Health Care Analyst (32 Hour)(Office/On-Site)

Connecticut Department Of Administrative Services

Manages state resources, operations, and services, streamlining efficiency for Connecticut government.

Analyze and evaluate billing documentation and reconciliation within a behavioral health setting.

7 days ago ago

$37 - $48

Junior (1-3 years), Expert & Leadership (13+ years)

Full Time

Waterbury, CT

Onsite

Company Size

1,700 Employees

Service Specialisms

Construction services

Project Management

Consulting

Engineering

Architecture

Property Development

Design

Technical Services

Sector Specialisms

Human Resources

Information Technology

Fleet Vehicle Services

Building and Construction

Procurement

Grants Administration

Role

What you would be doing

budget analysis

report preparation

data research

application review

client assistance

litigation support

Analyzes and evaluates budget, expenditure, utilization, rate setting and/or revenue issues within behavioral health;
Writes related documents and assists employees of higher grade in writing decisions;
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Reviews various health care facility and/or physician Certificate of Need applications;
Performs special research projects as assigned;
Analyzes impact of proposals on other health care providers in Connecticut and makes recommendations;
Participates in public hearings and assists in conferring with representatives of facilities and outside experts;
Analyzes and evaluates budget, expenditure, utilization, reimbursement rate setting and/or revenue issues within social services programs, including Medicaid;
Assists in preparing documentation for administrative hearings;
Prepares financial, narrative and statistical reports;
Researches and analyzes data in preparation of various health care industry reports;
Reviews and evaluates financial, utilization and management records of health care facilities and/or providers toward various ends;
Analyzes financial and utilization data from vendor and state records concerning state employees and retirees health care plans;
Assist our clients so they can achieve success;
Interacts, under guidance, with Office of the Attorney General in litigation including preparation of complete court records;
Analyzes General Assistance authorizations and expenditures, rate setting scenarios and new methodologies;
May review Certificate of Need applications for nursing facility, residential care homes and ICF/MR development;
Reviews findings and conclusions with audit staff and members of senior staff;
Answers inquiries from employees and retirees on issues of coverage and design pertaining to state health care plans;
Reviews materials to determine compliance with requirements contained in Connecticut General Statutes and agency regulations;

What you bring

excel

master's

financial management

audit

clinical documentation

interpersonal

Ability in interpretation and analysis of complex financial, statistical and technical data;
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).
Knowledge of
Advanced experience with EXCEL spreadsheets writing formulas for data metrics (xlookup, sumif, switch, index, match)
oral and written communication skills;
principles and practices of financial management including organization, administration, management, finance, budgeting, auditing and accounting;
Knowledge and/or experience with Joint Commission accreditation standards
A comprehensive medical examination, including a drug screening, will be required of all applicants upon a conditional offer of employment.
Ability to utilize computer software.
interpersonal skills;
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.
Successful completion of a Connecticut Careers Trainee program approved by the Department of Administrative Services may be substituted for the General Experience.
All state employees must adhere to Connecticut's Policy for a Drug Free Workplace.
Experience creating audit reports and corrective action plans
Extensive knowledge of clinical documentation and billing requirements
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.
Experience validating client plan of care and client encounters
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.