Job Description

The primary purpose of this job is to oversee the data collection process of health insurance companies and to perform the data analyses. This position is responsible for providing technical data support and data analyses of healthcare spending data, claims data, quality data and utilization which is a critical part of ensuring compliance with state regulations and also supports policy decisions. Additionally, this position is responsible for the administration of the Pharmacy Benefit Manager registration process, including the appeals process and network adequacy reporting to ensure compliance with state regulations.

Essential Functions

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Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.


Interviews agency staff, observes work processes and gathers data relating to operational and managerial practices and procedures for use in evaluating services provided and/or determining compliance to goals and objectives. Reviews, performs statistical analysis and interpretation of collected data relating to policies, procedures, organization, managerial and operational practices; Defines and may make recommendations for correcting problems. Analyzes data gathered and develops solutions or alternative methods of proceeding. Analyzes and evaluates the effectiveness of operations in meeting established goals and objectives. Provides technical assistance in understanding and developing management objectives and controls for resolution of issues and concerns. Studies pertinent background material such as legislation, administrative orders and regulations. Makes recommendations for and assists in the implementation of new techniques or procedures to improve methods of operations, strengthen controls, and effectively utilize resources. Documents findings of studies and prepares recommendations for implementation of new systems, procedures, or organizational changes. May supervise administrative support and/or paraprofessional staff. Supervision is exercised over at least two or more merit full time positions per the Merit Rules. The elements of supervision include planning, assigning, reviewing, evaluating, coaching, training, recommending hire/fire and discipline.

Job Requirements

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JOB REQUIREMENTS for Management Analyst II

Applicants must have education, training and/or experience demonstrating competence in each of the following areas:


Six months experience in conducting studies which includes evaluating operations, programs, services, policies and procedures to determine efficiency, effectiveness, whether goals and objectives are met and compliance with laws, rules, regulations, policies and procedures. Six months experience in descriptive statistics such as the mean, median, mode or standard deviation. Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures. Six months experience in narrative report writing. Knowledge of designing studies which includes determining study goals and objectives, information needed, data sources, sampling and collection methods. Knowledge of making recommendations for continuation or changes to operations, programs, services, policies or procedures based on findings. Knowledge of inferential statistics such as correlation, t-tests, f-tests or analysis of variance.

Conditions of Hire

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Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.



All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.

Benefits

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To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Selection Process

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The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.



Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the "My Applications" tab at StateJobs.Delaware.gov.

Accommodations

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Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com. You may also call (302) 739-5458 or email DHR_ADAConcerns@delaware.gov for additional applicant services support.



The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.