Class Title:Medical/Health Care Program Analyst

Class Title:Medical/Health Care Program Analyst

CLASS CODE: 5875
PAY GRADE: 024

CLASS TITLE:MEDICAL/HEALTH CARE PROGRAM ANALYST

ALLOCATION FACTOR(S)

This is work analyzing, developing, implementing and/or monitoring medicaid, medical utilization, aging and adult services or state health office program activities.

EXAMPLES OF WORK PERFORMED:

(Note: The examples of work as listed in this class specification are not necessarily descriptive of any one position in the class. The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to the position. Examples of work performed are not to be used for allocation purposes.)

  • Develops long range medicaid, utilization or state health office programs, fiscal and cost reimbursement plans; coordinates the development of program objectives and goals; develops program performance standards and criteria.
  • Develops, coordinates and monitors assigned components for the state health office.
  • Develops, coordinates and monitors opportunities for alternative funding sources for the state health office program activities.
  • Directs and coordinates the planning and implementation of operational reviews, program reviews and program monitoring activities.
  • Designs, develops and implements program research, demonstration and pilot projects.
  • Designs and conducts research projects and special studies using epidemiological techniques related to analysis of public health problems and disease outbreaks.
  • Prepares program analysis, reviews and reports.
  • Analyzes medicaid, utilization program or state health office expenditures and prepares surplus/deficit analysis.
  • Analyzes state health office expenditures and service needs.
  • Analyzes and develops fiscal impact statements on proposed cost containment measures and program revisions.
  • Analyzes cost reimbursement methodologies for all medicaid or utilization services to determine the affect on provider participation, quality of care, efficiency, economy and compliance with federal and state laws, rules and regulations.
  • Assists in the design and implementation of various cost reporting and data collection techniques related to medicaid, state health office or medical cost reimbursement planning.
  • Develops medical and surgical fee schedule, guidelines and procedures.
  • Develops medicaid cost reimbursement manuals, guidelines and procedures.
  • EXAMPLES OF WORK PERFORMED: (Continued)
  • Represents the department in local, state and national meetings.
  • Performs related work as required.

KNOWLEDGE, SKILLS AND ABILITIES:

(Note: The knowledge, skills and abilities (KSA's) identified in this class specification represent those needed to perform the duties of this class. Additional knowledge, skills and abilities may be applicable for individual positions in the employing agency.)

  • Ability to direct and coordinate the planning and implementation of operational and program reviews and program monitoring activities.
  • Ability to utilize problem-solving techniques.
  • Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to a health services program.
  • Ability to prioritize work load.
  • Ability to develop various reports.
  • Ability to design, develop and implement research models.
  • Ability to manage a health services program.
  • Ability to assess budgetary needs.
  • Ability to collect and analyze financial data.
  • Ability to formulate policies and procedures.
  • Ability to plan, organize and coordinate work activities.
  • Ability to communicate effectively.
  • Ability to establish and maintain effective working relationships with others.

MINIMUM QUALIFICATIONS

  • A bachelor's degree from an accredited college or university and four years of professional experience in a health or rehabilitation program involving program or policy planning and development, program research or evaluation, finance, statistical analysis, accounting, auditing or budget analysis; or
  • A master's degree from an accredited college or university in business, statistics, mathematics, economics, public administration, health or social services administration and three years of professional experience as described above; or
  • A doctorate from an accredited college or university in any of the areas of major study described above and two years of professional experience as described above.
  • Professional experience as described above may substitute on a year-for-year basis for the required college education.

EFFECTIVE:

8/23/1990

HISTORY:

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