-
Job Description
The MO HealthNet Division has an opening for a Research/Data Analyst within the Managed Care Quality Oversight Unit located in Cole County.
Semi-monthly salary: The current rate for this position is $2,516.17 . Individual(s) selected for this position may receive a higher rate based on a pay differential (e.g. shift, or time-of-service pay).
Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO.
The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives.
Why you’ll love this position: This position is within a small, supportive unit that works cohesively to conduct quality and oversight functions for the MO HealthNet Managed Care Program. The work is challenging, and the rewards are big as we work together to support MHD’s mission to “Empower Missourians to live safe, healthy, and productive lives.” This position offers a unique opportunity to grow personally and professionally through specialized quality oversight work.- Support the Managed Care quality program through activities designed to monitor member access, quality, and timeliness of care. Monitoring activities are conducted in collaboration with internal staff, subcontractors and multiple state agencies.
- Develop and deliver various quality reports ranging in frequency between weekly, monthly, quarterly, annually, as required in the Managed Care contract.
- Assist with research, analysis and selection of standardized healthcare quality measures for reporting, budget purposes, directed payments, or other regulatory processes.
- Participate in workgroups designed to improve outcomes of the Managed Care Program with the ability to plan, facilitate, present program updates, and draft meeting minutes.
- Assist with unit duties and reports as assigned including, the Children’s Health Insurance Program (CHIP) Show Me Healthy Babies (SMHB), Managed Care Quality Improvement Strategy, network adequacy, performance withhold, and external quality review.
- Assist with development of, and amendments to, various contracts managed by our unit. (i.e. network adequacy, external quality review and the compliance tool)
- Assist with contract development, readiness reviews and contract amendments as part of the procurement process for the Managed Care Contract Compliance Unit.
Minimum Qualifications:
Bachelor’s degree and 2-4 years of relevant experience and/or appropriate certification. (Substitutions may be allowed.)
Preferred Qualifications:
Candidates for this position must have excellent written and verbal communication skills. They must have experience with data analysis, interpreting and reporting data. Experience with databases, Excel, Access and/or IBM Cognos Analytics is preferred. They must have knowledge of, and be able to, research policies, procedures, laws, rules and regulations, and provide accurate interpretation. They must be able to design, format and accurately prepare management and administrative reports. Candidates must be able to work independently as well as in a team. This unit interacts with multiple agencies including Managed Care Health Plan staff, the Program’s actuary, The Centers for Medicare & Medicaid Services, our external quality review organization, as well as numerous DSS and MO HealthNet team members. Professionalism and the ability to build and maintain working relationships is crucial.
Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.
The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .
If you have questions about this position please contact: Kelly Connell at Kelly.Connell@dss.mo.gov . If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov .
Recruitment Area : All qualified applicants.
Application Deadline : October 22, 2025 -
ABOUT THE COMPANY
-
-
State of Missouri
Show moreBuild the Missouri of tomorrow.
Ensure a strong foundation today.
Join a group of innovative team members focused on driving the State of Missouri forward. As public servants, our team members have the opportunity to produce work that is both lasting and important. This work serves to protect families, communities, and our natural resources.
No matter where you are in your career, whether entry level or senior level, a career with the State of Missouri will challenge you to grow both personally and professionally. Though one employer, there is no shortage of exciting opportunities as there are many career paths you may take within the State. If you are searching for a job that transforms lives, including your own, a career with the State of Missouri is the perfect fit!
-