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Medical Compliance Intern

  • 514632
  • PHOENIX
  • AHCCCS
  • Internship

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

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.

Medical Compliance Intern

Office of the Inspector General

Job Location:

Address:  801 E. Jefferson Street, Phoenix, AZ 85304

Posting Details:

Open until filled: 1st review of resumes on 01/20/2023

Salary: 15.00/hour 

Grade: 04  

Job Summary:

The Office of Inspector General (OIG) is looking for a highly motivated individual to join our team as a Medical Compliance Intern. This position is an Intern being paid with Limited funding working 18hours per week (Tuesday, Wednesday, and Thursday) and will not exceed 18 weeks in assignment. This position will report to an Audit or Investigation Supervisor in the AHCCCS Office of Inspector General (OIG). This individual will be assisting the Auditors and Investigators working with Providers, AHCCCS Members, Contractors, and internal staff with Audits and Investigations, processing and validating information, and conducting research as needed, generating required reports and correspondence.

Major duties and responsibilities include but are not limited to: 

  • With guidance from an Auditor, Investigator, or an OIG Supervisor, will assist with Audits, Investigations, and supporting tasks relating to Providers, AHCCCS Members, and Contractors to ensure compliance and integrity with program requirements; to provide assistance on Audits and Investigations on programs and initiatives as deemed necessary. 
  • Ability to analyze, research, and interpret data to effectively communicate Audit and Investigation outcome results. 
  • Research and comprehend Federal and State Statutes as pertaining to AHCCCS and Medicaid, AHCCCS Policies, as well as Medical coding. 
  • Exhibit oral and written communication skills to effectively communicate; Produce high level reports and correspondence for internal and external customers. 
  • Interact with internal and external customers at various levels, providing guidance and technical assistance as needed. 
  • Coordinate activities with Federal and State regulations, contracts, policies, and guidelines to ensure compliance.
Knowledge, Skills & Abilities (KSAs):

Knowledge: 

  • Under the guide of an Auditor, Investigator, or OIG Supervisor, strengthen and develop skills of: research, written and verbal communication, government process experience related to auditing and investigating, process improvement, Medicaid, behavioral health, data collection/metrics, medical coding/billing and claim encounters, and reconciling records. The intern must have knowledge of basic Health Care Compliance principles and practices, data validation and analysis and audit and investigation processes. 

Skills: 

  • Research, mathematics, data analysis, problem solving, computer skills that include Microsoft Office and Google Suite. Written and verbal communication. 

Abilities: 

  • Under the guide of an Auditor, Investigator or OIG Supervisor, increase ability to: analyze, interpret, and communicate data, communicate effectively both verbally and in writing, conduct multiple audits and tasks, perform accurate and timely work with minimal supervision, take initiative. 
  • Work in a team environment, plan, summarize, and analyze large amounts of complex information and data and present information in a clear and concise fashion into formal reporting documents.
Selective Preference(s):

Minimum: 

  • Student will be enrolled in junior or senior year of a BS/BA degree program, or enrolled in a Masters/PhD program. 
  • Candidate must be able to work in the US without requiring sponsorship. 
  • Candidate must have a GPA of 3.0 or better.

Preferred: 

  • Selective preference will be given to students with emphasis in healthcare compliance and/or have developing knowledge and experience related to Auditing, Investigating, Health Care, or Medical Care.
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 (13 and 12 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:

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.

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.