Health Care Analyst

Title : Health Care Analyst

State Role Title : Health Care Compliance Spec II

Hiring Range : $60788 - $83599

Pay Band : 5

Agency : Dept of Med Assistance Svcs

Location : Dept of Medical Asst Services

Agency Website :

Recruitment Type : General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Health Care Analyst in the Integrated Care Division.

Job responsibilities will include but are not limited to :

To provide guidance administrative and technical expertise in the development of the Program of All-Inclusive

Care for the Elderly (PACE) throughout the Commonwealth and to serve as a health care technical expert to

PACE sites with backup as needed for all unit staff and supervisors.

Conduct state readiness reviews(SRR) trial period reviews (TPR) quality management reviews (QMR) focused reviews (FR) and technical advisory visits (TAV) as well as individual satisfaction and quality assurance surveys to determine that the criteria for reimbursement and the health safe and welfare of the program participants are met according to federal and state regulations and policy and procedures for the PACE program.

Assist the Integrated Care Division in ensuring PACE organizations compliance with the Centers for Medicare and Medicaid Services (CMS) Assurances.

The business needs for this position have in office requirements to include but are not limited to attending scheduled in-person meetings and may require travel to include overnight.

Located in beautiful Central Virginia the Richmond area puts you just 2 hours from the Blue Ridge Mountains Virginia Beach and Washington DC. To learn more about the Richmond VA area visit : Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service collaboration trust problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are Become who you want to be That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications :

Considerable experience in analyzing medical records including interpreting and applying medical terminology.

Experience or knowledge meeting the needs of older adults with physical impairments in a work or home environment.

Considerable work-related experience knowledge and training in conducting program evaluation and analysis.

Experience rendering a decision on unusual circumstances involving policy interpretation.

Work-related experience utilizing Microsoft and healthcare software programs.

Experience interpreting and applying federal and state rules regulations and laws in the administration of programs.

Experience in meeting stringent deadlines.

Experience communicating with internal and external stakeholders.

Additional Considerations

Competitive candidates should meet these additional considerations :

Healthcare experience (Social Services or Clinical background).

Knowledge of the PACE program and Long-Term Care Eligibility.

Experience using the Medicaid Management Information System (MMIS).

Project Management experience.

Special Instructions

You will be provided a confirmation of receipt when your application and / or résumé is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.

All applicants for employment must be authorized to work in the United States for any employer. DMAS participates in E-Verify to confirm the identity and employment eligibility of newly hired employees.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures to include the Commonwealths Department of Human Resource Management Policy 1.61 Teleworking.

This position requires a fingerprint based Criminal History Background Check Education Checks if applicable Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services an application and / or resume for employment must be submitted electronically through this website. Mailed faxed emailed or hand-delivered applications / resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and / or resume submitted before the closing date.

Applications and / or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability in the recruitment selection and hiring of its workforce.

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealths Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter use this link : or call DARS at or DBVI at

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and / or National Guard in support of executive order 29 (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name : DMAS Talent Acquisition

Phone : Email :

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS / DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .

Note : Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.

Required Experience :

IC

Key Skills

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Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 60788 - 83599