The following provides a general description of duties and a more specific description of requirements for the Staff Analyst – Managed Care Infrastructure Development. Please note that the summary of responsibilities and required abilities identified below are not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
The Staff Analyst - Managed Care Infrastructure Development will collaborate with staff to assist SAPC in formalizing and developing processes to transition to a managed care plan. In part, the position will work among and between SAPC branches and units through the development of policies and procedures (excluding finance, which requires specialized expertise) to ensure compliance with the DMC-ODS waiver and 42 Code of Federal Regulations (CFR) Part 438 regulations and.
The duties of the Staff Analyst – Managed Care Infrastructure Development include, but are not limited to:
- Facilitate planning sessions; interview responsible Branches, Units, and individuals to understand current and recommended procedures;
- Analyze and assess business operations and develop risk management metrics;
- Develop process improvement and network management protocols, identifying opportunities for increased network policy compliance;
- Translate procedures into written format and provide recommendations to better align with managed care principles and regulatory requirements, improve and patient outcomes and provider success;
- Design process to finalize and update policies and procedures on at least an annual basis; and
- Other duties as assigned.
- A Bachelor’s Degree from an accredited college or university in a discipline related to the core business function of the department -AND- two (2) years of experience in the analysis of public or non-public programs including those in health (e.g., medicine, physiology), public health, public policy and/or social work/social welfare. A Master’s Degree from an accredited college or university in a discipline related to the core business function of the department may be substituted for one (1) year of the required experience.
- Knowledge of managed care plan operations and Federal and State regulatory requirements;
- Experience managing and analyzing health-related data and data dashboards;
- Experience in development of workflows, policies, procedure and protocols related to the delivery of public health services;
- Computer proficient in the use of MS Windows-based programs, including MS Office (Word, Excel, PowerPoint); and
- Excellent oral and written communication skills.