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Hospital Rate Analyst

  • 506920
  • 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. 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. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona.

Hospital Rate Analyst

Posting Details:

Salary: $47,000 - $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 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:

Job Duties:

• 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:
• Coursework in intermediate level statistics, applied research methodology, accounting/finance and healthcare medical terminology or
• Proficiency in Excel, Access, SPSS, Cognos or other SQL program

Preferred:
• Bachelor’s or Graduate degree in Business, Health Administration, Economics or related field.

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.

By providing the option of a full-time or part-time 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 contacting 602-417-4497.
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.