Health Care Analyst (32 Hour) (Part-time | Office/On-site)

Introduction

\r\n\r\n\r\n\r\nThe Western CT Mental Health Network (WCMHN), under the umbrella of the State of Connecticut, Department of Mental Health and Addiction Services (DMHAS) is seeking a Health Care Analyst (PCN 25022) to support our mission within our Quality and Information Management team.\r\n\r\n\r\nROLE HIGHLIGHTS\r\n\r\n\r\n Schedule: Part-time, 32 hours/week, Monday - Thursday\r\n Hours: First shift,�8:00 a.m. - 4:30 p.m.\r\n Location: 95 Thomaston Avenue, Waterbury, CT\r\n\r\n\r\nABOUT THE ROLE\r\nIn this role, you will ensure that billing and clinical documentation across Targeted Case Management, Behavioral Health Home, and Outpatient Services is accurate, compliant, and consistently maintained across all WCMHN sites. You will work closely with staff in Waterbury, Danbury, and Torrington to support high‑quality documentation practices, effective audits, and continuous quality improvement initiatives.\r\n\r\n\r\nKEY RESPONSIBILITIES\r\n\r\n\r\n Conduct monthly billing and medical record audits to ensure accuracy, compliance, and data integrity.\r\n Review documentation for completeness and adherence to regulatory and agency standards.\r\n Use software and reporting tools to extract data, generate reports, and analyze audit outcomes.\r\n Recommend improvements based on audit findings and follow up with staff on required corrections.\r\n Serve as liaison with the DMHAS Commissioner's Office on billing and claims matters.\r\n Provide training and develop materials to support accurate billing and documentation practices.\r\n Participate in quality improvement projects and assist with Joint Commission, CMS, and other survey preparations.\r\n Travel between Waterbury, Danbury, and Torrington sites as needed.\r\n\r\n\r\n\r\n\r\n\r\nWHAT WE OFFER:\r\n\r\n\r\n\r\n\r\n\r\n Comprehensive state benefits, visit our new State Employee Benefits Overview page!\r\n Professional growth and development opportunities.\r\n A healthy work/life balance to all employees.\r\n\r\nBenefits may vary for part-time positions.\r\n\r\n\r\nABOUT OUR AGENCY:\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\nThe State of Connecticut, Department of Mental Health and Addiction Services (DMHAS), is a health care agency whose mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective, and efficient services and supports that foster dignity, respect, and self-sufficiency in those we serve.\r\n\r\n\r\nThe Western Connecticut Mental Health Network was formed in 1996 by the State of Connecticut, Department of Mental Health and Addiction Services (DMHAS), in order to coordinate clinical, fiscal and administrative oversight of Region 5 contracted and state-operated mental health services. Within this service system, there are three state-operated Local Mental Health Authorities, which are located in Waterbury, Danbury and Torrington. In partnership with the Western Connecticut Mental Health Network they provide and coordinate local clinical services. Over 200 staff including psychiatrists, nurses, social workers, rehabilitation, vocational and mental health workers provide services for persons with a long-term mental illness.\r\nApproximately 7,000 clients receive services in a variety of programs, including Peer Support Programs, Supported Employment, Homeless Services, Residential, Crisis Services, Jail Diversion, Outpatient, Case Management, Behavioral Health Home, Assertive Community Treatment Teams (ACTT) and Young Adult Services.\r\nStart with us! Stay with us! Grow with us!\r\n\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n Please note:\r\n \r\n A comprehensive medical examination, including a drug screening, will be required of all applicants upon a conditional offer of employment.\r\n All state employees must adhere to Connecticut's Policy for a Drug Free Workplace.\r\n \r\n \r\n \r\n \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n

Selection Plan

FOR ASSISTANCE IN APPLYING:�\r\nCheck out our�Applicant Tips on How to Apply! Need more resources?� Visit our�Applicant Toolkit�for additional support throughout the recruitment process.�\r\nBEFORE YOU APPLY:�\r\n\r\n Meet Minimum Qualifications:�Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified. �\r\n Educational Credits:�List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below by the closing date listed on the job posting.�\r\n Resume Policy:�Per�Public Act 21-69, resumes are not accepted during the initial application process. As the recruitment process progresses, candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the request and discretion of the hiring agency.�\r\n Preferred Shift/Location:�Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.�\r\n Timely Submission:�All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. �Late submissions are rarely accepted, with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailing�DAS.SHRM@ct.gov.�\r\n Salary Calculations: For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.�\r\n\r\n\r\n Note: The�only way�to apply to this posting is via the ‘Apply’ or ‘Apply Online’ buttons on the official State of Connecticut Online Employment Center job posting.\r\n\r\nAFTER YOU APPLY:�\r\n\r\n Some email providers may experience delays or issues delivering messages. To avoid missing important updates—such as referral questionnaires or interview scheduling links—please check your�Personal Status Board�regularly.\r\n For added convenience, you can also enable text (SMS) notifications. To do this, log in to your Personal Status Board and select “Update My Contact Information.”\r\n Referral Questions:�This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).� �\r\n\r\n\r\n Prepare For An Interview:�Interviews are limited to those whose experience and training are most aligned with the role. To prepare, review this helpful�Interview Preparation Guide�to make the best impression!�\r\n Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.��\r\n The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.��\r\n Note: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees, available at�www.ct.gov/ethics.\r\n\r\n\r\n This employer may participate in E‑Verify and will provide the federal government with your Form I‑9 information to confirm work authorization.\r\n\r\nQUESTIONS? WE’RE HERE TO HELP:�\r\nDue to high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process, reach out to Joseph K. Fried at Joseph.Fried@ct.gov.\r\nJoin the State of Connecticut and take your next career step with confidence!\r\n

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Departments of Correction, Mental Health and Addiction Services, Public Health, Social Services, Veterans Affairs or the Office of the State Comptroller, this class is accountable for independently performing a full range of tasks in the analysis of financial, utilization and management records of health care facilities and/or providers or health insurance providers.\r\n

EXAMPLES OF DUTIES

\r\n Reviews materials to\r\n determine compliance with requirements contained in Connecticut General\r\n Statutes and agency regulations;\r\n Reviews and evaluates\r\n financial, utilization and management records of health care facilities and/or\r\n providers toward various ends;\r\n Determines action steps based on record analysis;\r\n Prepares financial,\r\n narrative and statistical reports;\r\n Reviews findings and\r\n conclusions with audit staff and members of senior staff;\r\n Performs special\r\n research projects as assigned;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENT OF PUBLIC HEALTH:\r\n\r\n\r\n Reviews various health\r\n care facility and/or physician Certificate of Need applications;\r\n Analyzes impact of\r\n proposals on other health care providers in Connecticut and makes\r\n recommendations;\r\n Writes related documents\r\n and assists employees of higher grade in writing decisions;\r\n Assists in preparing\r\n documentation for administrative hearings;\r\n Researches and analyzes\r\n data in preparation of various health care industry reports;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENT OF SOCIAL SERVICES:\r\n\r\n\r\n Analyzes and evaluates\r\n budget, expenditure, utilization, reimbursement rate setting and/or revenue\r\n issues within social services programs, including Medicaid;\r\n Participates in public\r\n hearings and assists in conferring with representatives of facilities and outside\r\n experts;\r\n Interacts, under\r\n guidance, with Office of the Attorney General in litigation including\r\n preparation of complete court records;\r\n May review Certificate\r\n of Need applications for nursing facility, residential care homes and ICF/MR\r\n development;\r\n Performs related duties\r\n as required.\r\n\r\nDEPARTMENTS OF CORRECTION, MENTAL HEALTH AND ADDICTION SERVICES AND VETERANS AFFAIRS:\r\n\r\n\r\n Prepares, analyzes and evaluates budget, claims, expenditure, utilization, rate setting and/or revenue issues within behavioral health or a Skilled Nursing Facility;\r\n Analyzes General Assistance authorizations and expenditures, rate setting scenarios and new methodologies;\r\n May review patient eligibility coverage and make recommendations for claims;\r\n Performs related duties as required.\r\n\r\nOFFICE OF THE STATE COMPTROLLER:\r\n\r\n\r\n Analyzes financial and\r\n utilization data from vendor and state records concerning state employees and retirees\r\n health care plans;\r\n Answers inquiries from\r\n employees and retirees on issues of coverage and design pertaining to state\r\n health care plans;\r\n Performs related duties\r\n as required.\r\n\r\n\r\n

KNOWLEDGE, SKILL AND ABILITY

\r\n Knowledge of\r\n \r\n principles and practices\r\n of financial management including organization, administration, management,\r\n finance, budgeting, auditing and accounting;\r\n health care industry;\r\n \r\n \r\n Skills\r\n \r\n interpersonal skills;\r\n oral and written\r\n communication skills;\r\n \r\n \r\n Ability in interpretation\r\n and analysis of complex financial, statistical and technical data;\r\n Ability to utilize\r\n computer software.\r\n\r\n

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Six (6) years of professional experience in financial management with some experience in health care management.\r\n\r\nNOTE: Financial management is defined as professional accounting or auditing work with responsibility for the review and recommendation of financial policies and procedures of a business organization.\r\n

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

\r\n College training may be\r\n substituted for the General Experience on the basis of fifteen (15) semester\r\n hours equalling one-half (1/2) year of experience to a maximum of four (4)\r\n years for a Bachelor's degree.\r\n A Master's degree in accounting,\r\n finance or other closely related field or public health with some college\r\n courses in accounting or finance may be substituted for one (1) additional year\r\n of the General Experience.\r\n Professional experience\r\n in health care facility administration, health program administration, health\r\n insurance administration, health planning or other health care related fields\r\n may be substituted for the General Experience on a year for year basis to a\r\n maximum of one (1) year.\r\n Successful completion of\r\n a Connecticut Careers Trainee program approved by the Department of\r\n Administrative Services may be substituted for the General Experience.\r\n\r\n

PREFERRED QUALIFICATIONS

\r\n\r\n Experience using advanced Excel features, including creating and modifying pivot tables, building complex formulas, and analyzing large datasets.\r\n Experience with clinical documentation and billing requirements, including independently interpreting regulations, resolving complex issues, and serving as a resource to others.\r\n Experience validating the plan of care and applying to clinical documentation.\r\n Experience creating audit reports and corrective action plans.\r\n Experience with Joint Commission accreditation standards.\r\n Experience applying regulations and standards pertaining to utilization review.\r\n Experience utilizing computer software including experience with Excel, Access databases, and presenting data.\r\n\r\n\r\n

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER\r\nThe State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.\r\n

ACKNOWLEDGEMENT

As defined by Sec. 5-196\r\nof the Connecticut General Statutes, a job class is a position or group of\r\npositions that share general characteristics and are categorized under a single\r\ntitle for administrative purposes. As\r\nsuch, a job class is not meant to be all-inclusive of every task and/or\r\nresponsibility.\r\n