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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.

Are you a hardworking, motivated Finance professional looking to make a difference while working with a collaborative team in the public sector? If so, we want you to join us at the DMHAS Office of the Commissioner!

We are seeking a qualified individual for the role of Health Care Analyst (PCN 103689), within our Fiscal Services Division. Our team members are passionate about the work we do. We are conveniently located at 410 Capitol Avenue in Hartford. This is a full-time, 40 hour per week position with work schedule of Monday – Friday, 8:00am – 4:30pm.

DISCOVER THE OPPORTUNITY TO:
  • Ensure the Medicare and Medicaid billing associated with billable services (Inpatient, inpatient professional services, outpatient, targeted case management and behavioral health home services) provided by 7 DMHAS and 30+ private, non-profit DMHAS providers is maximized and completed in accordance with state and federal guidelines. 
  • Research and analyze data that is received from providers and that is released for billing. 
  • Analyze Explanation of Benefits reports for further billable opportunities. 
  • Work closely with program staff who provide and monitor service delivery. 
  • Provide training to staff of state agencies and private non-profit agencies, as needed. 
  • Prepare regular and special project data reports that analyzes service delivery, billing and revenue data. 
  • Ongoing research of billing opportunities to increase revenue. 
  • Produce reports routinely requested by the Department of Social Services, Office of Policy and Management, the State Legislature, Center for Medicare and Medicaid Services and other agencies. 
  • Work together with state and private agencies, assisting in their understanding of billing reports, requirements and billable service delivery. 
  • Track Medicare and Medicaid enrollment of providers. 
  • Work conjointly with IT and DAS on system errors and on system changes, as needed.

Our employees participate in a competitive benefits plan that includes healthcare coverage, and a retirement plan, as well as paid time off! We encourage a healthy work/life balance to all employees.



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

1. 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.
2. 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.
3. 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.



PREFERRED QUALIFICATIONS

Our ideal candidate will:
  • Have experience using Microsoft Excel, including: VLOOKUP functions, pivot tables, setting up spreadsheets, utilizing functions, and managing and formatting data and formulas.
  • Have experience with Outpatient billing
  • Have knowledge of the Current Procedural Terminology (CPT) codes associated with Outpatient billing
  • Have knowledge of Explanation of Benefits (EOB) associated with Outpatient billing