Hc Financial Consultant

AHCCCS

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

The Arizona Health Care Cost Containment System (AHCCCS) Arizonas 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.

HC Financial Consultant

Job Location:

Address: Division of Business and Finance (DBF)
150 N. 18th Ave. Phoenix Az 85007

Posting Details:

Salary: $71000 - $75900

Grade: 23

FLSA Status: Exempt

Closing Date: Open Until Closed

This position may offer the ability to work remotely within Arizona based upon the agencys business needs and continual meeting of expected performance measures. All team members are required to attend in-person mandatory quarterly meetings.

Job Summary:

A career in public service awaits you. COME JOIN OUR TEAM!

A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work popular remote work options comprehensive health and wellness benefits and career growth opportunities. The State of Arizona ranks #30 in Healthiest 100 Workplaces in America! This recognition honors organizations that champion employee wellbeing through innovative health programs inclusive wellness initiatives and a culture rooted in care.

The Division of Business and Finance (DBF) is looking for a highly motivated individual to join our team as an HC Financial Consultant. This position is part of the AHCCCS Actuarial Team and will be responsible for a variety of tasks including reconciliations capitation rate loads and monitoring miscellaneous data processes and data analysis as well as assisting the team with all aspects of capitation rate development. The position will help monitor the financial stability of the Contractors providing Medicaid services to members under managed care contracts help with State Directed Payments (SDP) and clearly and accurately document all processes for review by a supervisor. The position will also be responsible for ad hoc analyses as assigned by their supervisor as well as reviewing revisions to policies/laws/regulations for impacts to AHCCCS programs and implementing process improvements as appropriate based on their functional team. The position will collaborate with a variety of cross-functional teams throughout the agency.

This position may offer the ability to work remotely within Arizona based upon the departments business needs and continual meeting of expected performance measures.

The State of Arizona strives for a work culture that affords employees flexibility autonomy and trust. Across our many agencies boards and commissions many State employees participate in the States 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.

Major duties and responsibilities include but are not limited to:
Preparation and analysis of financial and encounter data SDP data and rates and reimbursement data to support the actuaries for the managed care programs.
Preparation and calculation of managed care program reconciliations including SDP reconciliations.
Assist with reviewing information from both the actuarial team and other reporting departments for accuracy and quality control purposes. Provide assistance with capitation rate certifications and notification rate documents review including verifying source data documentation of assumptions and methodologies and identifying concerns or errors for correction.
Gain familiarity with policies/laws/regulations and review revisions for impacts to AHCCCS programs implement process improvements as appropriate based on their functional team(s) assignments.
Facilitate communication with internal and external stakeholders including follow-up communication as needed.

Knowledge Skills & Abilities (KSAs):

Knowledge of:
Financial Analysis principles
Accounting and financial reporting
Administrative policies and procedures
Managed care services contract provisions
Health Care programs and principles and models of prepaid health programs
Audits and reconciliations
Health care terminology
Microsoft Office Word Excel PowerPoint and other comparable software program
Cognos (preferred)

Skill in:
Above average financial analysis skills
Above average Excel skills
Attention to detail
Project management skills
Researching and collecting data from multiple sources
Financial statement review and analysis
Effective interpersonal skills

Ability to:
Work collaboratively in multiple team settings
Establish and maintain effective relationships with internal and external stakeholders
Prioritize in a fast-paced environment
Coordinate multiple projects and meet deadlines
Work independently and manage time efficiently
Work in a virtual office setting

Qualifications:

Minimum:
Bachelors degree in mathematics economics finance or accounting with two years experience in financial analysis (OR equivalent experience).

Preferred:
C.P.A. or masters level degree preferred. Experience with Medicaid managed health care preferred.

Pre-Employment Requirements:

Successfully pass fingerprint background check prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys 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 R.12.)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business then the following requirements apply: Drivers License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

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)
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
Other Leaves - Bereavement civic duty and military.
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

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.

Learn more about the Paid Parental Leave program here. 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
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Required Experience:

Contract