Medicare and other legally liable third parties. This includes review of billing records, statements, collecting and analyzing data to determine and identify client third party coverage and recover client health care costs.
- Work-Life Balance: This position is full-time, 40 hours per week; Monday- Friday 8:00 am - 4:30 pm. Conveniently located at 55 Farmington Avenue, Hartford, CT 06105.
- Leading Comprehensive Benefits: Competitive salary structure, excellent health & dental coverage, generous vacation, personal, and sick time, retirement plan options & more!
- The Ability to Make a Difference in Your Community: Check out what it's like to be a state employee in the video below.
We hope you pursue this new challenge and encourage you to detail your related experience on the application.
The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.
This posting may require completion of additional referral questions (RQs) which will be sent to you via email after the closing date. The email notification will include an expiration date by which you must submit (Finish) your responses. Please regularly check your email for notifications. Please check your SPAM and/or Junk folders, as emails could end up there in error.
Should you have questions pertaining to this recruitment, please contact Elizabeth Weston at Elizabeth.Weston@ct.gov.
The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
NOTE: At any point during the recruitment process, applicants may be required to submit additional documentation such as performance reviews, attendance, supervisory references, etc., to support their candidacy for this position.
Candidates selected for interview must bring the following at the time of interview:
Non State Employees: 2 professional references and resume.
State Employees: Last 2 recent service ratings and last 2 years of attendance records.
Please note that DSS takes part in the E-Verify system, which is a web-based system that allows enrolled employers to confirm the eligibility of their employees to work in the United States.
PURPOSE OF JOB CLASS (NATURE OF WORK)
In a State agency this class is accountable for independently performing a full range of tasks in planning, monitoring and evaluating programs.
EXAMPLES OF DUTIES
Plans and develops new programs; monitors and modifies existing plans and programs; acts as liaison with other operating units, agencies and outside officials regarding programs and plans; provides training and consultative services; develops procedures for programs; drafts regulations pertaining to programs and plans; analyzes and evaluates grant applications and requests for proposals; conducts special studies and prepares reports; performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
Knowledge of principles and practices of state and regional planning; knowledge of federal, state and regional planning and development issues and programs; knowledge of research methods and techniques; knowledge of statistical analysis; interpersonal skills; oral and written communication skills; ability to interpret relevant state and federal laws and regulations; ability to utilize computer software.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Six (6) years of experience in planning including developing written long term plans broad in scope and having impact on a number of operations.
NOTE: Planning is defined as collecting and analyzing technical data (social, environmental, economic, governmental), determining problems and concerns, and developing long-term plans accordingly. These are formal, written plans, i.e., statements of goals and objectives, recommended alternatives for action, and policies and programs to achieve the goals and objectives. Generally, these plans will impact statewide activities or a large-scale corporation which has branch or satellite facilities. Candidates must often perform these types of duties the majority of time and the planning function must be the major thrust of the job.
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 planning, public administration or a closely related field may be substituted for one (1) additional year of the General Experience.
- Experience with the commercial health insurance industry, federal Medicare Program, Workers’ Compensation, health care-related causes of action/tort recovery.
- Experience with coordination of benefits between health care consumers, providers, and payors.
- Experience using access, excel, data warehouse decision support software, and mainframe systems to perform complex analysis of, and reporting on, health care consumer, provider, and payor information.
- Experience successfully networking and developing effective working relationships within an organization and with health care consumers, providers, and payors to resolve issues affecting access to care, quality of care, and reimbursement.
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.