HHS Consultant

Job ID Number

R3338

Employment Type

Full time

Worksite Flexibility

Hybrid

Job Summary

As the HHS Consultant, you will analyze and support business operating decisions related to Medicaid, Managed Care, and other health and human services programs

Job Description

Job Profile Summary

We are seeking a HHS Consultant to analyze and support business operating decisions related to Medicaid, Managed Care, and other health and human services programs. This position will be full-time and hybrid .

What You’ll Do

• Data analyses to support Department of Human Services decision-making processes

• Analyses to support business-operating decisions related to Medicaid, Managed Care, and other health and human services programs

• Processes for the analyses of claim/encounter data for various initiatives, including reporting on high cost and high utilization services and specific populations such as individuals with Serious and Persistent Mental Illness (SPMI)

• Processes for the analyses of data by geography, services, provider type, place of services and other factors to discover trends and suggest action plans

• Processes that support the evaluation of fiscal impact analysis for existing and potential cost containment initiatives

• Extraction and analysis of large data sets and perform analyses to determine whether targeted goals were achieved or identify performance measures with target goals

• Meetings to advise Commonwealth staff on work results

• Reports, presentations and data dashboards that will be shared with internal and external stakeholders

What You'll Need

Required:

• Master’s Degree in Mathematics, Economics, Statistics, Information Systems or similar degree.

• Proficiency in financial, demographic, encounter and claims data for both managed care and fee-for-service Medicare and Medicaid, as well as commercial and health care related insurance.

• At least 3 years of experience doing a broad base of senior level medical economic analyses

 

Physical Demands

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards

• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitors

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