Job Description

Management Analyst II

  • 492704
  • PHOENIX
  • AHCCCS
  • Full-time

AHCCCS

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. 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. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona.

Management Analyst II

AHCCCS

Posting Details:

Salary: $39,000 

Grade: 19

Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Management Analyst II. After extensive training, this position has the potential of being worked from home with some in office meetings. This position will be responsible for developing, analyzing and auditing medical encounter data studies, operational reviews, ad hocs, medical encounter logs, validate desktop procedures and technical documents. This position will participate in development and facilitating medical encounter/data validation studies related to training for external and internal stakeholders.

Job Duties:

* Participate in the development of medical data collection and review, and timely completion of medical data validation studies, operations reviews, quarterly encounter logs and ad hoc audits.

* Design, formulate and evaluate spreadsheets used to analyze and track encounter quality.

* Recommend changes as to the workability and efficiency of health plan encounter data reporting practices and procedures. Evaluate corrective actions and advise management on possible courses of action.

* Respond to technical inquiries form Contractor personnel.

* Participate in the development and facilitation of encounter/data validation related training workshops for external and internal stakeholders

* Participate in the development and maintenance of data validation desktop procedures and technical documents.

Knowledge, Skills & Abilities (KSAs):

* Understanding of contractual requirements, policy and procedures related to the submission and oversight of encounter submissions.

* Professional standards, methods, forms and procedures for the reporting of medical claims/encounter information.

* Versed in ICD-9, ICD-10, CPT/HCPCS coding and National Drug Codes.

* Working in a managed care environment, Word, Access, Excel, Power-point and Google.

* Oral and written communication skills, including grammar

* Analyze complex problems and draw logical conclusions based in information from several sources.

* Communicate effectively when interacting with persons in a variety of settings, including personnel from Contractors.

Selective Preference(s):

* 3-4 years of experience in medical claims processing or billing,

* 1-2 year Community College/Vocational School in nursing or medical record technology and 2 years of experience performing operation or program specific analysis

* Certification as Professional Medical Coder by AMA, HCFA, National SPT Advisory Committee & 1 year experience performing operation or program specific analyses.

Pre-Employment Requirements:

 

Benefits:

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.

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

 

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-417-4497.
Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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