Business Operations Specialist 2026-02373

Business Operations Specialist 2026-02373

Salary

$32.33 Hourly

Location

Cheyenne, WY

Job Type

Permanent Full-time

Job Number

2026-02373

Department

Department Of Health

Division

Cheyenne and County Offices

Opening Date

10/02/2026

Closing Date

Continuous

FLSA

Non-Exempt

Job Classification

BEQA08

• Description
• Benefits
• Questions

Description and Functions

Open Until Filled

GENERAL DESCRIPTION:

The Business Operations Analyst will serve as an integral part of the Program Integrity (PI) team. In this position, a successful candidate will support PI goals and initiatives to minimize fraud, waste, and abuse in Wyoming's state Medicaid system. The Business Operations Analyst will be responsible for activities related to the Annual Single Statewide Audit of the Medicaid program and will assist in overpayment recovery activities. The Business Operations Analyst will receive and track provider payments and facilitate the delivery of documentation to relevant partners.

Working for the State of Wyoming offers more than a paycheck. Our total compensation package includes:

• Comprehensive health, dental, and vision insurance

• Paid vacation, sick leave, FMLA, and holidays

• Public Service Loan Forgiveness (PSLF) eligibility

• Retirement - Pension and 457(b) plans that help you build a secure future

• Flexible schedules and work-life balance options

• Meaningful work that makes a difference for Wyoming communities

and MUCH MORE! Click here for detailed information, or you can watch this short video to learn about our benefits package!

Want to see the full value of your compensation beyond salary?

Explore our Total Compensation Calculator: compensationcalculator.wyo.gov

Human Resources Contact: wdhrecruit@wyo.gov

ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed at the job level.

• Manage the annual Single Statewide Audit (SSA) activities for the Medicaid program, coordinating with DHCF staff, medical record reviewers, fiscal staff, contractors, providers, and external auditors.
• Develop and maintain internal procedures to support audit compliance, including document management, claims submissions, records requests, and other Program Integrity audit activities.
• Compile, organize, track, and submit required audit documentation, provider information, claims data, certified mail receipts, and provider responses within established deadlines.
• Manage provider outreach related to audit records requests, including follow-up with non-responsive providers, case creation, and appropriate recovery actions.
• Coordinate with Utilization Management contractors on medical necessity reviews and compile review documentation for auditors and DHCF leadership.
• Gather and communicate audit findings to DHCF leadership and provide recommendations for process or program improvements when appropriate.
• Manage Program Integrity payment processing, including provider payments, overpayments, credit balance recoveries, account updates, and the return of federal funds in accordance with applicable requirements.
• Coordinate with Benefits Management System contractors, fiscal staff, and other partners to ensure payments are accurately tracked, documented, and applied to provider accounts.
• Support payment plans, provider payment suspensions and terminations, settlement enforcement actions, and Administrative Hearing preparation, including documentation and deadline tracking.
• Maintain accurate financial information within the Fraud, Waste, and Abuse system and compile documentation supporting Program Integrity administrative and recovery actions.
• Develop and maintain fiscal reports covering payments, recoveries, credit balance aging, write-offs, fraud restitution, global settlements, and other financial activity while supporting compliance with federal funding requirements.
• Compile and submit required fiscal reporting, including HealthStat data and the annual Medicaid Fraud Control Unit reconciliation report.

Qualifications

PREFERENCES:

Preference will be given to candidates with:

An Associates degree or higher in Accounting or a related field; experience in database creation and management; experience in financial management and payment tracking.

KNOWLEDGE:

• Knowledge of State and federal government functions, procedures, policies, rules, and laws.

• Knowledge of Medicaid functions, procedures, policies, rules, and laws.

• Knowledge of technology and systems in use by the department.

• Knowledge of audit and investigation processes.

• Knowledge of fraud and abuse detection methods and systems.

• Knowledge of State Personnel Rules.

• Knowledge of basic database creation and management.

• Knowledge of basic statistical compilation and analysis.

• Knowledge of operation of all current and commonly used office technology, such as office and cell phones, computers, copy machines, and faxes.

• Ability to apply this usage to the organization of work tasks.

• Skill in research and analysis of complex problems, identification of options and solutions, evaluation of results, and decision-making.

• Skill in process, procedure, and policy development and implementation.

• Skill in interpreting and participating in fiscal reporting.

• Skill in public speaking and oral and written communication to varied audiences on complex and controversial issues.

• Ability to establish and maintain positive working relationships with internal and external individuals and groups.

• Ability to accept and be flexible with Federal, State, and Agency changes.

• Ability to balance multiple demands on time and resources.

• Ability to self-educate, both formally and informally, to remain current in areas of responsibility.

MINIMUM QUALIFICATIONS:

Education:

Bachelors Degree (typically in Human Services)

Experience:

0-2 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Quality Assurance Specialist

OR

Education & Experience Substitution:

3-5 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Quality Assurance Specialist

Certificates, Licenses, Registrations:

None

Necessary Special Requirements

PHYSICAL WORKING CONDITIONS:

• The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.

NOTES:

• FLSA: Non-Exempt
• The Wyoming Department of Health is an E-Verify employer.

Supplemental Information

Click here to view the State of Wyoming Total Compensation Calculator.

Click here to view the State of Wyoming Classification and Pay Structure.

URL: http://agency.governmentjobs.com/wyoming/default.cfm

The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.

Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.

Working for the State of Wyoming means more than a job - it's a stable, rewarding career that lets you make a difference while enjoying a great quality of life.

Employees enjoy:

• Comprehensive health coverage - medical, dental, and vision plans for you and your family
• Voluntary Benefits - including life insurance for you and family members, ambulance, pet insurance, short/long-term disability, flex spending and health savings accounts
• Multiple retirement options - including the Wyoming Retirement System and a 457B account, helping you plan for long-term financial security
• Generous paid leave and flexible schedules - vacation, sick leave, paid FMLA and 9 paid holidays each year
• Public Service Loan Forgiveness eligibility - for those with qualifying student loans
• Training and professional development - to support your career growth and advancement
• Employee Assistance Program - Includes paid short-term counseling, legal, financial and work-life benefits and select employee discounts
• Wellness Program - Earn paid time off and incentives by focusing on your personal health

Know your full value.

Your paycheck is only part of the picture. The State of Wyoming offers a Total Compensation Calculator that shows the full value of your salary plus benefits, so you can clearly see what your complete compensation package looks like.

Explore your total compensation: https://compensationcalculator.wyo.gov/

WORKING FOR THE GREATEST STATE IN THE NATION - Wyoming offers a lifestyle you can't find anywhere else - wide-open spaces, clean air, friendly communities, year-round recreation, and no state income tax.

Click here for detailed information or you can watch this short video to learn about our benefit package!.

01

(AA) Which of the following best describes your highest completed level of education to date or within the next three (3) months? (Transcripts may be required.)

• High School Diploma/GED/or Equivalent
• Some college Coursework, No Degree Received
• Associates Degree
• Associates Degree and additional coursework
• Bachelors Degree
• Bachelors Degree and additional coursework
• Masters Degree
• Masters Degree and additional coursework
• Doctorate Degree
• Doctorate Degree and additional coursework
• None of the Above

02

(AA) Which of the following Quarter/Semester credit hours best describes your completed college education to date or within the next three (3) months? (Transcripts may be required.)

• 45+ Quarter hours/30+ Semester hours
• 90+ Quarter hours/60+ Semester hours
• 136+ Quarter hours/91+ Semester hours
• 180+ Quarter hours/120+ Semester hours
• 225+ Quarter hours/150+Semester hours
• N/A

03

(BEQA08) How many years of relevant work experience or transferable skills do you have related to the job description?

• No relevant experience.
• Less than one (1) year of relevant experience.
• One (1) to less than two (2) years of relevant experience.
• Two (2) to less than three (3) years of relevant experience.
• Three (3) or more years of relevant experience.

04

(AA) Describe your relevant experience below.

05

(A1) Where did you hear about this opportunity?

• Government Jobs @ www.governmentjobs.com/careers/wyoming
• Indeed
• LinkedIn
• Zip Recruiter
• Wyoming Workforce Center
• Other job sites (Wyoming at Work, Monster, etc.)
• Social Media (Facebook, Twitter, etc.)
• Newspaper/Newsletter Advertisement
• Career Fair
• Human Resources Division
• Friend or Acquaintance (Not State Employee)
• Current State Employee
• Other

06

(A1) If you selected Other, please tell us where you heard about this opportunity.

07

(A1) If you selected "Current State Employee" please provide the employees first and last name, and include the department they work for, if known. Please limit this response to only one employee. This employee may be eligible for a Referral Bonus.

08

(AA) VETERANS PREFERENCE DISCLOSURE: Per Wyoming Statute, current employees of the State of Wyoming are not eligible for Veterans Preference. If you are not a current employee of the State of Wyoming, to be eligible to receive Veterans Preference you MUST have been a resident of the State of Wyoming for a period of one (1) year or more at any time prior to submitting this application. * I have read and understand the Veterans Preference Disclosure and understand that, if claiming Veterans Preference, I must attach the appropriate supporting documentation to each application I submit in order to receive Veterans Preference.

• Yes, I have read and understand the Veterans Preference Disclosure.
• No, I am not claiming Veterans Preference

09

(AA) VETERANS PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veterans military service, and wish to claim veterans preference, please attach the appropriate documentation substantiating your claim. Indicate below your appropriate veterans preference status. By requesting veterans preference, you are certifying that you meet the statutory requirements as described in the above disclosure.

• Current State Employee
• Veteran - DD214 Attached
• Disabled Veteran (10% or more) - DD214 and Veterans Disability Determination Attached
• Surviving Spouse of a Deceased Veteran - DD214 and proof of Survivor Benefit Attached
• None of the above

10

(A2) Please be advised that an incomplete application WILL NOT be considered for employment. An attached resume is not required and is not an acceptable substitution for a completed application. Some State of Wyoming agencies use E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities at https://www.uscis.gov/e-verify. I have read and understand the above statement.

• Yes
• No

Required Question

Employer State of Wyoming

Address Human Resource Contact Information located in the

General Description Section

Statewide, Wyoming, 82002

Phone 307-777-7188

Website http://agency.governmentjobs.com/wyoming/default.cfm