Health Care Analyst

About the job

Introduction

\r\n\r\n\r\n\r\nDo you have experience professional experience in financial management with some experience in health care management?\r\n\r\nLearn more and apply today to be a crucial part of supporting Connecticut veterans!\r\n\r\n\r\n\r\n\r\nTHE POSITION\r\n\r\nThe State of Connecticut, Department of Veterans Affairs (DVA) is now hiring for a Health Care Analyst to join their team! This position is�accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or health insurance providers which more closely aligns with the work performed in the position.\r\n\r\n\r\nThe Billing Unit within Fiscal Services is responsible for submitting the claims for both Medicare and Medicaid on behalf of our Skilled nursing facility. The revenue generated from these claims exceeds $20 million annually. This position places a critical supporting role in filing these claims.�\r\n\r\n\r\nHIGHLIGHTS\r\n\r\n\r\n ADDRESS: 287 West Street, Rocky Hill, CT�\r\n UNIT:�Fiscal Billing Services Department\r\n SCHEDULE: Full-Time, 40 Hours per Week, First Shift, Monday through Friday, 7:30am - 4:00pm�\r\n\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n WHAT WE CAN OFFER YOU\r\n \r\n \r\n Visit our new State Employee Benefits Overview page!�\r\n Professional growth and development opportunities\r\n A healthy work/life balance to all employees\r\n \r\n \r\n DISCOVER THE OPPORTUNITY TO\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n Be a part of a comprehensive team of caring professionals;�\r\n Provide support that is passionate about improving the lives of those we serve;�\r\n Assist our clients so they can achieve success;�\r\n Make a difference in the public sector; and�\r\n Work together in a collaborative team environment.�\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n ABOUT US�\r\n \r\n \r\n For over 140 years, DVA has been caring for its veterans and their dependents. As a Department, we believe in 'serving those who have served.' This is accomplished through our: Office of Advocacy and Assistance, Residential Facility, Healthcare Center, and Cemetery and Burial Services.�\r\n \r\n \r\n The DVA has supported Connecticut Veterans and continues this tradition with Residential and Healthcare programming on our campus in Rocky Hill. There are two paths for residency at the DVA:�\r\n \r\n \r\n Residential Facility: offers temporary, supportive living with programming designed to return Connecticut Veterans to independent living in the community;�\r\n Sgt. John L. Levitow Healthcare Center: a state-of-the-art medical facility that offers long-term care for veterans with chronic, disabling conditions who require 24-hour assistance.�\r\n \r\n When you walk through the doors of the Healthcare Center (HCC), one immediately feels a sense of community, comfort, and camaraderie. Our highly trained staff is dedicated to providing compassionate care to meet the unique needs of Veteran patients, built on the foundation of integrity, honor, and respect. We pride ourselves on fostering these qualities as we honor Veteran patients for their service and encourage the innate bond between them.\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n

Selection Plan

FOR ASSISTANCE IN APPLYING:�\r\nCheck out our�Applicant Tips on How to Apply! Need more resources?� Visit our�Applicant Toolkit�for additional support throughout the recruitment process.�\r\nBEFORE YOU APPLY:�\r\n\r\n Meet Minimum Qualifications:�Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified. �\r\n Educational Credits:�List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below by the closing date listed on the job posting.�\r\n Resume Policy:�Per�Public Act 21-69, resumes are not accepted during the initial application process. As the recruitment process progresses, candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the request and discretion of the hiring agency.�\r\n Preferred Shift/Location:�Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.�\r\n Timely Submission:�All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. �Late submissions are rarely accepted, with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailing�DAS.SHRM@ct.gov.�\r\n Salary Calculations: For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.�\r\n\r\n\r\n Note: The�only way�to apply to this posting is via the ‘Apply’ or ‘Apply Online’ buttons on the official State of Connecticut Online Employment Center job posting.\r\n\r\nAFTER YOU APPLY:�\r\n\r\n Some email providers may experience delays or issues delivering messages. To avoid missing important updates—such as referral questionnaires or interview scheduling links—please check your�Personal Status Board�regularly.\r\n For added convenience, you can also enable text (SMS) notifications. To do this, log in to your Personal Status Board and select “Update My Contact Information.”\r\n Referral Questions:�This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).� �\r\n\r\n\r\n Prepare For An Interview:�Interviews are limited to those whose experience and training are most aligned with the role. To prepare, review this helpful�Interview Preparation Guide�to make the best impression!�\r\n Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.��\r\n The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.��\r\n Note: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees, available at�www.ct.gov/ethics.\r\n\r\n\r\n This employer may participate in E‑Verify and will provide the federal government with your Form I‑9 information to confirm work authorization.\r\n\r\nQUESTIONS? WE’RE HERE TO HELP:�\r\nDue to high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process, reach out to Jensine Tran at Jensine.Tran@ct.gov.�\r\nJoin the State of Connecticut and take your next career step with confidence!\r\n

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Departments of Correction, Mental Health and Addiction Services, Public Health, Social Services, Veterans Affairs or the Office of the State Comptroller, this class is accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.\r\n

EXAMPLES OF DUTIES

\r\n Reviews materials to\r\n determine compliance with requirements contained in Connecticut General\r\n Statutes and agency regulations;\r\n Reviews and evaluates\r\n financial, utilization and management records of health care facilities and/or\r\n providers toward various ends;\r\n Determines action steps based on record analysis;\r\n Prepares financial,\r\n narrative and statistical reports;\r\n Reviews findings and\r\n conclusions with audit staff and members of senior staff;\r\n Performs special\r\n research projects as assigned;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENT OF PUBLIC HEALTH:\r\n\r\n\r\n Reviews various health\r\n care facility and/or physician Certificate of Need applications;\r\n Analyzes impact of\r\n proposals on other health care providers in Connecticut and makes\r\n recommendations;\r\n Writes related documents\r\n and assists employees of higher grade in writing decisions;\r\n Assists in preparing\r\n documentation for administrative hearings;\r\n Researches and analyzes\r\n data in preparation of various health care industry reports;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENT OF SOCIAL SERVICES:\r\n\r\n\r\n Analyzes and evaluates\r\n budget, expenditure, utilization, reimbursement rate setting and/or revenue\r\n issues within social services programs, including Medicaid;\r\n Participates in public\r\n hearings and assists in conferring with representatives of facilities and outside\r\n experts;\r\n Interacts, under\r\n guidance, with Office of the Attorney General in litigation including\r\n preparation of complete court records;\r\n May review Certificate\r\n of Need applications for nursing facility, residential care homes and ICF/MR\r\n development;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENTS OF CORRECTION, MENTAL HEALTH AND ADDICTION SERVICES AND VETERANS AFFAIRS:\r\n\r\n\r\n Prepares, analyzes and evaluates budget, claims, expenditure, utilization, rate setting and/or revenue issues within behavioral health or a Skilled Nursing Facility;\r\n Analyzes General Assistance authorizations and expenditures, rate setting scenarios and new methodologies;\r\n May review patient eligibility coverage and make recommendations for claims;\r\n Performs related duties as required.\r\n\r\nOFFICE OF THE STATE COMPTROLLER:\r\n\r\n\r\n Analyzes financial and\r\n utilization data from vendor and state records concerning state employees and retirees\r\n health care plans;\r\n Answers inquiries from\r\n employees and retirees on issues of coverage and design pertaining to state\r\n health care plans;\r\n Performs related duties\r\n as required.\r\n\r\n\r\n

KNOWLEDGE, SKILL AND ABILITY

\r\n Knowledge of\r\n \r\n principles and practices\r\n of financial management including organization, administration, management,\r\n finance, budgeting, auditing and accounting;\r\n health care industry;\r\n \r\n \r\n Skills\r\n \r\n interpersonal skills;\r\n oral and written\r\n communication skills;\r\n \r\n \r\n Ability in interpretation\r\n and analysis of complex financial, statistical and technical data;\r\n Ability to utilize\r\n computer software.\r\n\r\n

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Six (6) years of professional experience in financial management with some experience in health care management.\r\n\r\nNOTE: Financial management is defined as professional accounting or auditing work with responsibility for the review and recommendation of financial policies and procedures of a business organization.\r\n

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

\r\n College training may be\r\n substituted for the General Experience on the basis of fifteen (15) semester\r\n hours equalling one-half (1/2) year of experience to a maximum of four (4)\r\n years for a Bachelor's degree.\r\n A Master's degree in accounting,\r\n finance or other closely related field or public health with some college\r\n courses in accounting or finance may be substituted for one (1) additional year\r\n of the General Experience.\r\n Professional experience\r\n in health care facility administration, health program administration, health\r\n insurance administration, health planning or other health care related fields\r\n may be substituted for the General Experience on a year for year basis to a\r\n maximum of one (1) year.\r\n Successful completion of\r\n a Connecticut Careers Trainee program approved by the Department of\r\n Administrative Services may be substituted for the General Experience.\r\n\r\n

PREFERRED QUALIFICATIONS

\r\n\r\n Experience with Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10), Patient Driven Payment Method (PDPM), and Insurance Billing and Reimbursement practices\r\n Experience performing billing functions in a Skilled Nursing Facility setting\r\n Experience using Microsoft Office\r\n Experience managing patient trust fund accounts\r\n Experience using an electronic health record system\r\n\r\n\r\n

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER\r\nThe State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.\r\n

ACKNOWLEDGEMENT

As defined by Sec. 5-196\r\nof the Connecticut General Statutes, a job class is a position or group of\r\npositions that share general characteristics and are categorized under a single\r\ntitle for administrative purposes. As\r\nsuch, a job class is not meant to be all-inclusive of every task and/or\r\nresponsibility.\r\n