What are the responsibilities and job description for the Associate Data Analyst - Fee For Service Program (HCA/MAD #10100645) position at State of New Mexico?
Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Fee For Service Program Associate Data Analyst will:
Review and process suspended claims;
Keep claim notes updated for tracking and audit purposes;
Identify system issues and submit memos to rectify;
Review and analyze reports;
Conduct research and provide analysis;
Update internal guides and workflows, including policy review, guidance and revisions;
Participate in meetings.
How does it get done?
The The Fee For Service Program Associate Data Analyst is responsible for:
Conducting research to identify and evaluate complex issues that impact suspended claims and locations;
Clarifying, developing, and implementing Medicaid policies for current and new programs with the Fee for Service Unit (FFS);
Addressing and resolving complex Medicaid issues that may require collaborating with other Medicaid bureaus, divisions and/or agencies.
Who are the customers?
Medicaid clients, providers, Health Care Authority (HCA) and other agency staff and managers.
Ideal Candidate
Medicaid clients, providers, Health Care Authority (HCA) and other agency staff and managers.
Minimum Qualification
High School diploma or equivalent and six (6) months of experience directly related to the position in research, statistics, computer science, data analysis, accounting, auditing, finance, economics, business, public administration, budgeting, management, and/or systems analysis or related professional certification as determined by the hiring agency. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) months may substitute for the required experience.
Employment Requirements
Must possess and maintain a valid Driver's License.
Must obtain a Defensive Driving certification.
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. Some in-state travel will be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Fee For Service Program Associate Data Analyst will:
Review and process suspended claims;
Keep claim notes updated for tracking and audit purposes;
Identify system issues and submit memos to rectify;
Review and analyze reports;
Conduct research and provide analysis;
Update internal guides and workflows, including policy review, guidance and revisions;
Participate in meetings.
How does it get done?
The The Fee For Service Program Associate Data Analyst is responsible for:
Conducting research to identify and evaluate complex issues that impact suspended claims and locations;
Clarifying, developing, and implementing Medicaid policies for current and new programs with the Fee for Service Unit (FFS);
Addressing and resolving complex Medicaid issues that may require collaborating with other Medicaid bureaus, divisions and/or agencies.
Who are the customers?
Medicaid clients, providers, Health Care Authority (HCA) and other agency staff and managers.
Ideal Candidate
Medicaid clients, providers, Health Care Authority (HCA) and other agency staff and managers.
Minimum Qualification
High School diploma or equivalent and six (6) months of experience directly related to the position in research, statistics, computer science, data analysis, accounting, auditing, finance, economics, business, public administration, budgeting, management, and/or systems analysis or related professional certification as determined by the hiring agency. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) months may substitute for the required experience.
Employment Requirements
Must possess and maintain a valid Driver's License.
Must obtain a Defensive Driving certification.
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. Some in-state travel will be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Benefits:
Health Insurance, Vacation & Paid Time Off, Retirement PlanSalary : $27 - $41