The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Management Analyst 2. This position will serve as the encounter subject matter expert for AHCCCS and the main encounter contact and technical liaison for the AHCCCCS Contractors. This position is responsible for providing technical assistance to and oversight of encounter submissions of the AHCCCS Contractors. Major duties and responsibilities include but are not limited to:
• Provide technical assistance to the Contractors on encounter data submission and error correction. Respond to technical inquiries from internal and external customers. Provide detailed analysis and administrative assistance to the Encounter Unit, Encounter Manager and the Contractors. 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.
• 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.
• Participate in Operational Reviews of the Contractors and in the preparation of Contractor Encounter meetings (Quarterly, AD HOC). Lead the development and facilitation of encounter related training workshops for external and internal stakeholders.
• Plan, organize and conduct pending encounter research and analysis.
• Professional standards, methods, forms and procedures for the reporting of medical claims/encounter information.
• Understanding of contractual requirements, policy and procedures related to the submission and oversight of encounter submissions.
• Appropriate techniques for the analysis of encounter information.
• Oral and written communication skills, including grammar. Problem solving as it related to position.
• Word, Access, Excel, PowerPoint and Outlook.
• Analyze complex problems and draw logical conclusions based in information from several sources including plan surveys, and discussions with technical personnel.
• Interpret and understand documented medical information of a more complex nature.
• Excellent computer skills including Word, Access, Excel, PowerPoint and Outlook.
• At least one year experience working in a managed care environment.
• Team and interpersonal skills.
• Ability to work independently.
• Excellent oral and written communication skills, including grammar.
• Problem solving as it relates to position.
• Organizational skills.
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.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
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.