BEHAVORIAL HEALTH PROGRAM MANAGEMENT ANALYST

5F71

PAY RANGE: EP21

GENERAL DEFINITION

This is advanced level technical program and budgetary analysis work in the Office of Behavioral Health and Intellectual Disability Services. Employees in this class work on an assigned team conducting health program and budget analyses, develop planning strategies, managing grants for health programs, and monitoring the cross-system financial and operational data of contracted provider agencies. Participation in a wide range of program and budget analytical activities such as data compilation and analysis, advisory services and recommendations, data and narrative report preparation and organizational and fiscal assessment is significant to the work. Work is performed under the general direction of a technical superior.

ALLOCATING FACTORS (The following conditions must be met for a position to be allocated to this class.)

1. Positions must be located in the Office of Behavioral Health and Intellectual Disability Services.

2. Positions must conduct advanced level health program and budget analyses, develop planning strategies, manage grants for health programs, and monitor the cross-system financial and operational data of contracted provider agencies.

TYPICAL EXAMPLES OF WORK (ILLUSTRATIVE ONLY)

Performs interdisciplinary, technical program and budgetary analysis work with a team of other analysts to ensure compliance and consistency in clinical services and financial accountability among provider agencies; identifies systemic trends in services and financial activities among provider agencies; creates and monitors provider Contracted Services File to ensure the appropriate coding of services for both financial and programmatic data reporting, which is compatible with the coding system utilized by HealthChoices Managed Care Organizations; represents the office in a unified business relationship with providers in the areas of operations, finance, monitoring, performance outcomes, quality management and auditing.

Reviews and evaluates operating budgets submitted by contracted providers; formulates revisions to budget proposals; recommends alternative uses of funds to comply with federal and state laws, City regulations and departmental guidelines; recommends budget items which can be reduced or eliminated; monitors budget expenditures to ensure that budget parameters are not exceeded; provides technical direction concerning preparation of schedules and justification for contracted providers.

Analyzes budget requests from provider agencies to determine their conformance with program funding guidelines; determines amount of revenue required to meet program costs; recommends modifications in requests on basis of departmental policies and program needs; makes budgetary recommendations based on trends in revenue and requested obligations; prepares a variety of periodic and special reports using statistical data and narrative from various systems pertaining to the operation and fiscal activities of contracted providers; processes claims and fee-for-service payments; reconciles claims payment data with contracted services.

Explains cost data and justifications for individual programs; recommends deletion, inclusion or modification of different requests; monitors expenditures and encumbrances by agencies to insure adequate documentation and conformance to contract stipulations; approves and disapproves reimbursement of expenditures.

Examines and reviews program proposals, evaluates programmatic and operational activities for provider agencies; monitors pay-for-performance outcomes of provider agencies; identifies and maintains service location and specific data by provider; evaluates the operational efficiency of requested programs to insure that adequate personnel, materials, and supplies, and all other program needs have been included; recommends changes in requests to providers to assure program success; writes justifications for requested programs; reviews new and continuing program proposals submitted by organizations seeking funding for health service programs; prepares recommendations to grantor agencies; assists agencies in preparation of grant applications and managing grants; reviews grant applications for accuracy and completeness.

Analyzes federal, state and City legislation and regulations which affect the programs and budgeting of contracted providers; recommends revisions to programs to ensure compliance with state and federal laws and departmental practice guidelines; advises contracted agencies on existing public health regulations, funding sources, treatment options, and sources of administrative support; provides guidance to agencies in correcting deficiencies in complying with existing regulations; trains agency staff to ensure that services provided meet standards and regulations.

Performs related work as required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE OF:

• the principles, practices and problems of preparing and administering program budgets in a provider agency

• the principles of management and administration of health programs, including such areas as administrative planning, budgeting, human resources management, finance, accounting, statistics and computer applications

• the principles and techniques of developing and maintaining cost and performance statistics

• fiscal reporting requirements and conventions

• recordkeeping and reporting systems used in budget preparation

• current research methodology in the areas of program planning, evaluation, and monitoring

• the methods of determining community and client needs and resources for health

programs

• the uses of computer software for reporting

• the policies and regulatory requirements of state, federal and third-party payers

· federal, state and county healthcare enrollment systems and related

online tracking and reporting software

SKILL IN:

• fiscal and programmatic analysis to drive consistency and compliance

· developing program policies and procedures to address problems detected during

analysis

• analyzing complex organizational and procedural systems and staff utilization of provider agencies

• preparing and interpret a variety of reports, charts, manuals, regulations and other materials

• evaluating budgetary requests and fiscal activities for compliance with contract

terms and regulatory requirements

ABILITY TO:

• enlist the cooperation of staff of various agencies to collect information and to implement procedural changes

• exercise initiative and judgment in analyzing provider agency needs and in making pertinent recommendations concerning related budget requests and administration

• present ideas effectively both orally and in writing

• establish and maintain effective working relationships with department officials and associates, team members and representatives of contracted providers

MINIMUM ACCEPTABLE TRAINING AND EXPERIENCE (The following statement represents the minimum training and experience standards which will be used to admit or reject applicants for tests. Applications submitted by candidates for this class will be reviewed based on training and experience requirements as approved on 5/22.)

OPTION 1:

EDUCATION:

Completion of a bachelor’s degree program at an accredited college or university in business administration, accounting, finance or related field.

AND

EXPERIENCE:

Two years of technical health program budget analysis experience at the full performance level planning, preparing and monitoring budgets for city or countywide health provider agencies of mental health, intellectual disability, or drug/alcohol abuse services.

Two years of advanced performance level accounting experience in a city or countywide health provider agencies of mental health, intellectual disability, or drug/alcohol abuse services.

Four years of full-performance level accounting experience in a city or countywide health provider agencies of mental health, intellectual disability, or drug/alcohol abuse services.

NOTE: A Master’s degree in business administration, accounting, finance or related field may substitute for one year of the required experience.

OPTION 2:

EDUCATION:

Completion of a Master’s degree program at an accredited college or university in the social or behavioral sciences, education, nursing, public health, or public administration or related field.

AND

EXPERIENCE:

Two years of technical health program analysis experience at the full performance level with responsibility for planning, developing, monitoring, and evaluating operations by contracted health provider agencies of mental health, intellectual disability, or drug/alcohol abuse services.

Any equivalent combination of training and experience determined to be acceptable by the Office of Human Resources which has included completion of any bachelor's degree program as an educational minimum and the experience described above.

CITY OF PHILADELPHIA CLASSES THAT TYPICALLY MEET THE MINIMUM EXPERIENCE REQUIREMENTS:

Health Program Budget Analyst (2C04)

Public Health Program Analyst (5F72)

NOTE: Selective Factor Certification may be utilized, as needed, to fill specific positions. In accordance with Civil Service Regulation 11.032 Selective Factor Certification – the appointing authority may request certification of eligible candidates with the specified education and/or experience to fill specific positions in this class. Certification to fill such positions will be made from the highest ranking eligible candidates on the eligible list who possess the specified qualification.

PHYSICAL AND MEDICAL REQUIREMENTS

Ability to physically perform the duties and to work in the environmental conditions required of a position in this class.

Class Established: 08/15

Spec. Revised:

CSC – 11/15

Ad. Board – 12/15

Spec. Revision:

CSC – 3/16

Ad. Board – 4/16

Spec. Revision:

CSC – 2/19

Ad. Board – 3/19

Latest Spec. Revision:

CSC – 5/22

Ad. Board – 6/22