Health Care Analyst (32 Hour) (Part-time | Office/On-site)

State of Connecticut; Waterbury (CT); On-site; USD 41,000 - 69,000; Part time

Benefits offered by this job

Comprehensive state benefits

Professional growth and development

Healthy work/life balance

Job summary

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 Quality and Information Management team in Waterbury, CT. The role focuses on ensuring accurate billing and clinical documentation across multiple programs, with audits, reporting, and continuous quality improvement.

Travel to Waterbury, Danbury, and Torrington sites will be required.

Qualifications

• Auditing billing and medical records for accuracy and compliance.

Responsibilities

• Conduct monthly billing and medical record audits.
• 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.

Skills

Billing audits

Medical records audits

Data extraction

Reporting tools

Quality improvement

Tools

Computer software

Job description

Introduction

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.

Purpose of Job Class (Nature of Work)

In the Departments of Correction, Mental Health and Addiction Services, Public Health, Social Services, Veterans Affairs or the Office of the State Comptroller, this class is accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.

Examples of Duties

• Reviews materials to determine compliance with requirements contained in Connecticut General Statutes and agency regulations;
• Reviews and evaluates financial, utilization and management records of health care facilities and/or providers toward various ends;
• Determines action steps based on record analysis;
• Prepares financial, narrative and statistical reports;
• Reviews findings and conclusions with audit staff and members of senior staff;
• Performs special research projects as assigned;
• Performs related duties as required.

Department of Public Health

• Reviews various health care facility and/or physician Certificate of Need applications;
• Analyzes impact of proposals on other health care providers in Connecticut and makes recommendations;
• Writes related documents and assists employees of higher grade in writing decisions;
• Assists in preparing documentation for administrative hearings;
• Researches and analyzes data in preparation of various health care industry reports;
• Performs related duties as required.

Department of Social Services

• Analyzes and evaluates budget, expenditure, utilization, reimbursement rate setting and/or revenue issues within social services programs, including Medicaid;
• Participates in public hearings and assists in conferring with representatives of facilities and outside experts;
• Interacts, under guidance, with Office of the Attorney General in litigation including preparation of complete court records;
• May review Certificate of Need applications for nursing facility, residential care homes and ICF/MR development;
• Performs related duties as required.

Departments of Correction, Mental Health and Addiction Services and Veterans Affairs

• Prepares, analyzes and evaluates budget, claims, expenditure, utilization, rate setting and/or revenue issues within behavioral health or a Skilled Nursing Facility;
• Analyzes General Assistance authorizations and expenditures, rate setting scenarios and new methodologies;
• May review patient eligibility coverage and make recommendations for claims;
• Performs related duties as required.

Office of the State Comptroller

• Analyzes financial and utilization data from vendor and state records concerning state employees and retirees health care plans;
• Answers inquiries from employees and retirees on issues of coverage and design pertaining to state health care plans;
• Performs related duties as required.

Knowledge, Skill and Ability

• Knowledge of principles and practices of financial management including organization, administration, management, finance, budgeting, auditing and accounting;
• Knowledge of health care industry;
• Skills interpersonal skills;
• Skills oral and written communication skills;
• Ability in interpretation and analysis of complex financial, statistical and technical data;
• Ability to utilize computer software.

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

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

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

Acknowledgement

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.