Management Analyst 1

Posting number: 2026-04342

Department: NVHA - PUBLIC EMPLOYEES' BENEFITS PROGRAM

Job classification: MANAGEMENT ANALYST 1

Posting type: Open Competitive

Categories: Public Health, Health Care Support

The Public Employees’ Benefits Program (PEBP) Quality Control Unit within the Nevada Health Authority is seeking a Management Analyst 1 in Carson City. The Management Analyst 1 serves as a Quality Control Specialist that supports the review and resolution of member complaints, grievances, and appeals related to health benefits, claims, and program services. Responsibilities include reviewing incoming cases, identifying the issues raised by members, gathering and verifying relevant information, researching applicable benefit provisions and established procedures, and documenting findings. The position assists in evaluating whether claims, benefits, and member concerns have been handled appropriately and in accordance with PEBP Master Plan Documents (MPDs), applicable administrative codes, and program policies. The Quality Control Specialist maintains case records, tracks case progress and deadlines, follows up on outstanding information, and assists with preparing written responses and case summaries. The position also helps identify discrepancies, recurring issues, and opportunities to improve processes, accuracy, and consistency in handling member concerns. This is an entry-level analytical role that requires sound judgment, attention to detail, professional communication, confidentiality, and a willingness to learn. The successful candidate will develop knowledge of health benefits administration, claim review, appeals procedures, policy interpretation, and quality control practices while working under established guidelines and supervisory direction.

Management Analysts conduct studies, research, and examination of management and administrative areas such as agency operations, forms, policies and procedures, workflow, legislative analysis, management research, and statistical and informational analysis.

One or more years of applicable experience as described in the job duties and graduation from high school or equivalent education.

1. Conduct research and analyze legislative implications.
2. Determine software application program needs or requirements.
3. Review and monitor contracts.
4. Make recommendations on policy and procedure improvements.
5. Provide recommendations to management regarding programs and/or work unit activities.
6. Prepare reports and correspondence.
7. Perform related duties as assigned.

Knowledge of:

• Research and analysis techniques and methodologies; management and administration concepts, principles, and practices; evaluating, developing, and recommending administrative and/or operational policies and procedures.

Skill in:

• Interpersonal and communication, both verbal and written.
• Use and operation of office and job-related equipment and software.

Ability to:

• Compose business correspondence and reports; analyze information, problems, or practices to identify relevant concerns, identify patterns, tendencies, and relationships, and formulate logical conclusions.