Data Analyst II
Santa Fe, NM Santa Fe, NM Full-time Full-time $59,739 - $95,582 a year $59,739 - $95,582 a year 4 days ago 4 days ago 4 days ago Salary $28.
72 - $45.
95 Hourly $59,739 - $95,582 Annually This position is a Pay Band 75 Posting Details This posting may be used to fill multiple vacancies.
THIS POSTING WILL BE USED FOR ONGOING RECRUITMENT AND MAY CLOSE AT ANY TIME.
APPLICANT LISTS MAY BE SCREENED MORE THAN ONCE.
Why does the job exist? The New Mexico Medicaid program is administered by the Human Services Department (HSD) and is federally overseen by the Centers for Medicare and Medicaid Services (CMS).
The Medicaid program is a complex state-administered healthcare coverage program for low-income individuals.
The average annual combined state and federal budget is approximately $8 billion dollars and nearly 1 million New Mexico residents receive healthcare through the Medicaid program.
State Medicaid programs undergo a significant number of highly complex state and federal audits every year.
The Data Analyst II will:
Audit and evaluate program expenditures, administrative costs, healthcare access and service delivery, provider and member eligibility and enrollment, provider payments and managed care capitation rates are compliant with state and federal requirements; Be responsible for overseeing state and federal audits to inform key decisions on changes to policy, reimbursement methodologies, claims system logic and state and federal financial reporting.
How does it get done? The Data Analyst II is responsible for:
Reviewing and interpreting state and federal policy to ensure compliance of the Medicaid program; Interpreting results, identifying trends and issues, and developing corrective actions to meet state and federal standards; Evaluating and reviewing metrics and data across key program areas to monitor program compliance; Reviewing national data sets and reports to monitor New Mexico Medicaid performance and compliance compared to other states Medicaid programs; Leading various workgroups in providing timely responses to CMS, auditors, and state legislature; Completing and presenting analysis of data and information to support management decisions of corrective actions to resolve audit findings; Building and maintaining analytical tools to track audit activities across various state and federal audits; Collaborating with staff who manage programs, finances, systems, and data to develop solutions when issues and risks are identified.
Who are the customers? Medicaid staff and managers; and State and Federal agencies.
Ideal Candidate The ideal candidate has:
Knowledge of the Medicaid program; Experience overseeing and/or participating in state and/or federal audits; Experience in tracking, trending, and analysis of reports; Experience conducting research and analyzing complex information; and Experience with state and/or federal policies, procedures, and regulations.
Minimum Qualification Bachelor's degree from an accredited college or university in Business or Public Administration, Accounting, Finance, Economics, or other related field with five (5) years of experience directly related to position at the time of posting.
Or related professional certification as determined by the hiring agency.
Substitution Table These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 9 years of experience OR High School Diploma or Equivalent AND 9 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 7 years of experience Associate's degree or higher in any field AND 9 years of experience 3 Bachelor's degree in the field(s) specified in the minimum qualification AND 5 years of experience 4 Master's degree in the field(s) specified in the minimum qualification AND 3 years of experience 5 PhD degree in the field(s) specified in the minimum qualification AND 1 year of experience Education and years of experience must be related to the purpose of the position.
If Minimum Qualification requires a specific number of semester hours in a field (e.
g.
6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications.
No substitutions apply for semester hours.
Employment Requirements Employment is subject to a pre-employment criminal history background investigation and is conditional pending results.
Working Conditions Office setting, exposure to Visual/Video Display terminal (VDT) and extensive personal computer and telephone usage with extended periods of sitting.
Must be able to lift 25 lbs.
Supplemental Information
Benefits:
Do you know what Total Compensation is? Click here Agency Contact Information:
Joanne Portillo, (505) 570-7115 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position This position is not covered by a collective bargaining agreement.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
72 - $45.
95 Hourly $59,739 - $95,582 Annually This position is a Pay Band 75 Posting Details This posting may be used to fill multiple vacancies.
THIS POSTING WILL BE USED FOR ONGOING RECRUITMENT AND MAY CLOSE AT ANY TIME.
APPLICANT LISTS MAY BE SCREENED MORE THAN ONCE.
Why does the job exist? The New Mexico Medicaid program is administered by the Human Services Department (HSD) and is federally overseen by the Centers for Medicare and Medicaid Services (CMS).
The Medicaid program is a complex state-administered healthcare coverage program for low-income individuals.
The average annual combined state and federal budget is approximately $8 billion dollars and nearly 1 million New Mexico residents receive healthcare through the Medicaid program.
State Medicaid programs undergo a significant number of highly complex state and federal audits every year.
The Data Analyst II will:
Audit and evaluate program expenditures, administrative costs, healthcare access and service delivery, provider and member eligibility and enrollment, provider payments and managed care capitation rates are compliant with state and federal requirements; Be responsible for overseeing state and federal audits to inform key decisions on changes to policy, reimbursement methodologies, claims system logic and state and federal financial reporting.
How does it get done? The Data Analyst II is responsible for:
Reviewing and interpreting state and federal policy to ensure compliance of the Medicaid program; Interpreting results, identifying trends and issues, and developing corrective actions to meet state and federal standards; Evaluating and reviewing metrics and data across key program areas to monitor program compliance; Reviewing national data sets and reports to monitor New Mexico Medicaid performance and compliance compared to other states Medicaid programs; Leading various workgroups in providing timely responses to CMS, auditors, and state legislature; Completing and presenting analysis of data and information to support management decisions of corrective actions to resolve audit findings; Building and maintaining analytical tools to track audit activities across various state and federal audits; Collaborating with staff who manage programs, finances, systems, and data to develop solutions when issues and risks are identified.
Who are the customers? Medicaid staff and managers; and State and Federal agencies.
Ideal Candidate The ideal candidate has:
Knowledge of the Medicaid program; Experience overseeing and/or participating in state and/or federal audits; Experience in tracking, trending, and analysis of reports; Experience conducting research and analyzing complex information; and Experience with state and/or federal policies, procedures, and regulations.
Minimum Qualification Bachelor's degree from an accredited college or university in Business or Public Administration, Accounting, Finance, Economics, or other related field with five (5) years of experience directly related to position at the time of posting.
Or related professional certification as determined by the hiring agency.
Substitution Table These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 9 years of experience OR High School Diploma or Equivalent AND 9 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 7 years of experience Associate's degree or higher in any field AND 9 years of experience 3 Bachelor's degree in the field(s) specified in the minimum qualification AND 5 years of experience 4 Master's degree in the field(s) specified in the minimum qualification AND 3 years of experience 5 PhD degree in the field(s) specified in the minimum qualification AND 1 year of experience Education and years of experience must be related to the purpose of the position.
If Minimum Qualification requires a specific number of semester hours in a field (e.
g.
6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications.
No substitutions apply for semester hours.
Employment Requirements Employment is subject to a pre-employment criminal history background investigation and is conditional pending results.
Working Conditions Office setting, exposure to Visual/Video Display terminal (VDT) and extensive personal computer and telephone usage with extended periods of sitting.
Must be able to lift 25 lbs.
Supplemental Information
Benefits:
Do you know what Total Compensation is? Click here Agency Contact Information:
Joanne Portillo, (505) 570-7115 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position This position is not covered by a collective bargaining agreement.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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