Managed Care Data Analyst

Title: Managed Care Data Analyst

State Role Title: Info Technology Specialist II

Hiring Range: $83,323- $89,712

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as a Managed Care Data Analyst. The selected competitive candidate will provide exceptional delivery of services to the agency’s Integrated Care Division.

Job responsibilities will include, but are not limited to:

This position is a healthcare encounter data programmer responsible for developing and maintaining advanced data extraction, transformation, and analysis processes using Statistical Analysis System (SAS) and Structured Query Language (SQL) to support healthcare analytics and reporting. The primary objective is to ensure the accuracy, completeness, and consistency of healthcare encounter data used for utilization analysis, performance monitoring, regulatory compliance, and inter-agency reporting. This role integrates data from multiple sources, including managed care organizations and state systems, to support comprehensive data analysis and facilitate efficient data exchange with the Department of Medical Assistance Services (DMAS). The incumbent will design and implement automated routines for processing large-scale datasets, identify trends and anomalies in healthcare service utilization, and generate statistical reports to support operational and strategic decision-making.

As an employee of DMAS you are entitled to the many comprehensive benefits the Commonwealth has to offer. This includes health benefits, 12 paid holidays, paid leave, flexible work schedules, & retirement plans. For more specific details please visit: https://www.dhrm.virginia.gov/employeebenefits

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

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

Competitive candidates will meet these minimum qualifications:

Considerable knowledge of healthcare technology systems, claims, and database structures.

Considerable knowledge of reporting tools and analysis methodologies.

Considerable experience in programming with SAS and SQL, including data extraction, transformation, and analysis in relational database systems.

Considerable experience in healthcare data workflows such as validation, quality assurance, encounter data reconciliation, and regulatory reporting processes.

Considerable work-related experience in Teradata, SQL/SAS, Microsoft Excel and data visualization tools (e.g., Tableau, Power BI).

Knowledge in interpreting and applying state and federal laws and regulations, such as the Health Insurance Portability and Accountability Act. (HIPAA), Electronic Data Interchange (EDI), and state-specific Medicaid policies.

Considerable experience meeting deadlines.

Considerable experience in reporting data to internal/external stakeholders.

Additional Considerations

Competitive candidates should meet these additional considerations:

Knowledge of Medicaid enrollment systems and managed care encounter systems.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medi