Senior Direct Payments Analyst (HCA/MAD #10118737)

Posting Details

Interviews are anticipated to be conducted within two weeks of closing date.

This job posting may be used to fill multiple vacancies.

Our Vision

Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Our Mission

We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.

Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.

Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.

Build the best team in state government by supporting employees continuous growth and wellness.

Why does the job exist?

The Senior Direct Payments Analyst will:
Assist in the development and implementation of Health Care Authority (HCA), Medical Assistance Division (MAD) and State Directed Payment (SDP) pre-prints and corresponding HCA Letters of Direction;

Collaborate and coordinate information, timelines, and expectations with other bureaus, agencies, data intermediaries, and stakeholders for HCA/MAD state directed payment pre-prints;

Provide Project Management and concise communication and understanding of each HCA/MAD SDP, including SDP payment methodologies, eCFR, and expectations under the CMS Final Rule and funding while maintaining Medicaid budget constraints;

Collaborate with federal agencies, state officials, and providers ensuring transparency, accountability, and alignment with policy goals;

Analyze data and monitor SDP performance, to help improve healthcare access, outcomes, and fiscal sustainability.

How does it get done?

The Senior Direct Payments Analyst is responsible for:
Developing and maintaining internal tracking and reporting tools for HCA, MAD, SDP, TC MCO Contract updates related to SDPs, and Letters of Direction;

Stakeholder Engagement and Advisory Services;

Participating in weekly calls with the agency's external actuaries, Executive Leadership, TC MCOs, CMS (as needed), and participating and or leading SDP Workgroups;

Program planning, budgeting, and strategic alignment;

Understanding, interpreting, and implementing rules, statutes, and directives for HCA/MAD state directed payments;

Communicating and coordinating with internal staff, external stakeholders, hospitals, nursing facilities, emergency ground ambulance service providers, and primary care providers;

Setting up and maintaining Excel spreadsheets and Access databases;

Developing and maintaining PowerPoint slides for program updates to stakeholders and Executive Leadership.

Who are the customers?

Internal and External Stakeholders throughout Health Care Authority (HCA), Medical Assistance Division (MAD), CMS, Federal Partners, State Legislature, Office of Secretary (OOS), and the Citizens of New Mexico.

Ideal Candidate

Internal and External Stakeholders throughout Health Care Authority (HCA), Medical Assistance Division (MAD), CMS, Federal Partners, State Legislature, Office of Secretary (OOS), and the Citizens of New Mexico.

Minimum Qualification

Bachelor's Degree in accounting, economics, finance, or business administration and three (3) years of experience in accounting, finance, economics, and/or statistical analysis. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling seven (7) years may substitute for the required education and experience.
Employment Requirements

Must possess and maintain a valid driver's license.

Must obtain a Defensive driving certification.
Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage with extended periods of sitting.
Supplemental Information

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Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.