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Managed Care Data Analyst

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Managed Care Data Analyst

Salary

$61,110.40 - $94,806.40 Annually

Location

Des Moines - 50319 - Polk County, IA

Job Type

Full-time

Job Number

25-01455

Agency

400 Health & Human Services - Medicaid

Opening Date

11/26/2024

Closing Date

12/6/2024 11:59 PM Central

LinkedIn Tag

#LI-POST

Point of Contact

Joanne Bush at joanne.bush@hhs.iowa.gov

• Description

• Questions

Job Description

Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list.

The Iowa Department of Health and Human Services’ (Iowa HHS) Division of Medicaid is seeking a Managed Care Data Analyst (Data Analyst 1).

Summary:

The Iowa Medicaid Division is seeking a detail-oriented Managed Care Data Analyst to enhance the oversight of managed care plans that deliver essential medical and dental services to Iowa residents. This role focuses on utilizing data analysis, quality assurance, and fiscal tracking to drive effective Medicaid program performance and ensure responsible financial management. This full-time role offers the opportunity to contribute to data-driven decision-making for Iowa's Medicaid program while ensuring compliance with regulatory standards.

Responsibilities:

• Analyze historical and current data to project Medicaid program needs and costs, specifically focusing on capitation rates for prepaid ambulatory health plans and managed care organizations.

• Collaborate with the Fiscal division and program management to develop and track expenditures, aligning with contract and program requirements.

• Design and implement predictive statistical models, asses the impacts of policy changes, and ensure compliance with state and federal regulations.

• Implement data validation and quality assurance protocols, conduct trend analysis, and identify performance issues for intervention.

• Act as a liaison with actuaries, managed care organizations, and various partners to maintain data integrity and process alignment.

• Present data findings through visualizations to facilitate decision-making for diverse audiences.

Requirements:

To ensure the Iowa Medicaid is providing the best service to the citizens of Iowa, applicants should demonstrate exceptional customer service skills, integrity and a strong work ethic, along with the below skill sets.

Successful candidates will:

• Proficiency in data analysis and statistical techniques, with strong skills in Excel and SQL.

• Ability to maintain data integrity, organize databases, and produce actionable insights from data.

• Strong communication skills to present complex data to internal and external stakeholders.

• Experience in Medicaid or health program data management is preferred.

• Ability to collaborate effectively with multiple stakeholders.

• Proven PC skills including Windows and Microsoft Applications.

How to Apply:

For help creating a profile or entering your information, please go to the online Employment Application Guide. (https://www.governmentjobs.com/Home/ApplicationGuide)

Benefits:

We have a great total compensation package for all our full-time employees, including:

• Iowa Public Employees' Retirement System (IPERS) (Employee contributes 6.29%/State of Iowa contributes 9.44%)

• Retirement Investors Club (RIC) (Employer Sponsored Retirement Plan) (State of Iowa matches up to $75/month)

• Health, Dental and Vision Insurance (See below for more details)

• Vacation Leave (96 hours/year to begin, and increases with years of service)

• Sick Leave (144 hours/year)

• Paid Holidays (9 days/year)

• Flexible Spending Accounts

• Life Insurance ($20,000 paid for by the State of Iowa)

• Long-Term Disability Insurance

For additional information, our Benefits at a Glance (https://das.iowa.gov/media/3766/download?inline=) outlines the amazing benefits for this position.

Click here (https://das.iowa.gov/state-employees/human-resources/employee-benefits-programs/employee-benefits-overview) to see how we compare with other employers or offers by using our Total Compensation Calculator.

The State of Iowa is an EEO/AA Employer:

IHHS values those with “lived experience” and encourages foster youth, foster parents, and/or parents who were in the HHS system to apply.

Minorities, women, veterans and persons with disabilities are also encouraged to apply.

Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD

E-Verify Statement:

Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Selectives

280Human/Social Services Programs

6 months’ experience, 12 semester hours, or a combination of both directly related to human/social services. Experience generally obtained from either some level of government organization or a non-profit organization delivering these services. Must demonstrate exposure to the basic concepts of human/social services and related policies and procedures. Programs include those traditionally under the purview of the Department of Human Services, such as but not limited to: • Child and family welfare • Medicaid • Entitlement programs • Income maintenance • Mental health • Development disabilities • Child support recovery

Minimum Qualification Requirements

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

1) Graduation from an accredited four-year college or university with a degree in business analytics, economics, data science, statistics, mathematics, management information systems, or industrial management.

2) All of the following (a and b):

a. A total of four years of education and/or full-time experience in business/data/statistical analytics, economic research, or data science, where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.

b. Possession of a professional certificate in data science, business analytics, or data analytics.

3) All of the following (a and b):

a. A total of four years of education and/or full-time experience in business/data/statistical analytics, economic research, or data science, where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; and

b. A total of one year of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business analytics, economics, data science, statistics, mathematics, management information systems, or industrial management equals one year of full-time experience.

01

Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely.Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded. If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question.Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa.

• Yes - I understand and agree.

• No

  02

  PLEASE READ CAREFULLY

Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq?

• No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

• Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

  03

  Have you graduated from an accredited four-year college or university with a degree in business analytics, economics, data science, statistics, mathematics, management information systems, or industrial management?

• Yes

• No

  04

  Do you meet A AND B: A. A total of four years of education and/or full-time experience in business/data/statistical analytics, economic research, or data science, where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience. B. Possession of a professional certificate in data science, business analytics, or data analytics.

• I do meet A and B

• I do not meet A and B

  05

  Do you meet A and B: a. A TOTAL of four years of education and/or full-time experience in business/data/statistical analytics, economic research, or data science, where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience; and b. A TOTAL of one year of graduate-level education and/or full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university coursework in business analytics, economics, data science, statistics, mathematics, management information systems, or industrial management equals one year of full-time experience.

• I meet A and B

• I do not meet A and B

  06

  Does your application demonstrate that you have 6 months' experience, 12 semester hours, or a combination of both directly related to human/social services? Experience generally obtained from either some level of government organization or a non-profit organization delivering these services. Must demonstrate exposure to the basic concepts of human/social services and related policies and procedures. Programs include those traditionally under the purview of the Department of Human Services, such as but not limited to:

• Child and family welfare

• Medicaid

• Entitlement programs

• Income maintenance

• Mental health

• Development disabilities

• Child support recovery

• Yes

• No

  07

  If you answered "Yes" to the question above - please list exactly HOW you meet it: list exact classes and credit hours, employer, dates and hours per week and exact duties. Please do not paste or state - See application or resume. If you answered no to the question above please type in "No" in the box below.

  Required Question

Agency

State of Iowa

Website

hhs.iowa.gov

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