Healthcare Program Operations Analyst (Medicaid/HCBS)-{171339}

Job Description

Job Description

Healthcare Program Operations Analyst (Medicaid/HCBS)-{171339}

Pay: $33/hour
Location: Harrisburg, PA 17101
Schedule: Monday-Friday | 8:00 AM-4:00 PM. 40 hours/week
Work setting: Hybrid. In-office work 2 days/week during the assigned shift

· Travel: Some overnight in-state travel may be required . The hiring manager will discuss expected travel frequency and details during the interview process.

Overview

We are hiring a Program Operations Analyst to support Long-Term Living Operations. This role supports day-to-day operations and key initiatives impacting thousands of providers, including HCBS waiver providers, nursing facilities, and related programs. You’ll serve as a project lead for initiatives involving major systems and compliance-driven projects.

Key Responsibilities

• Maintain working knowledge of applicable federal/state regulations , policies, procedures, provider handbooks, and bulletins related to HCBS waiver providers and nursing facilities.
• Lead short-and long-term projects focused on PROMISeTM and HCSIS systems (examples include EVV, Direct Care Worker Registry, MMIS initiatives).
• Participate in and represent the program on committees/work groups/teams; coordinate activities, provide program data, research issues, and support testing of IT changes.
• Coordinate, analyze, and monitor daily operations and required reporting from the Financial Management Services (FMS) Vendor .
• Support system change efforts including drafting documentation such as Change Orders and Business Requirements Documents .
• Provide direction during system design discussions, and support testing, validation, and staff training .
• Analyze and interpret data; develop reports/data files/spreadsheets in response to program/provider data requests.
• Communicate professionally by phone/email with providers and stakeholders regarding regulations, policies, and processes.

Required Skills & Qualifications

• Bachelor’s Degree
• Experience working with program operations , reporting, and/or compliance-focused initiatives.
• Ability to analyze data , interpret results, and provide written and verbal communication.
• Working cross-functionally with IT/business partners & participating in system change/testing efforts.
• Ability to manage multiple priorities and serve as a project lead.
• Familiarity with HCBS programs and/or public sector program operations .
• Experience supporting large-scale initiatives, system modernization, or operational reporting.

Keywords

Program Operations Analyst, Operations Analyst, Program Analyst, Business Analyst, Project Analyst, Provider Operations, Program Operations, Operational Reporting, Process Improvement, Stakeholder Management, Medicaid, HCBS, Home and Community-Based Services, HCBS Waiver, Waiver Providers, Nursing Facilities, Community HealthChoices, CHC, Federal Regulations, State Regulations, Policy and Procedures, Provider Handbooks, Provider Bulletins, PROMISe, PROMISe System, HCSIS, EVV, Electronic Visit Verification, MMIS, Medicaid Management Information System, Direct Care Worker Registry, Systems Implementation, Systems Testing, UAT, User Acceptance Testing, Change Management, Requirements Gathering, BRD, Business Requirements Document, Change Orders, System Design Documentation, Testing and Validation, Training Support, Data Analysis, Data Monitoring, Data Requests, Reports, Spreadsheets, Data Files, Excel, Vendor Management, Financial Management Services, FMS Vendor