Health Care Analyst

University of Rochester; Waterbury (CT); Sur place; USD 33 000 - 44 000; Temps partiel

Avantages offerts par ce poste

Comprehensive state benefits

Professional growth and development

Résumé du poste

Western CT Mental Health Network (WCMHN) in Connecticut seeks a part-time Health Care Analyst to support billing, documentation accuracy, and quality improvement initiatives across Waterbury, Danbury, and Torrington sites. This role requires auditing, data extraction, and liaison with the DMHAS Commissioner’s Office.

The position supports Joint Commission and CMS survey preparations and travels between sites as needed. Part-time schedule is 32 hours/week, first shift.

Qualifications

• Six years of professional experience in financial management with some health care management experience.
• Financial management includes accounting or auditing with responsibility for reviewing financial policies and procedures.

Responsabilités

• Conduct monthly billing and medical record audits for accuracy and data integrity.
• Review documentation for completeness and regulatory/compliance adherence.
• Use software to extract data, generate reports and analyze audit outcomes.
• Advise on improvements and coordinate staff follow-ups for corrections.
• Act as liaison with the DMHAS Commissioner’s Office on billing and claims matters.
• Provide training and develop materials to support accurate billing and documentation.
• Participate in quality improvement projects and assist with Joint Commission, CMS and other survey preparations.
• Travel between Waterbury, Danbury, and Torrington sites as needed.

Connaissances

Advanced Excel features

Data analysis

Regulatory compliance understanding

Auditing experience

Communication skills

Formation

Bachelor's degree in accounting/finance or related field

Master's degree in accounting/finance or public health with accounting coursework

Outils

Excel

Access

Description du poste

The Western CT Mental Health Network (WCMHN), under the umbrella of the State of Connecticut, Department of Mental Health and Addiction Services (DMHAS) is seeking a Health Care Analyst (PCN 25022) to support our mission within our Quality and Information Management team.

ROLE HIGHLIGHTS

• Schedule: Part-time, 32 hours/week, Monday - Thursday
• Hours: First shift, 8:00 a.m. - 4:30 p.m.
• Location: 95 Thomaston Avenue, Waterbury, CT

ABOUT THE ROLE

In this role, you will ensure that billing and clinical documentation across Targeted Case Management, Behavioral Health Home, and Outpatient Services is accurate, compliant, and consistently maintained across all WCMHN sites. You will work closely with staff in Waterbury, Danbury, and Torrington to support high‑quality documentation practices, effective audits, and continuous quality improvement initiatives.

KEY RESPONSIBILITIES

• Conduct monthly billing and medical record audits to ensure accuracy, compliance, and data integrity.
• Review documentation for completeness and adherence to regulatory and agency standards.
• Use software and reporting tools to extract data, generate reports, and analyze audit outcomes.
• Recommend improvements based on audit findings and follow up with staff on required corrections.
• Serve as liaison with the DMHAS Commissioner's Office on billing and claims matters.
• Provide training and develop materials to support accurate billing and documentation practices.
• Participate in quality improvement projects and assist with Joint Commission, CMS, and other survey preparations.
• Travel between Waterbury, Danbury, and Torrington sites as needed.

WHAT WE OFFER:

• Comprehensive state benefits, visit our new State Employee Benefits Overview page!
• Professional growth and development opportunities.
• A healthy work/life balance to all employees.

Benefits may vary for part‑time positions.

ABOUT OUR AGENCY:

The State of Connecticut, Department of Mental Health and Addiction Services (DMHAS), is a health care agency whose mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective, and efficient services and supports that foster dignity, respect, and self‑sufficiency in those we serve.

The Western Connecticut Mental Health Network was formed in 1996 by the State of Connecticut, Department of Mental Health and Addiction Services (DMHAS), in order to coordinate clinical, fiscal and administrative oversight of Region 5 contracted and state‑operated mental health services. Within this service system, there are three state‑operated Local Mental Health Authorities, which are located in Waterbury, Danbury and Torrington. In partnership with the Western Connecticut Mental Health Network they provide and coordinate local clinical services. Over 200 staff including psychiatrists, nurses, social workers, rehabilitation, vocational and mental health workers provide services for persons with a long‑term mental illness.

Approximately 7,000 clients receive services in a variety of programs, including Peer Support Programs, Supported Employment, Homeless Services, Residential, Crisis Services, Jail Diversion, Outpatient, Case Management, Behavioral Health Home, Assertive Community Treatment Teams (ACTT) and Young Adult Services.

Start with us! Stay with us! Grow with us!

Please note:

• A comprehensive medical examination, including a drug screening, will be required of all applicants upon a conditional offer of employment.
• All state employees must adhere to Connecticut's Policy for a Drug Free Workplace.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Six (6) years of professional experience in financial management with some experience in health care management.

NOTE: Financial management is defined as professional accounting or auditing work with responsibility for the review and recommendation of financial policies and procedures of a business organization.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

• College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
• A Master's degree in accounting, finance or other closely related field or public health with some college courses in accounting or finance may be substituted for one (1) additional year of the General Experience.
• Professional experience in health care facility administration, health program administration, health insurance administration, health planning or other health care related fields may be substituted for the General Experience on a year for year basis to a maximum of one (1) year.
• Successful completion of a Connecticut Careers Trainee program approved by the Department of Administrative Services may be substituted for the General Experience.

PREFERRED QUALIFICATIONS

1. Experience using advanced Excel features, including creating and modifying pivot tables, building complex formulas, and analyzing large datasets.
2. Experience with clinical documentation and billing requirements, including independently interpreting regulations, resolving complex issues, and serving as a resource to others.
3. Experience validating the plan of care and applying to clinical documentation.
4. Experience creating audit reports and corrective action plans.
5. Experience with Joint Commission accreditation standards.
6. Experience applying regulations and standards pertaining to utilization review.
7. Experience utilizing computer software including experience with Excel, Access databases, and presenting data.