Data Analyst II (HCA/MAD #7188)

$29.58 - $47.33 Hourly

$61,531 - $98,449 Annually

This position is a Pay Band 75

Posting Details

This posting will be used for ongoing recruitment and may close at any time. Applicant Lists may be screened more than once.

This job posting may be used to fill multiple vacancies.

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 Data Analyst II will:

• Evaluate program expenditures, administrative costs, healthcare access, service delivery, provider/member eligibility and enrollment, provider payments and managed care capitation rates are compliant with state and federal requirements;
• Oversee 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?

• Medical Assistance Division staff and managers;
• 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;
• 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 time of posting. Any combination of education from an accredited college or university in a related field and/or direct experience totaling nine (9) years may substitute for the required education and experience.

Employment Requirements

Must possess and maintain valid driver's license.

Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage. Must be able to lift 25 lbs.

Supplemental Information

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Agency Contact Information: Jolene Jaffa (505) 690-9920 or jolene.jaffa@state.nm.us.
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.