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

Reasonable Accommodation Statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.

Equal Employment Opportunity Policy Statement

It is the policy of CAI not to discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Employees and applicants of CAI will not be subject to harassment due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.