Title: Deputy General Counsel
Deputy General Counsel
- REMOTE OPTIONS
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.
Deputy General Counsel
The Office of the General Counsel
Address: 801 E Jefferson Street, Phoenix, AZ 85034
Open until filled
This position is eligible for part-time/full-time remote work (including virtual office arrangement). Must reside in the State of Arizona.
The Office of the General Counsel is looking for a highly motivated individual to join our team as a Deputy General Counsel. Deputy General Counsels at AHCCCS are responsible for a variety of functional aspects of the Office of the General Counsel. This position will focus upon either providing legal advice to AHCCCS Leadership concerning program integrity and business operation issues or the position may focus upon specific program activities of the Office of the General Counsel including administrative appeals, claim disputes and grievances, AHCCCS rulemaking , privacy issues, public records, and the grievance system for persons with a Serious Mental Illness (SMI) designation.
Major duties and responsibilities include but are not limited to:
? Perform legal research, provide legal advice, and prepare related legal documents consistent with state and federal law concerning AHCCCS programs. Subjects may include: review and analysis of proposed and final federal regulations and state legislation, review of managed care contracts, interpretation and drafting of written agreements with the federal government including the State Plan and Waivers, analysis and drafting of proposed and final Arizona Administrative Code rules, provide legal counsel regarding the administration of the public behavioral health delivery system and the protection of the rights of persons with a Serious Mental Illness designation.
? Supervise professional staff, including attorneys and paralegals.
? Provide support and leadership to assigned units within the Office of the General Counsel and promote employee success.
? Review and analysis of proposed state and federal statutes and regulations affecting AHCCCS and provide legal advice concerning potential impacts.
? Negotiate and draft settlement agreements and correspondence relating to diverse contested matters including civil monetary penalties and eligibility fraud, payment suspensions for credible allegations of fraud, collection issues, provider terminations and suspensions and other matters.
? Promulgate administrative rules to implement, interpret, or prescribe law or policy, and/or describe the procedures or practice requirements of an agency.
? Coordinate, assist, and oversee work performed by outside counsel assigned to various litigation matters for the agency in various judicial and administrative proceedings regarding the administration of the program including but not limited to complex matters relating to recovery of program overpayments, civil penalties for provider and member fraud, credible allegations of fraud, termination and suspension of health care providers participating in the AHCCCS program.
? Supervise the preparation and ensure the timely issuance of Director’s Decisions upon receipt of Administrative Law Judge Recommended Decisions.
? Respond to discovery requests, subpoenas, and public records requests while ensuring compliance with state and federal privacy provisions, public records laws, and record retention requirements.
? Coordinate efforts with the Medicaid Fraud Control Unit of the Office of the Arizona Attorney General and other state/federal law enforcement entities such as the United States Attorney's Office and County Attorneys' Offices on issues related to the administration of the AHCCCS program, including but not limited to matters relating to health care providers participation and civil penalties, credible allegations of fraud, criminal prosecutions for provider and member fraud, and civil asset forfeiture.
? AHCCCS programs, Medicaid, the Children's Health Insurance Program, and State-based behavioral health programs including legal issues specific to the AHCCCS divisions represented within the scope of the position
? State and federal regulation of managed care delivery systems and health care provider reimbursement
? Legal requirements pertaining to a State Medicaid Program’s compliance with federal statutes, regulations, and CMS requirements
? Due Process requirements and the Arizona Administrative Procedure Act
? Confidentiality and privacy laws
? Processes and procedures relating to State and federal administrative rulemaking
? Budget, finance, administrative, and operational issues of relevance to the operation of the Office of the General Counsel.
? Analysis and interpretation of complex issues
? Clear and accurate writing/preparing of complex documents/reports
? Strong oral and written communications
? Executive leadership of employees and initiatives
? Extracting, utilizing relevant information and research authorities and applying them to complex facts
? Extracting relevant facts from exceedingly complex problems/cases/assignments
? Strong organizational and interpersonal skills
? Attention to detail and accuracy
? Effective negotiation skills
? Identify and analyze complex legal issues, develop strategies to reduce legal risk, and present recommendations and reports
? Effectively manage and resolve competing interests and perspectives
? Present legal positions clearly and logically in written and oral form
? Identify and perform analysis/synthesis of complex issues; present recommendations and reports
? Plan, prioritize and organize multiple projects and tasks
- Juris Doctorate Degree from an accredited law school and the ability to maintain a current and valid license to practice law in
the State of Arizona (or qualified for admission on motion).
- Five to seven years of experience combined in the following areas: Health law, Medicare/Medicaid healthcare finance, or prior experience representing state or federal agencies Leadership of business, program, and operational units of a large organization.
* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
* 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.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
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 (21 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* 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
* Opportunity to work 100% virtually or remotely on an ad-hoc basis (home office)
By providing the option of a full-time or part-time virtual/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.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
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.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing firstname.lastname@example.org.
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.