Management Analyst Advanced (HCA/MAD #69741)

$23.07 - $36.91 Hourly

$47,989 - $76,782 Annually

This position is a Pay Band 65

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 Management Analyst - Advanced will:

• Provide expertise in report analysis, auditing, quality reviews and interpreting federal/state regulations, policies, and procedures;
• Utilize data analytics to identify trends of Medicaid Beneficiary critical incident, grievances, appeals and performance measures report data using a variety of analytic tools and reports;
• Produce related documents and reports;
• Oversee the Health Care Authority (HCA) CIRS portal, and ongoing monitoring of report data for the Medicaid program.

How does it get done?

The Management Analyst - Advanced is responsible for:

• Compiling, tracking, trending and analyzing data;
• Working collaboratively with staff in the division to analyze implications of identified trends;
• Developing written analysis of findings;
• Monitoring and oversight of the Managed Care Organizations (MCOs);
• Proposing corrective actions to resolve deficiencies and/or system issues;
• Monitoring and managing the Health Care Authority (HCA) Critical Incident Portal;
• Reviewing and preparing in-depth reporting analysis, to include trending of critical incidents, performance measures, member grievances and appeals.

Who are the customers?

• Medicaid recipients, providers, other government and regulatory agencies.

Ideal Candidate

The ideal candidate has experience:

• Utilizing Microsoft Office suite/multiple databases;
• Analyzing and interpreting data;
• Demonstrating excellent business writing skills;
• Developing and conducting presentations;
• Collaborating with coworkers and stakeholders;
• Multitasking/prioritizing assignments;
• Navigating the Code of Federal Regulations (CFR) and New Mexico Administrative Code (NMAC).

Minimum Qualification

Bachelor's Degree in Business Administration and two (2) years of experience in the procedures of business and management principles involved in strategic planning. Substitutions Apply. See Substitution Table below.

Substitution Table

These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 6 years of experience OR High School Diploma or Equivalent AND 6 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 4 years of experience Associate's degree or higher in any field AND 6 years of experience 3 Bachelor's degree in the field(s) specified in the minimum qualification AND 2 years of experience 4 Master's degree or higher in the field(s) specified in the minimum qualification AND 0 years 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

• Must possess and maintain valid driver's license;
• Defensive drivers' certification.

Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Possible exposure to irate clientele. Some statewide travel may be required. Incumbent will work under stress and frequent time constraints. Must have own mode of transportation for work-related travel.

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.