AHCCCS
Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.
AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.
Rates and Reimbursement Senior Manager
Job Location:
Address: Division of Business and Finance
150 N. 18th Ave., Phoenix, AZ 85007
Posting Details:
Salary: $95,000 - $105,000
Grade: 25
Closing Date: Open Until Filled
Job Summary:
Under the direction of the DBF Reimbursement Administrator, this position will serve as an executive/senior project manager, working on a wide array of highly visible, priority projects for the Division and Agency. This position will plan, direct, coordinate and complete executive level activities as well as provide project management experience and expertise in order to ensure successful execution of the Agency's most challenging and comprehensive projects. This position will supervise and train staff and assist with project deliverables.
This position interfaces with the Director, Deputy Directors, and Assistant Directors as well as other senior leadership positions across the Agency and the Governor’s Office on a regular basis.
This position is available for remote work on a full-time basis within Arizona (including virtual office arrangements).
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.
Major duties and responsibilities include, but are not limited to:
• Assist with FFS rate development activities and supplemental payments to ensure adequacy, appropriateness, accuracy, and compliance with state and federal requirements. Evaluate and analyze trends in claims and encounter data to inform projects and activities as well as develop reimbursement staff skills.
• Lead specific projects/project teams as assigned and obtain necessary data and staff support to achieve desired project objectives; assume responsibility for the effective use of government resources; work with key officials both with and outside the organization to gain understanding and support for the project.
• Monitor work status through formal and informal means to evaluate progress towards objectives; assess overall
effectiveness, efficiency and productivity of the organization; identify, diagnose, and consult on problem areas
related to implementation and goal achievement; and make decisions regarding alternative courses of action.
• Review staff recommendations on policies and other programmatic implications developed as part of project work; consider the potential impact on political, social, economic, technical, and administrative factors and advise the work groups/team and/or the Deputy Assistant Director and Assistant Director of possible concerns and considerations.
• Supervise Rates and Reimbursement staff.
Knowledge, Skills & Abilities (KSAs):
Knowledge of:
• Rate setting methodologies for medical services.
• Comprehensive knowledge of federal and state laws and rules, regulations, and policies regarding provider reimbursement
• Federal regulations relating to Medicaid and Medicare.
• AHCCCS Programs, Rules, and Regulations.
• Agency Policies and Procedures.
- Principles and practices of project management.
• Claims and encounter systems, processes, and data.
• Health care provider cost reporting methods and practices.
• Principles, methods, and/or tools for developing, scheduling, coordinating, and managing projects and resources; including monitoring and inspecting budgets and related costs.
• Concepts and techniques associated with strategic planning and change management.
Skill in:
• Excellent leadership and presentation skills.
• Excellent written and verbal communication skills, including the ability to communicate effectively with management and staff within the Agency, other state agencies and with CMS.
• Identification and resolution of complex financial, compliance and legal programmatic and regulatory issues.
• Strong analytical, organizational and problem-solving skills.
• Strong interpersonal relations skills in order to effectively work with high-level, key contacts both internal and external to the Agency (e.g., Director, Deputy Director, Assistant Directors, legal counsel, health plans, independent accountants and actuaries, other state agencies, other state Medicaid programs, representatives of the Governor's offices, etc.).
• Producing written information in a succinct and organized manner that is appropriate for intended audience.
Ability to:
• Strong analytical ability.
• Prepare accurate, comprehensive reports.
• Evaluate situations and adopt an effective course of action.
• Establish and maintain effective working relationships.
• Interpret federal and state law and agency rules, regulations, policies and procedures.
• Multi-task in a fast-paced environment where re-prioritization occurs frequently.
• Effectively motivate, mentor, and develop experienced financial and rate setting professionals, including providing the training as necessary in their job functions.
• Effectively organize, supervise, and direct staff to ensure timely completion of multiple priorities. Accomplish through the ability to properly delegate and to follow-up and review task assignments.
• Develop and implement professional standards and policies.
Qualifications:
Minimum:
• Five years' experience in accounting or finance and management.
• Bachelor's degree in accounting, business, finance or related field (OR equivalent experience).
Preferred:
• Experience with financial analysis and provider rate setting.
• Experience with project management.
- Medicaid managed health care programs experience is a plus.
Pre-Employment Requirements:
- Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
- Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Lifetime Pension Benefit Program
- Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
• Voluntary participation.
- Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [email protected].
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
Originally posted on Himalayas
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