Job Description

Value Based Purchasing Analyst

  • 506998
  • 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.

Value Based Purchasing 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: $60,000-$65,000

Grade: 23

Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as an HC Financial Consultant. This Value Based Purchasing Analyst position is responsible for assisting with the development of AHCCCS Value Based Purchasing (VBP) strategies and will assist the agency’s VBP Manager in the Division of Health Care Management. In this role, the position will collaborate with cross-functional teams, including actuarial, clinical, financial, operational, rates and reimbursement, and policy areas, to advance delivery system and provider payment initiatives that improve health outcomes while bending the cost curve. Major duties and responsibilities include but are not limited to:

* Support implementation of existing AHCCCS VBP initiatives, including Directed Payments, Alternative Payment Models (APM), and Performance Based Payments (PBP). Inform the continued development of new and innovative models. Prepare relevant financial summaries, quality measure withholds and incentive calculations, AHCCCS policies, contract and capitation certification language, and public notices.

* Engage and consult with stakeholders, including providers, managed care organizations (MCOs), and agency leaders and clinical staff, to inform VBP strategies. Conduct research on emerging VBP trends, such as regulatory actions or new programs implemented in other states, and present findings and recommendations.

* Collaborate with clinical teams to incorporate quality performance measures into financial models and align VBP programs with the AHCCCS Quality Strategy.

* Prepare required deliverables for submittal to the Centers for Medicare and Medicaid Services (CMS), including Section 438.6(c) preprints for Access to Professional Services Initiative (APSI), Pediatric Services Initiative (PSI), Differential Adjusted Payments (DAP), Targeted Investments (TI), Nursing Facility Directed Payments, and similar programs. Gather nationally calculated performance measures and summarize for CMS preprint reporting.

* Analyze and monitor MCO financial reporting on VBP initiatives, including review of contracts and detailed financial data, to ensure targets are achieved and reporting requirements are met. Audit MCO financial documents for Performance Based Payments reimbursement.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona, unless an exception is properly authorized in advance.

Knowledge, Skills & Abilities (KSAs):

* Knowledge of problem-solving variable situations requiring analytical, interpretive, evaluative, and/or constructive thinking within broadly defined policies and objectives Knowledge of commercial and government health insurance analysis, including Value Based Purchasing models.

* Federal Regulations relating to Medicaid and Medicare.

* AHCCCS Programs, Rules and Regulations. Agency Policies and Procedures.

* Present complex materials to diverse audiences.

* Assist with stakeholder discussions.

* Research complex topics and present summary findings and recommendations.

* Collaborate effectively with cross-functional teams.

Qualifications:

Minimum:
* Experience with Value-Based strategies and contracting.

Preferred:
* Bachelor’s degree in finance, economics, statistics, health care management, or related field. Experience with Arizona marketplace or other Medicaid 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:

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.

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

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