The Business Operations Analyst supports the Program Integrity team within the Wyoming Department of Health. This role helps minimize fraud, waste, and abuse in the state Medicaid system and supports the annual Single Statewide Audit. Responsibilities include tracking provider payments, coordinating documentation, supporting overpayment recovery, and maintaining financial and audit records.
The position also works with internal staff, contractors, auditors, and external partners to ensure audit documentation, payment activity, and recovery actions are managed accurately and on time.
Requirements & Qualifications
Preferred Qualifications
- Associate's degree or higher in Accounting or a related field
- Experience in database creation and management
- Experience in financial management and payment tracking
Minimum Qualifications
- Bachelor's degree, typically in Human Services
- 0-2 years of progressive work experience, typically in Benefits and Eligibility, with knowledge at the level of a Quality Assurance Specialist
- Or 3-5 years of progressive work experience, typically in Benefits and Eligibility, with knowledge at the level of a Quality Assurance Specialist
Knowledge and Skills
- Knowledge of state and federal government functions, procedures, policies, rules, and laws
- Knowledge of Medicaid functions, procedures, policies, rules, and laws
- Knowledge of audit and investigation processes
- Knowledge of fraud and abuse detection methods and systems
- Knowledge of basic database creation and management
- Knowledge of basic statistical compilation and analysis
- Ability to research and analyze complex problems
- Ability to develop and implement processes, procedures, and policies
- Ability to interpret and participate in fiscal reporting
- Strong oral and written communication skills
- Ability to establish and maintain positive working relationships
- Ability to manage multiple demands and adapt to change
Benefits & Perks
Benefits
- Comprehensive health, dental, and vision insurance
- Paid vacation, sick leave, FMLA, and holidays
- Public Service Loan Forgiveness (PSLF) eligibility
- Retirement plans, including pension and 457(b)
- Flexible schedules and work-life balance options
- Meaningful public service work
- Total compensation calculator available
Additional Notes
- FLSA: Non-Exempt
- E-Verify employer
- Equal Opportunity Employer with ADA accommodations
Location
Wyoming, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago