Departmental Analyst Trainee 9-P11 - Program Review Division

State-of-Michigan; Lansing (MI); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Michigan Department of Health & Human Services is seeking a Departmental Analyst Trainee to support the Program Review Division with compliance data analysis related to Medicaid prior authorization. This learning role conducts data interpretation, prepares analytical reports, and coordinates on policy guidance to improve efficiency and regulatory adherence.

Responsibilities include researching regulatory requirements, identifying issues, and providing recommendations to management.

Qualifications

• Bachelor's degree in any major.
• No specific type or amount of professional experience required for Departmental Analyst 9-P11.
• Education and Experience for Departmental Analyst (Departmental Trainee) 9 (FOR CLASSIFIED STATE EMPLOYEES ONLY).
• Remote work and hybrid work schedule requests may be considered within Michigan.
• Successful completion of a background investigation and criminal records check required.

Responsibilities

• Complies data analyses for prior authorization data and regulatory requirements related to health care prior authorization for fee-for-service Medicaid/CSHCS.
• Identifies compliance issues and provides recommendations for program policies and operational procedures.
• Interprets data, prepares reports of analytical findings and statistical summaries for PRD compliance with state and federal regulations.
• Participates as an alternate to ensure operational turnaround time is met.

Job description

The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan.

Departmental Analyst Trainee 9

In a learning capacity, this position is identified as the compliance data analyst for the Program Review Division (PRD). This position conducts research and analysis of prior authorization data and regulatory requirements related to health care prior authorization (PA) requirements for fee-for-service (FFS) Medicaid/Children’s Special Health Care Services (CSHCS). This position identifies compliance issues and establishes recommendations for program policies and operational procedures/strategies in order to improve efficiency, effectiveness, and provision of technical knowledge regarding coverage inquiries. This position interprets data and prepares reports of analytical findings, statistical summaries and conducts correspondence related to PRD compliance with MDHHS policy, state, and federal regulations. This position may rely on consultation with management for issues of higher-than-normal complexity such as broad-ranging implications beyond PRD (claims implications or potential need for amendment to Health Services policy or State Plan). This position will participate as an alternate to ensure operational turnaround time is met.

Departmental Analyst 9-P11

In a learning capacity, this position is identified as the compliance data analyst for the Program Review Division (PRD). This position conducts research and analysis of prior authorization data and regulatory requirements related to health care prior authorization (PA) requirements for fee-for-service (FFS) Medicaid/Children’s Special Health Care Services (CSHCS). This position identifies compliance issues and establishes recommendations for program policies and operational procedures/strategies in order to improve efficiency, effectiveness, and provision of technical knowledge regarding coverage inquiries. This position interprets data and prepares reports of analytical findings, statistical summaries and conducts correspondence related to PRD compliance with MDHHS policy, state, and federal regulations. This position may rely on consultation with management for issues of higher-than-normal complexity such as broad-ranging implications beyond PRD (claims implications or potential need for amendment to Health Services policy or State Plan). This position will participate as an alternate to ensure operational turnaround time is met.

Education for Departmental Analyst 9-P11

Possession of a bachelor's degree in any major.

Experience for Departmental Analyst 9-P11

No specific type or amount is required.

Departmental Analyst 9

No specific type or amount is required.

Departmental Analyst 10

One year of professional experience.

Departmental Analyst P11

Two years of professional experience, including one year of experience equivalent to the intermediate (10) level in state service.

Education and Experience for Departmental Analyst (Departmental Trainee) 9 (FOR CLASSIFIED STATE EMPLOYEES ONLY)

Education

Educational level typically acquired through completion of high school.

Experience

Four years of experience as an advanced 9-level worker in an ECP Group One classification.

OR

Three years of experience as an E9, E10, or E11-level worker in an ECP Group One classification.

OR

Two years of experience as an experienced level worker in an ECP Group One technician or paraprofessional classification.

OR

Two years of experience as a first-line supervisor in an ECP Group Three classification.

OR

One year of experience as a second-line supervisor in an ECP Group Three classification.

*Paraprofessional classifications are those requiring an associate's degree or two years of college.

Educational Substitution

College credits may be substituted on a proportional basis (one year of college education may substitute for one quarter of the required experience) for up to one half of the required experience.

The position's level will be filled based on the selected candidate's qualifications as either a Departmental Analyst Trainee 9, 9, 10, or P11.

The physical location of this position is 400 S Pine St, Lansing, MI 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.

Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

• A secure work location that allows privacy and prevents distractions.
• A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
• Suitable lighting, furniture, and utilities.

The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.

As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check.

The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.

For information about this specific position, please email [e-mail]. Please reference the job posting number in subject line.