Job Description

09/16/2020 09/30/2020
PHOENIX 37,000.00-41,339.00

Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork


First Review Date: 09/30/2020

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility.

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results. State employees are highly engaged, collaborative and embrace a culture of public service. Visit our careers page to learn more about AHCCCS. Use your skills to benefit others; join the AHCCCS Team!


The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Business Operations Specialist. This position is responsible for providing senior level support for the Care Management System Unit (CMSU) and for managing multiple projects within the unit. Provides administrative support to the leadership and staff in the Clinical Operations Unit. Assists the Division of Fee for Service Management Business Partner for clinical operations, completed and performs complex projects and reports as assigned. Major duties and responsibilities include but are not limited to:

* Provides senior level of in the Clinical Operations units and to clinical staff within the unit. Manages calendars for the Deputy Assistant Director of Clinical Ops.

* Provides administrative support to the business partner for the Care Management Systems Unit including but not limited to the creation of requisitions in the Talent system, addition of the position on the recruitment pool, assisting the hiring manager with resumes, scheduling interviews, and preparing interview packets.

* Develops and maintains reports that reflect CMSU metrics including workload, performance measures and productivity, and track report requests submitted to the DFSM Research and Data Analyst.

* Coordinates extended services dialysis patient groups regarding certification of medical necessity, eligibility status, tracking and updating services, etc..

* Conducts research and compile data regarding grievances and interface with Medical Directors, as needed, track and manage appeals submitted to Care Management Systems Unit coordinating with the unit’s leadership as needed.

* Processes issue notice of actions related to service authorization decisions and research/coordinate prior authorizations submitted for consideration.

* Manages mailed prior authorization documents and coordinates mailed dental authorizations and referrals to the Dental Program Director, respond to internal/external requests for information related to CMSU processes.

* Maintains CMSU Policies and Procedures for effective work flow within the unit. Conduct research and manage special projects as assigned.


* Knowledge of principles and practices of administration.

* Knowledge of MS Office Suite & Visio or Google Suites

* Skill in planning, organization, time management, ability to prioritize projects and tasks.

* Skill in oral and written communication skills

* Ability to work independently, with minimal supervision, while keeping stakeholders informed.

* Ability to learn HRIS and Talent Acquisition systems.


* 2 to 3 years senior level administrative experience.

* Excellent computer skills.


At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Click here to learn more about benefits.

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 417-4497. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. AHCCCS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.

Click the APPLY NOW button to submit your application.

For technical assistance, email or call 602-542-4700.

Application Instructions

Please apply for this position by following the link provided below. A new window will open on your screen and you will be directed to the Arizona Health Care Cost Containment System (AHCCCS) employment website.

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