Job Description

Management Analyst 4

  • 508276
  • 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.

Management Analyst 4

1st review of resumes on 6/3/2022

Remote Work: This position is eligible for part-time/full-time remote work (including virtual office arrangement). Must reside in the State of Arizona

Job Location:

Address: 801 E Jefferson St, Phoenix, AZ 85034

Posting Details:

Salary: $47,476 - $51,000

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 serve as the encounter subject matter expert for AHCCCS Divisions/Departments/Units and the Team Lead of the 4 Encounter Technical Assistants positions for the AHCCCS Contractors. This position is responsible for day-to-day analysis of encounter data, using of PMMIS and database to identify potential areas of risk, draft corrective actions and monitor outcomes. This position will delegate workflow and audit Encounter staff for accuracy and consistency. Curriculum related to Encounters & AHCCCS Systems/ Policy will be created and will train AHCCCS Staff and Health Plan Associates. Develop and maintain Encounter Technical Documents and Desk Top References/Standard Operating Procedures and champion department’s LEAN initiatives.
Major duties and responsibilities include but are not limited to:

* Lead the Encounter Team by providing direction of currently policy/processes; developing and facilitating of encounter related training workshops for external and internal stakeholders.

* Monitor encounter submission identifying trends, potential risk, areas on non-compliance and provide detailed analysis following the system cycles. Include the review of Contractors contract deliverables.

* Recommend changes as to workability and efficiency of Contractor encounter data reporting practices and procedures. Conduct follow-up and evaluation of recommendations and advise management on possible courses of action.

* Manage the creation of Encounter Technical Documents, Desktops ensuring accuracy and timely publication

* Provide technical assistance to the Contractors on encounter data submission and error correction. Respond to technical inquiries from internal and external customers

* Participate in internal quality reviews of encounter staff work outcomes

* Champion department’s LEAN initiatives.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
* 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

* Thorough knowledge of computerized Prepaid Medicaid Management Information System (PMMIS) and the Transaction Insight Portal.

Skills:
* Oral and written communication skills, including grammar

* Word, Access, Excel, Power-point and Outlook

Abilities:
* Analyze complex problems and draw logical conclusions based in information from several sources, including plan surveys, and discussions with technical personnel

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

Qualifications:

Minimum:
* Three years management analysis experience or a bachelor’s degree in business, health administration or related field and two years responsible administrative experience in any or all of the following areas: claims processing, encounters and health care operations.

Preferred:
* At least one year experience working in a managed care environment

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

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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