We are hiring a remarkable Financial Consultant to join our amazing team at Arizona Management System (Ams) in Phoenix, AZ.
Growing your career as a Full Time Financial Consultant is a terrific opportunity to develop excellent skills.
If you are strong in project management, leadership and have the right experience for the job, then apply for the position of Financial Consultant at Arizona Management System (Ams) today!
AHCCCSArizona 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. The Division of Health Care ManagementFinancial Consultant
Job Location:
Address: 801 East Jefferson StreetPhoenix, Arizona 85034 Posting Details:
Open Until FilledSalary: $68,000 - $72,000
Grade: 23 Job Summary:
The Division of Health Care Management is seeking a HC Financial Consultant. This position has responsibility for managing FFS fee schedules as assigned, which may include any of the following: Hospital Outpatient Fee Schedule, Hospital Inpatient APR-DRG Program and Other Hospital Fee Schedule Methodologies.Under the direction of the Hospital Rates Manager 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 $3 billion in health care services each year. Produces complex financial estimates and related internal financial reporting addressing consistency of reimbursement rate actions with budget constraints, State Plan Amendments, and federal and state laws; reviews, analyzes and evaluates existing rate-setting and reimbursement policies and practices, designs and implements revisions.Performs regular and ad-hoc auditing and analysis of service utilization, cost of provision, and financial impacts by specific populations, services, providers, locations and contractors; advises management on reimbursement rate issues, and on the financial effects of rate and policy changes, and other measures proposed to revise current practices. Implements DSH supplemental payment program, completes all legislative and CMS reports as required on an annual basis for the hospital program and studies legislation, administrative rules, policies, reports, and procedural guidelines, both state and federal, devises approaches to implementation, and advises management on the financial effects on AHCCCS health plan contractors and health care providers.
Major duties and responsibilities include but are not limited to: • Oversee development of fee-for-service reimbursement rates for hospital services, including research, development system implementation, internal and external distribution and ongoing maintenance.
• Perform complex data analyses and fiscal impact analyses for proposed changes to reimbursement rates and methodologies; develop and present recommendations to management.
• Oversight and implementation of the $175M Disproportionate share hospital (DSH) program including: gather all necessary documentation from hospitals, updates as a result of CMS regulations, submission of state plan documents, and calculation of payment amounts.
• Produce CMS or legislative reports by conducting research, data analysis, and writing reports. Including but not limited to; uncompensated care, hospital profitability, price transparency, emergency room usage, cost and benefit of hospital program and other hospital reporting.
• Research and analysis of alternative rate-setting methodologies, various administrative rules, policies and requirements, both state and federal, as they apply to fiscal responsibilities concerning rate-setting and attend internal and external meetings serving as the agency's rate setting-expert to answer questions.
Knowledge, Skills & Abilities (KSAs):
Knowledge: • Financial/fiscal data analysis methods
• Statistical analysis and research methodology
• Medicare and Medicaid payment regulations, and state and federal laws relating to the AHCCCS program
• Rate-setting methodologies
• Financial reporting, auditing and financial analysis
Skills:
• Health care industry coding standards
• Medical terminology
• Healthcare measurement methodology, such as, utilization measurement
• Working use of mainframe systems, such as TSO and CICS environments
• AHCCCS mainframe databases, including claims and encounters, recipient files, provider files and reference tables
• PC and mainframe computer system applications, programming and operations within the context of healthcare industry usage
Ability:
• Analyze, summarize, interpret, understand and report data
• Analyze and synthesize financial and/or managerial data and complex payment issues
• Develop and apply rate-setting methods and make recommendations for rate changes
• Ability to query mainframe (CICS and TSO environments) and personal computer
databases
• Ability to specify system service requirements, communicate and work with information systems staff to create or revise data extracts, upload and download of data flies, production and ad hoc reports, rate system updates and the ability to enhance and update the AHCCCS fee schedule website
• Ability to work and communicate with a broad spectrum of professionals internally and externally, and the ability lo effectively present information both orally and in writing
Qualifications:
Minimum:
• Coursework in intermediate/advanced level statistics, applied research methodology, computer application experience, accounting/finance/economics and healthcare/medical terminology.Preferred:
• Bachelor's degree in business, economics, finance, health administration, or a 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 (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
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 View email address on azstatejobs.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.
Benefits of working as a Financial Consultant in Phoenix, AZ:
? Excellent benefits
? Company offers career progression opportunities
? Competitive salary
? Remote Work opportunity
