Managed Care Senior Systems Analyst

Title: Managed Care Senior Systems Analyst

State Role Title: Info Technology Specialist III

Hiring Range: $105,708 - $108,546

Pay Band: 6

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

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 Managed Care Senior Systems Analyst. The selected competitive candidate will provide exceptional delivery of services to the agency’s Health Care Services Division.

Job responsibilities will include, but are not limited to:

Provide technical support for all DMAS systems to support the business and operational requirements of the managed care program. Identify requirements, validate design, execute testing, and research/resolve issues.

Investigate complex member eligibility/enrollment and payment issues that impact managed care.

Research and analyze problems with a high level of technical expertise.

Ensure that the functionality and operations of all managed care enrollment and payment systems are compliant with all managed care business requirements. Implement system enhancements and fixes.

Ensure compliance with all necessary rules, regulations, standards and laws.

As an employee of DMAS you are entitled to the many comprehensive benefits the Commonwealth has to offer.

This includes health benefits,12 paid holidays, paid leave, flexible work schedules, & retirement plans.

For more specific details please visit: https://www.dhrm.virginia.gov/employeebenefits.

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: https://www.virginia.org/

The 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 knowledge/experience of Medicaid, managed care, and/or health care systems.

Knowledge/Experience of tools such as Medicaid Management Information System (MMIS), SQL, and/or SAS.

Considerable Knowledge/Experience with information systems development including requirements definition, design validation, and testing.

Knowledge/Experience of requirements gathering including liaison with end users, documenting technical specifications for programmers, and user acceptance testing for systems changes.

Considerable Knowledge/Experience of Word, Excel.

Knowledge/Experience interpretation and application of federal, state laws/regulations.

Experience in meeting deadlines.

Experience with internal/external stakeholders.

Additional Considerations

Competitive candidates should meet these additional considerations:

Experience with software systems development life cycle (SDLC) and processes.

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.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program, a federal maintained, Internet‐based system that compares information presented by employees to data from U.S Department of Homeland Security and Social Security Administration records.

The verification is used to confirm that an employee is legally eligible to work in the United States.

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

This position requires the submission of a Statement of Economic Interest (financial disclosure).

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. Qualified individuals with disabilities are encouraged to apply.

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: 804-225-4407

Email: askhcdtalentacq@dmas.virginia.gov

In support of the Commonwealth’s 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 800-552-5019.

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.