The Management Analyst IV is a senior level position that reports to the Senior Project Manager for the Medicaid CHIP Services Managed Care Utilization Review (MCUR) Operations unit. The Management Analyst IV designs and improves MCUR reviews, staff engagement, clinical advisory, and data management processes. This position is responsible to define and measure issues, analyze root causes and vet alternative solutions, collaborate with the Senior Project Manager to implement highly complex projects, coordinate implementation of complex processes across MCUR units, develop and maintain reports, dashboards and team communications. Activities include improvement project management, process mapping, conducting needs assessments, quantitative analysis of MCUR actions and steps toward goals, and group facilitation.
Essential Job Functions:
(20%) Structures and coordinates complex processes across Managed Care Utilization Review (MCUR). Conduct process improvement needs assessments. Design and manage collaborative efforts among Managed Care Utilization Review managers and staff to implement complex processes for Managed Care Acute Care Services, Long-term Services and Supports, Quality Assurance, and Operations units. Define, measure, analyze, and improve processes using established techniques. Identify and address inefficiencies in managed care utilization processes.
(20%) Develops and manages process improvement projects for MCUR. Confer with MCUR management and with Senior Project manager to assess MCUR process improvement project management needs. Coordinate with MCUR staff to design projects, quantify problems, identify root causes of problems, solve the root cause, and monitor processes to maintains gains. Coordinate the planning and initiation of projects at various levels of completion. Develop and manage project scope, schedule, resources, quality, risk assessment, stakeholder engagement, and communications.
(20%) Develops and maintains process and process improvement reports and documents. Collaborate with MCUR data analytics staff or Medicaid CHIP Services (MCS) analytics staff to develop and maintain dashboards and team communications. Prepares high quality written reports, updates, summaries, policies, procedures, and other documents as assigned or as needed to explain results to MCUR management and staff. Develop process maps, outlines and explanations to support process improvement.
(20%) Facilitates and participates in a variety of meetings with MCUR staff members for strategic planning, project planning and defining, goal setting and work product development. Facilitates meetings with MCS staff as authorized by the Senior project manager or attends meetings with Managed Care Organization staff as authorized by MCUR Director. Plans meetings to prioritize decisions and results. Develops and maintains complete meeting documentation.
(15%) Serves as process management subject matter expert on projects managed by the Senior Project Manager. As assigned, attends and facilitates meetings, tracks project tasks to log processes and make recommendations for process improvement. Advises project team members on process management.
(5%) Performs other duties as assigned.
Knowledge Skills Abilities:
Knowledge of proven process design and re-design tools and techniques
Knowledge of proven project management methodologies, tools and techniques.
Knowledge and experience managing process improvement projects impacting multiple business areas and operations.
Knowledge and experience managing relationships with key stakeholders.
Knowledge of principles and methodologies of change management
Skills in process mapping and identifying inefficiencies
Skills in workshop and/or Kaizen facilitation and meeting management
Skills in process management policies and procedures development
Skills in coordinating implementation of complex processes with multiple teams
Skills in documenting and reporting process improvement
Skills in managing competing priorities
Strong organizational, time management and presentation skills
Ability to work collaboratively to accomplish objectives
Ability to develop and evaluate policies and procedures
Ability to express oneself clearly orally and in writing
Ability to identify problems and to evaluate alternatives and devise solutions to problems
Ability to gather, assemble, correlate, analyze and evaluate data and facts
Ability to manage multiple projects simultaneously
Ability to collaborate and develop effective professional relationships with coworkers and stakeholders
Ability to work in fast paced, fast changing environment
Registration or Licensure Requirements:
Initial Selection Criteria:
Graduation from an accredited four-year college or university. Work experience may be substituted for education on a year-for-year basis. At least four (4) years of process improvement project management experience in addition to education or experience that substitutes education. Six Sigma Green belt certification (or ability to earn green belt certification within 6 months of hire). Advanced MS Excel skills. Work experience in Medicaid, Managed Care, healthcare, non-profit, public service, or government.
•Six Sigma Green Belt Certification or higher
•Certified Associate in Project Management (CAPM) certification or Project Management Professional (PMP) certification
•5+ years of experience in process improvement project management
•3+ years of experience in advanced group facilitation and experience with Kaizen is a plus
•Experience using SharePoint and/or MS Project
•Experience in Managed Care and Medicaid
Requisition # 448097
70D, MGT15, 8016, 8870
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In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.