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Health Care Financial Consultant

  • 507993
  • 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.

Health Care Financial Consultant

Job Location:

Address:  801 E Jefferson St, Phoenix, AZ 85034

Posting Details:

Salary: $60,000- $67,000 

Grade: 23

1st review of resumes on 6/3/2022

Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Health Care Financial Consultant. Under the direction of the Reimbursement Administrator, this position is responsible for: Reviewing, evaluating and recommending improvements in reimbursement rates and existing rate setting systems and practices, Developing reimbursement rates by analysis of fiscal impact to the state and financial impact on providers of various alternative cost coverage models; implements and maintains, by periodic payment system audits, the resulting fee schedules used to reimburse up to $5 billion in health care services each year.

Major duties and responsibilities include but are not limited to:

• Perform complex data analyses and fiscal impact analyses for proposed changes to reimbursement rates and methodologies; develop and present recommendations to management.
• Researching, analyzing, and implementing differential adjusted payment policies.
• Oversee development of fee-for-service reimbursement rates for non-hospital services, including research, development system implementation, internal and external distribution, and ongoing maintenance.
• Attend internal and external meetings serving as the agency's rate-setting expert to answer questions, provide recommendations and participate in problem solving and decision making.

Knowledge, Skills & Abilities (KSAs):

• Financial/fiscal data analysis methods

• Healthcare measurement methodology such as utilization measurement

• AHCCCS and managed care service delivery systems, including the various types of services provided/required, service provider types and specialties incorporated into the AHCCCS programs along with the types of services provided

• Project management skills including the development of project objectives, task analysis and work plans

• Application of data analysis skills to extract and report service utilization from claims and encounter service data and to sue utilization data to analyze fiscal impacts of rate payment scenarios

• Ability to Specify system service requirements, communicate, and work with information systems staff to create or revise data extracts, upload, and download of data files, production and ad hoc reports, rate system updates and the ability to enhance and update the AHCCCS fee schedule web site.

• Ability to write technical/analytical reports and work independently or as part of a team.

Qualifications:

Minimum:

• Coursework in intermediate/advanced level statistics, applied research methodology, computer application experience, accounting/finance/economics and healthcare/medical terminology. Three years of healthcare finance experience

Preferred:

• Bachelor's degree in business, economics, finance, health administration or related field.

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:

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

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.

ARIZONA MANAGEMENT SYSTEM (AMS)

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress.  Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.  
State employees are highly engaged, collaborative and embrace a culture of public service.

The State of Arizona is an Equal Employment Opportunity Employer.