MANAGEMENT ANALYST 1

State of Nevada (NV); Carson City (NV); On-site; USD 51,000 - 71,000; Full time

Job summary

State of Nevada, Public Employees’ Benefits Program (PEBP) Quality Control Unit in Carson City is seeking a Management Analyst 1. You will support the review and resolution of member complaints, grievances, and appeals related to health benefits, claims, and program services.

This entry-level analytical role emphasizes sound judgment, attention to detail, confidentiality, and professional communication while learning health benefits administration, claim review, and quality control practices.

Qualifications

• Entry-level analytical role requiring sound judgment and attention to detail.
• Professional communication and confidentiality are essential.
• Willingness to learn and follow guidelines.

Responsibilities

• Review incoming member complaints and identify issues.
• Gather and verify relevant information on cases.
• Research benefit provisions and applicable procedures.
• Document findings and prepare case summaries.
• Monitor case progress and deadlines.
• Assist in drafting written responses to members.

Skills

Research & analysis

Attention to detail

Written communication

Judgment

Professional confidentiality

Job description

The Public Employees’ Benefits Program (PEBP) Quality Control Unit within the Nevada Health Authority is seeking a Management Analyst 1 in Carson City. The Management Analyst 1 serves as a Quality Control Specialist that supports the review and resolution of member complaints, grievances, and appeals related to health benefits, claims, and program services. Responsibilities include reviewing incoming cases, identifying the issues raised by members, gathering and verifying relevant information, researching applicable benefit provisions and established procedures, and documenting findings. The position assists in evaluating whether claims, benefits, and member concerns have been handled appropriately and in accordance with PEBP Master Plan Documents (MPDs), applicable administrative codes, and program policies. The Quality Control Specialist maintains case records, tracks case progress and deadlines, follows up on outstanding information, and assists with preparing written responses and case summaries. The position also helps identify discrepancies, recurring issues, and opportunities to improve processes, accuracy, and consistency in handling member concerns. This is an entry-level analytical role that requires sound judgment, attention to detail, professional communication, confidentiality, and a willingness to learn. The successful candidate will develop knowledge of health benefits administration, claim review, appeals procedures, policy interpretation, and quality control practices while working under established guidelines and supervisory direction.

Management Analysts conduct studies, research, and examination of management and administrative areas such as agency operations, forms, policies and procedures, workflow, legislative analysis, management research, and statistical and informational analysis.

1. Conduct research and analyze legislative implications.
2. Determine software application program needs or requirements.
3. Review and monitor contracts.
4. Make recommendations on policy and procedure improvements.
5. Provide recommendations to management regarding programs and/or work unit activities.
6. Prepare reports and correspondence.
7. Perform related duties as assigned.

Knowledge of:

• Research and analysis techniques and methodologies; management and administration concepts, principles, and practices; evaluating, developing, and recommending administrative and/or operational policies and procedures.

Skill in:

• Interpersonal and communication, both verbal and written.
• Use and operation of office and job-related equipment and software.

Ability to:

• Compose business correspondence and reports; analyze information, problems, or practices to identify relevant concerns, identify patterns, tendencies, and relationships, and formulate logical conclusions.