Dually-Eligible Analyst

State of Indiana; Indianapolis (IN); On-site; USD 54,000 - 66,000; Full time

Benefits offered by this job

Medical plan options

Wellness rewards

Health savings account

Pension plan

Paid holidays

Education reimbursement

Free Parking

LinkedIn Learning access

Job summary

The State of Indiana is seeking a Dually-Eligible Business Systems Analyst to support Medicaid and Medicare policy decisions, improve program operations, and ensure CMS compliance.

The ideal candidate has experience with CoreMMIS, DataHub, EDW, and CMS reporting, plus SQL and at least one of Python, R, or SAS, to drive data quality and actionable insights.

The position is exempt and full-time, offering comprehensive benefits and opportunities to impact Hoosiers statewide.

Qualifications

• Experience with CoreMMIS, DataHub, EDW or vendor analytics platforms.
• Familiarity with CMS quality reporting and actuarial data requests.
• Proficiency in SQL and at least one of Python, R or SAS.
• Ability to translate policy needs into analytic solutions.

Responsibilities

• Provide analytics support to improve program operations.
• Ensure compliance with CMS requirements and federal/state policies.
• Inform policy decisions affecting Medicaid/Medicare programs.
• Develop reports and metrics to monitor performance.

Skills

SQL

Python

R

SAS

Data analysis

Tools

CoreMMIS

DataHub

EDW

T-MSIS

CMS reporting

Job description

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Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Family & Social Services Administration:

The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission.

Role Overview:

This role, Dually-Eligible Business Systems Analyst, provides analytical support to improve program operations, ensure compliance with federal CMS requirements, enhance managed care oversight, and inform policy decisions that impact the health of Hoosiers enrolled in Medicaid and Medicare. The data analyst will work closely with OMPP's Medicaid-Medicare Coordination Manager, who serves as the Medicaid point of contact for Indiana's Dually-Eligible Special Needs Plans.

The ideal Candidate will have experience with CoreMMIS, DataHub, EDW, or vendor-based analytics platforms; performance metrics such as HEDIS, CAHPS, CMS quality reporting, and actuarial data requests; T-MSIS, CMS reporting processes, encounter validation, and data quality improvement strategies; SQL and at least one of the following: Python, R, SAS.

Salary Statement:

The salary for this position traditionally starts at$59,800.00but may be commensurate with education or work experience.

A Day in the Life:

The essential functions of this role are as follows:

• Establish and monitor program objectives, KPIs, and actions to achieve them.
• Direct, plan, or implement policies, objectives, or activities of organizations or businesses to ensure continuing operations, or to increase productivity.
• Interpret and explain policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.
• Recommend and implement corrective action plans to solve program problems.
• Prepare reports for approval, including those for funding or implementation of services.
• Direct or coordinate the financial or budget activities to fund operations, maximize investments, or increase efficiency in the specified program.
• Ensure program requirements meet federal and state policies and grants compliance.
• Develop, train employees or agency consultants on program requirements and usage.
• Coordinate and deliver communication plans and communications.
• Serve on boards of directors and management committees.
• Serve on management committees or other governing boards.
• Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
• Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures.

The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

What You'll Need for Success:

Individuals in this role should minimally be able to articulate or demonstrate the following:

• Specialized knowledge in program subject matter obtained through experience and/or education.
• Extensive knowledge of provider agencies and their programs and services.
• Extensive knowledge of all source materials and references including federal and state laws governing the programs.
• Ability to develop and implement new principles and policies and discern any far-reaching implications.
• Ability to present to both internal and external customers, the public, government officials, and other stakeholders.
• Analyzing information and evaluating results to choose the best solution and solve problems.
• Ability to work effectively with a wide variety of stakeholders.
• Ability to prepare monthly finance and accounting reports to maintain program budget and grants.
• Ability to delegate work, set clear direction, and manage workflow.
• Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets.

A degree is not required. However, at least 9+ years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered.

Individuals should have the ability to perform essential functions with or without reasonable accommodation.

Supervisory Responsibilities/Direct Reports:

This role may serve as a team lead for an assigned work group.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards
• Health savings account, which includes bi-weekly state contribution
• Deferred compensation 457(b)account (similar to401(k) plan) with employer match
• Two (2) fully-funded pension plan options
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
  • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
  • Up to 15 hours of paid community service leave
• Combined 180 hours of paid vacation, personal, and sick leave time off
• 12 paid holidays, 14 on election years
• Education Reimbursement Program
• Group life insurance
• Employee assistance program that allows for covered behavioral health visits
• Qualified employer for the Public Service Loan Forgiveness Program
• Free Parkingfor most positions
• Free LinkedIn Learningaccess

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at [e-mail] .