Health Plan Program Analyst - Richmond, United States - Dept of Med Assistance Svcs

Dept of Med Assistance Svcs

Verified Company

Richmond, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Title:
Health Plan Program Analyst

State Role Title:
Prog Admin Specialist II

Hiring Range:
$72,240 - $82,309

Pay Band: 5

Agency:
Dept of Med Assistance Svcs

Location:
Dept of Medical Asst Services

Recruitment Type:
General Public - G

Job Duties
Job responsibilities will include, but are not limited to:

The chief objective of this position is to monitor, review, and analyze program activities of contracted Managed Care Organizations (MCOs).

The incumbent of this position ensures MCOs are operating within contractual guidelines by aiding in development of an annual Contact Monitoring Plan, analyzing reports and data submitted by the MCOs for trends and areas of concern, conducting reviews of entries made by MCOs into DMAS portal software, and submitting compliance referrals to the compliance team and reports to management as necessary.

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values - service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications
Knowledge of Managed Care programs to include contract management and compliance with contracts.

Knowledge of Integrated Care practices.

Knowledge of State/Federal Medicaid Appeals and Grievances requirements.

Experience in research, analysis, and evaluative techniques.

Experience demonstrating organizational skills and meeting deadlines.

Experience communicating and collaborating with diverse internal and external stakeholders.

Additional Considerations

Special Instructions

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations.

It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.

Contact Information

Name:
DMAS Talent Acquisition Team

Phone:

Note**:

Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force.

**Equal Opportunity Employer