Business Analyst - Review Team

The Office of Medicaid Operations (OMO) has a vacancy for a Business Analyst position on the Review Team.
This team manages several special programs such as the Emergency Only Program, Manual Review, Wheelchair and Sterilization Consent Forms and Inmate as well as other critical functions for accurate and timely claims processing. They also provide technical assistance to healthcare providers and Medicaid members to resolve fee-for-service claims issues.
IDEAL CANDIDATE

• Medicaid and Medicare Claim processing
• Experience/knowledge of the Utah State Medicaid Program and benefits
• Experience with Microsoft Office Systems - Word, Excel, PowerPoint

Note: as of April 8, 2024, DHHS employees will be working a hybrid schedule, which includes 2 office days per week and 3 telework days.
Why work for the Utah Department of Health and Human Services? In addition to the rich benefits the State of Utah offers, the department offers:

• On-site fitness center, for a minimal membership fee
• UTA Eco Pass, at a discounted monthly rate
• Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 801-538-6996

For more information on the Utah Department of Health and Human Services, please click here.
If offered this position, your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting, which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here. Note: Your start date may be extended if your background check has not been completed by your initial start date.

• Adapts automated system(s) to accommodate special and complex agency needs; designs or enhances agency unique automated systems to interface with existing systems as needed.
• Monitors system performance to ensure proper operation and identify possible problem areas.
• Analyzes, summarizes and/or reviews data; reports findings, interprets results and/or makes recommendations.
• Identifies problems or potential problem areas and recommends solutions.
• Enters data into a computer system and retrieves, corrects, or deletes previously entered data.
• Writes and/or uses computer programs to generate and analyze data.

(includes knowledge, skills, and abilities required upon entry into position and trainable after entry into position)

• The ability to listen to and understand information and ideas presented through spoken words and sentences.
• The ability to read and understand information and ideas presented in writing.
• The ability to communicate information and ideas in speaking so others will understand.
• The ability to communicate information and ideas in writing so others will understand.
• The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
• The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
• The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
• The ability to apply general rules to specific problems to produce answers that make sense.
• The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
• The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
• The ability to generate or use different sets of rules for combining or grouping things in different ways.
• The ability to choose the right mathematical methods or formulas to solve a problem.
• The ability to add, subtract, multiply, or divide quickly and correctly.
• The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
• The ability to concentrate on a task over a period of time without being distracted.
• The ability to see details at close range (within a few feet of the observer).
• The ability to identify and understand the speech of another person.
• The ability to speak clearly so others can understand you.
• Understanding written sentences and paragraphs in work related documents.
• Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Communicating effectively in writing as appropriate for the needs of the audience.
• Talking to others to convey information effectively.
• Using mathematics to solve problems.
• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Understanding the implications of new information for both current and future problem-solving and decision-making.
• Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
• Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
• Being aware of others' reactions and understanding why they react as they do.
• Adjusting actions in relation to others' actions.
• Persuading others to change their minds or behavior.
• Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
• Considering the relative costs and benefits of potential actions to choose the most appropriate one.
• Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
• Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
• Managing one's own time and the time of others.
• Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
• Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
• Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
• Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
• Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.

• This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time and for any reason.
• Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.
• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.

Employment Type: Full Time