Management Analyst - Advanced (HCA/SHBB #2937)

$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.

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:

• Work with carriers,Third Party Administrators, State of New Mexico Employees and Local public bodies;
• Work with the State Personnel Office (SPO), State Agency Human Resources Departments, and State Agency's Administrative Service Department (ASD).

How does it get done?

The Management Analyst - Advanced is responsible for:

• Implementing improved data tracking mechanisms for Prior Year/Current Year refunds, Invoices, Content Management System (CMS) letters, Refunds and One-time Deductions, Warrant Cancellations and Collections;
• Distributing and tracking of all carrier communications for State of New Mexico Members and Local Public Bodies (LPB);
• Serving as the lead project manager for all State Health Benefit projects;
• Tracking all transactions and ensuring issues are resolved timely;
• Identifying trends and processing errors;
• The effective & timely recommendation of quality control improvement efforts with the administration of the State of New Mexico Health Care Group plan(s) member and carrier issues resolution;
• Assisting with preparing presentations & implementing procedure manuals;
• Creating and implementing a process to ensure compliance by maintaining confidentiality and abiding by laws and agency rules and regulations related to State health Benefits administration and administrative guide;
• Assisting the benefit analyst wellness coordinator to ensure wellness communications for supplemental programs are submitted timely;
• Developing meeting schedules, trainings and presentations;
• Clerical duties, participating and/or leading in regularly scheduled meetings to review and discuss wellness programs and utilization;
• Creating Error Reports, resolving customer issues for primary, supplemental or voluntary benefits;
• Serving as one of the Benefits Record(s) liaison;
• Possibly serving as one of the Benefit Trainers for Human Resource and Member training(s);
• Participating in Open Switch Enrollment and 1095C.

Who are the customers?

• The 58,000 members of the State of New Mexico Group benefit plan including employees of State, Local Public Bodies as well as their dependents;
• Internal customers including Carriers, The New Mexico Department of Finance Administration (DFA), State Personnel Office (SPO), The Department Of information Technology (DOIT) and The Legislative Finance Committee (LFC).

Ideal Candidate

The Ideal Candidate has experience:

• Working with carriers to include familiarity with wellness communications health and well-being and group benefit plans and trainings;
• Navigating the Statewide Human Resources Accounting Reporting modules (SHARE);
• Demonstrating the ability to learn time reporting codes (TRC's);
• Working with Human Resource Professionals regarding group benefit plan(s);
• Working with Benefits Analysts for collections, tracking and processing State Health Benefits administrative guides and rules, and Human Resource trainings;
• Demonstrating the ability to work well individually and within a group setting;
• Utilizing excellent writing skills;
• Utilizing SHARE, Adobe Acrobat, Excel, Microsoft Word and Power Point;
• Serving as a benefit record liaison;
• Utilizing Clerical duties and other duties as assigned.

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 a valid Driver's License.
Employment is subject to a pre-employment criminal history background investigation and is conditional pending results.

Working Conditions

Work is performed in an office setting, with extensive exposure to visual/video display terminal (VDT),Computer and telephone usage. Some Travel may be required. Occasionally work extra hours, weekends and Holidays.

Supplemental Information

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Agency Contact Information: Patrick Baca (505) 670-9663. patricka.baca@hca.nm.gov

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.