Departmental Specialist 13 - HS Managed Care Rates & Analytics Section

Posting number: 3901-26-HS-BAS-135-FILL

Department: Health and Human Services - Central Office

Job classification: Departmental Specialist 13

Posting type: Open

Categories: Health Services, Professional, Miscellaneous, Human Services

Summary

This position serves as the state’s specialist for Performance Monitor Reporting and the Encounter Quality Initiative for Medicaid Health Plan Encounter reporting. This individual is responsible for specialized complex analyses of data from various MDHHS databases, and the MDHHS CHAMPS data warehouse, with particular focus on Medicaid encounter data. These analyses are specifically used to monitor quality of data; health plan reporting and determining utilization patterns and access to care for Medicaid recipients; provide data and specific detailed complex analyses for research projects essential in providing information for administrative and policy decisions. This individual is responsible for monitoring the submission and quality of data from managed care entities; on-site health plan visits; preparing and presenting analytical findings; and compiling, manipulating, and analyzing large data sets. Encounter data currently drives billions in annual capitation payments and will increase significantly as more Medicaid programs and providers enter Managed Care contracts with the department.

Position DescriptionJob Specification

To be considered for this position you must:

• apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
• relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
• attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
• attach a cover letter.
• if applicable, attach a copy of an official transcript(s).  We accept scanned copies of official transcripts.  We do not accept web-based, internet, or copies of unofficial transcripts.  Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.

Failure to complete any of the above items may result in your application not being considered.  See instructions for attaching files here:  Instructions

Examples of duties

Education
Possession of a bachelor’s degree in any major

Experience

Departmental Specialist 13
Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.

Supplemental information

This job is being reposted. If you applied previously, you do not need to apply again.

The physical location of this position is 400 S. Pine Street, with remote options available.  Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

 Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.  

Ingham County Map

Employees will be provided computers to perform state work.  Phones may also be provided for