Summary of the Position: MassHealth is seeking qualified applicants for the Operations Analyst position. The primary duty of this position is to support reporting and analysis for MassHealth Operations. In order to successfully perform this duty, the incumbent will be expected to analyze production data to ensure business service levels and policies are met, analyze system incidents to ensure business requirements are met and work with the Executive Office of Health and Human Services (EOHHS) Information Technology (IT) team and Data Warehouse team to provide solutions for different business challenges. The analyst will participate in meetings to ensure policies and procedures for the agency are developed in a particular system. They will validate solutions such as production scripts to ensure solution provided works and validate data in production or testing environments. The incumbent will identify business reports, process improvements, and implementation strategies to ensure business operations is successfully meeting its needs.
Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Participate in meetings with different stakeholder such as EOHHS IT, EHS Data Warehouse, MassHealth (MH) policy, MH Operations to assess needs and provide solutions. Discuss with Policy/Legal/Publications teams as needed to ensure system and enhancements meet new or existing regulations.
• Serves as Subject Matter Expert (SME) in their particular area of expertise as in entails MH operation and eligibility and how systems/data is used.
• Create daily, monthly, and ad-hoc reports to meet operations and federal reporting needs. Create and maintain public reports and dashboards.
• Investigate and analyze issues.
• Analyze trends on operations metrics, eligibility metrics and other systems metrics.
• Validate workarounds and perform workarounds in systems as needed. Provide status of validations or any special projects.
• Complete special projects in accordance with agency directives, including statistical and narrative reports.
• Serve as a vital component toward Excellence in Operations and customer service for members and providers.
• Any other duties as needed for successful implementation of systems and support of existing systems.
• Ability to analyze and determine the applicability of data, to draw conclusions and make appropriate recommendations.

Preferred Qualifications:

• Knowledge of testing and validating systems.
• The ability to manage and sustain multiple and complex relationships and ensure that lines of communication are open.
• The ability to work under significant time pressures to meet unanticipated demands.
• The ability to work effectively with teams, share information and work collaboratively to solve problems and make decisions.
• Experience designing and implementing data collection processes.
• Experience designing charts and reports.
• Familiarity with technical issues, systems and programs affecting Medicaid and its services to members preferred.
• Knowledge of MassHealth policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems preferred.

TO APPLY: Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.
About MASSHEALTH: MassHealth, the Commonwealth\xe2\x80\x99s Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. As an innovative national leader, the Commonwealth\xe2\x80\x99s Medicaid program offers the opportunity to work with state-of-the-art technologies in a cutting-edge, fast-paced, call center environment. Selected applicants will have exceptional customer service, communications, and analytical skills. We offer a unique opportunity to serve, and to make a positive contribution to our members.
The mission of MassHealth is to improve the health outcomes of our diverse members, their families and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence and quality of life.
For more information about our agency and programs please visit: www.mass.gov/masshealth Pre-Offer Process: A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori Education, licensure and certifications will be verified in accordance with the Human Resources Division\xe2\x80\x99s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth\xe2\x80\x99s website. If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form For questions, please the contact the Office of Human Resources at 1-800-510-4122 and select option #2.


Qualifications

First consideration will be given to those applicants that apply within the first 14 days.



MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) three years of full time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, or (B) any equivalent combination of the required experience and the substitutions below.



Substitutions:

I. A Bachelor\'s degree with a major in business administration, business management or public administration may be substituted for a maximum of two years of the-required experience.*



II. A Graduate degree with a major in business administration, business management or public administration may be substituted for the required experience.*



III. A Bachelor\'s or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required experience.*

• Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards!


Executive Order #595: As a condition of employment, successful applicants will be required to have received COVID-19 vaccination or an approved exemption as of their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants selected for employment. Applicants who receive an offer of employment who can provide documentation that the vaccine is medically contraindicated or who object to vaccination due to a sincerely held religious belief may make a request for exemption.


An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.


The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don\'t meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.


Official Title : Program Coordinator II
Primary Location : United States-Massachusetts-Quincy - 100 Hancock Street
Job : Administrative Services
Agency : Exec Office Of Health and Human Services
Schedule : Full-time
Shift : Day
Job Posting : Mar 28, 2023, 8:19:03 AM
Number of Openings : 1
Salary : 62,268.18 - 89,143.08 Yearly
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator : Johny Laine/Johny.Laine@mass.gov - 6173485067
Bargaining Unit : 06-NAGE - Professional Admin.
Confidential : No
Hybrid Work Eligible : Yes