Departmental Analyst - Integrated Programs Management Section

The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan.

This position is responsible for the quality program and performance evaluation standards for the Michigan Department of Health and Human Services (MDHHS) MI Coordinated Health program. With management supervision, this position will monitor contracted health plans’ quality programs including Healthcare Effectiveness Data and Information Set (HEDIS), Health Outcomes Surveys (HOS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Performance Improvement Plans (PIPs) data.

With management support, this position will also serve as a liaison between MDHHS and its contracted External Quality Review Organization (EQRO) for assigned activities, participate in intradepartmental and interdepartmental meetings, and collaborate with team members on crosscutting quality related issues and initiatives. The incumbent in the position will perform basic comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries, make recommendations for future contract language to maintain compliance with evolving quality related regulatory requirements, prepare and submit required annual report data, and engage in Continual Quality Improvement (CQI) to strengthen the MI Coordinated Health quality program.

At the senior level, this position is responsible for the quality program and performance evaluation standards for the Michigan Department of Health and Human Services (MDHHS) MI Coordinated Health program. This position monitors contracted health plans’ quality programs including Healthcare Effectiveness Data and Information Set (HEDIS), Health Outcomes Surveys (HOS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Performance Improvement Plans (PIPs) data.

This position also serves as a liaison between MDHHS and its contracted External Quality Review Organization (EQRO) for assigned activities, represents the MI Coordinated Health program as a lead analyst during intradepartmental and interdepartmental meetings, collaborates with team members on crosscutting quality related issues and initiatives, and organizes and facilitates Quality Workgroup Meetings (QWG) with the contracted Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs).

The incumbent in the position performs complex comparative research, analysis, and evaluation of health care standards for the monitoring of the quality of care provided to dually eligible Medicaid/Medicare beneficiaries, drafts future contract language to maintain compliance with evolving quality related regulatory requirements, prepares and submits required annual report data, and engages in Continual Quality Improvement (CQI) to strengthen the MI Coordinated Health quality program.

This position represents MI Coordinated Health in meetings and on work related to the department’s Comprehensive Quality Strategy (CQS) as well as health plan Network Adequacy activities.

Possession of a bachelor’s degree in any major.

No specific type or amount is required.

One year of professional experience.

Two years of professional experience, including one year of experience equivalent to the intermediate (10) level in state service.