Job Description
PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE Job ID: 26801
Agency: Department of Social Services / Division of Medical Services
Location: Sioux Falls or Pierre
Salary: $62,305.92 - $70,074.43 annually, Depending on Experience
Pay Grade: GK
Closing Date: 05/09/2024
This is a Full-Time 40 Hour Weekly position with the Department of Social Services Division of Medical Services. For more information on the DSS, please visit https://dss.sd.gov .
The South Dakota Department of Social Services, Division of Medical Services also known as South Dakota Medicaid plays a vital role in the healthcare of South Dakotans. The program is one of the largest healthcare insurers in South Dakota, covering approximately 122,000 individuals as of November 2023. The program primarily covers children of low - income families including a significant percent of children in South Dakota under age one. Other individuals covered by South Dakota Medicaid include pregnant women and adults with low income, parents, and other caretaker relatives, seniors in nursing homes, and individuals with physical or developmental disabilities.
South Dakota Medicaid is seeking a highly motivated individual to serve as a Senior Data Analyst. The position includes data analysis and reporting, outcome reporting, budget forecasting, and recommending policy changes to support high-quality data. The position will also research, recommend, and help implement new technologies to support the most effective and efficient ways to monitor, develop, and evaluate medical claims data. The desired candidate will possess a commitment to service; the ability to compile and analyze healthcare data; and the ability to utilize data for budget analysis and forecasting; work in a fast-paced environment, and the ability to draw logical conclusions based on data and present them to others in easy to digest and understandable formats. Duties of the position include:
- Gathering data pertaining to customer needs, and using the information to identify, predict, interpret, and evaluate the Medicaid program.
- Designing and implementing databases in coordination with other technology partners to support the needs of the Medicaid program.
- Performing root-cause analysis of data errors found during data analysis of the Medicaid program and recommending actions to ensure robust data.
- Acting as a key technical advisor to technology project leaders.
- Coordinating and facilitating meetings with subject matter experts to discuss and resolve issues related to data systems.
- Performing Medicaid reporting functions including analysis of claims data, preparation of Medicaid reports and statistics, and calculation of fiscal impacts.
- Coordinating federal data reporting including reporting on Medicaid Core Set metrics and Transformed Medicaid Statistical Information System compliance.
- Analyzing Medicaid data sets to recommend program enhancements and efficiencies and care management interventions.
Licenses and Certifications: A bachelor's or master's degree in a relevant field is preferred. Training in a data analysis field such as Biostatistics, Financial Analysis, Epidemiology, Data Informatics, Public Health, or other related fields is also preferred.
The Ideal Candidate Will Have: - data analytics experience and knowledge including knowledge of SQL and Power BI;
- experience with machine learning techniques and other advanced statistical analyses;
- experience with RPAs such as Power Automate or UiPath;
- experience with statistical analysis languages such as R, SAS, or Python;
- project management and leadership skills;
- experience with healthcare data sets or reimbursement methodologies including MS-DRG and APC;
- experience with financial analysis or fraud analysis;
- effective verbal and written communication; and
- robust presentation skills.
Knowledge, Skills, and Abilities: - high attention to detail;
- research and analysis skills;
- ability to analyze and interpret data;
- ability to collect and run data for outcome measures, look for correlations and be able to communicate results;
- ability to use data to spot potential opportunities and use data for preventative measures;
- ability to identify, recommend, and implement process improvements and efficiencies;
- project management and leadership skills including managing large projects and multiple projects;
- ability to prepare, review, and analyze reports; and
- ability to solve complex problems.
Additional Requirements: To be considered, please attach your resume. This position is exempt from the Civil Service Act.
This position is eligible for Veterans' Preference per ARSD 55:10:02:08.
The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.
The State of South Dakota offers employer paid health insurance plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at https://bhr.sd.gov/job-seekers/work-for-state-government/ . This position is a member of Class A retirement under SDRS.
Must apply online: https://sodakprod-lm01.cloud.infor.com:1443/lmghr/xmlhttp/shorturl.do?key=PID
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
"An Equal Opportunity Employer"