Job Description

Hospital Rate Analyst

  • 511104
  • PHOENIX
  • REMOTE OPTIONS
  • 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.

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.

Hospital Rate Analyst

Job Location:

Address:  801 E Jefferson St, Phoenix, AZ 85034

Posting Details:

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.

Salary: $51,700 - $56,100 

Grade: 21

Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Management Analyst 4. This position will be responsible for the fiscal stability of a number of AHCCCS Rates and Reimbursement payments. Duties include developing and maintaining Fee-For-Service reimbursement rates for all assigned rate schedules used to pay AHCCCS claims and indexed by contracted Health Plans. Major duties and responsibilities include but are not limited to:

  • Develop and maintain Fee-For-Service reimbursement rates for assigned services and Fee Schedules.
  • Perform complex data analysis and fiscal impact analyses for proposed changes to reimbursement rates and methodologies, develop and present recommendations to management.
  • Assist with system implementation of rates and website presentation of fee schedules, create and disseminate rate change notifications, assist writing of public notices, assist in calculation of supplemental distributions and agency reports.
  • Attend internal and external meetings serving as the rate-setting expert for assigned Fee Schedules to answer questions, provide recommendations and participate in problem solving and decision making, participate in rate setting work-groups to receive input on reimbursement issues.
  • Provide technical expertise for revisions to and participate in revising Arizona Administrative Code, Medicaid State Plan, 1115 Waiver and other policies and procedures.
Knowledge, Skills & Abilities (KSAs):
  • Excel, SPSS or similar statistical software package.
  • Financial/Fiscal data analysis methods.
  • Application of data analysis skills to extract and report service utilization from claims and encounter service data and to use utilization data to analyze fiscal impacts of rate payment scenarios.
  • Write technical/analytical reports and work independently or as part of a team.
  • Mainframe databases and delivery systems including claims and encounters, recipient files, provider files and reference tables.
  • Healthcare measurement methodology such as utilization measurement.
  • Project management skills including the development of project objectives, task analysis and work plans.
Qualifications:
  • Minimum:
    Three years of managing analysis experience appropriate to Financial data. A Bachelor’s or Master’s degree in Finance or economics will substitute for two years of required experience.
  • Preferred:
    Bachelor’s degree in business, economics, finance, health administration, or related field. Experience Medicaid managed health care programs. Coursework in intermediate level statistics, applied research methodology, accounting/finance, & healthcare
    medical terminology.
Pre-Employment Requirements:
  • 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.
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 (12 and 13 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

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  careers@azahcccs.gov.
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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