Introduction
Do you have professional experience in financial management with some experience in health care management?
Join our team as a Health Care Analyst to make an impact and lead with excellence!
THE POSITION
HIGHLIGHTS
- FACILITY: DMHAS Office of the Commissioner (OOC)
- LOCATION: 410 Capitol Ave, Hartford, CT
- SCHEDULE: Full-Time, 40 Hours per Week, First Shift, Monday through Friday, 8:00am - 4:30pm
- Note: Up to 5 days in office during probation period. Hybrid schedule after probation period.
- POSITION NUMBER: 82490
DISCOVER THE OPPORTUNITY TO
- Ensure the Medicare and Medicaid billing associated with billable Inpatient and Outpatient services provided by 7 DMHAS state operated facilities and 40+ private non-profit contracted DMHAS agencies is maximized and done in accordance with state and federal guidelines;
- Research and analyze data that is received from providers and that is released for billing;
- Analyze reports for further billable opportunities;
- Complete paid and denied claims analysis through review of Explanation of Benefits;
- Work closely with program and quality staff who provide and monitor service delivery;
- Provide training to staff of state agencies and private non-profit agencies;
- Prepare regular and special project data reports that analyze service delivery, billing and revenue data;
- Conduct ongoing research of billing opportunities to increase revenue;
- Produce reports routinely requested by DSS, OPM, state legislature, CMS and other agencies;
- Work closely with state facilities and private agencies, assisting in their understanding of billing reports, requirements and billable service delivery;
- Track Medicare and Medicaid enrollment of facilities and providers
- Implement Electronic Health Records (EHR); and
- Work closely with IT and DAS on system errors and on system changes including significant quality testing of systems.
ABOUT US
DMHAS is a health care agency whose mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective, and efficient services and supports that foster dignity, respect, and self-sufficiency in those we serve.
Selection Plan
FOR ASSISTANCE IN APPLYING:
Check out our Applicant Tips on How to Apply! Need more resources? Visit our Applicant Toolkit 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.
- 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 by the closing date listed on the job posting.
- 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 Jensine Tran at Jensine.Tran@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 Correction, 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.
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.
DEPARTMENTS OF CORRECTION AND 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;
- 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
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
- 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
- Inpatient and Outpatient Behavioral Health billing experience
- Experience with Microsoft Access and/or Microsoft Excel software to create analytical reports using database queries
- Experience with Microsoft Teams
- Certification in professional coding
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.