HC FINANCIAL CONSULTANT

This position is on the AHCCCS Actuarial Team. The successful candidate will assist the team with capitation rate development including directed payments, help monitor the medical encounter experience submitted by the Contractors providing Medicaid services to members under managed care contracts, help with Requests For Proposals (RFPs) and clearly and accurately document all processes for review by a supervisor. The candidate will be responsible for learning, understanding, and applying knowledge related to regulations and guidance propagated by the Center for Medicare and Medicaid Services (CMS) as well as the CMS Office of the Actuary (OACT) as part of the capitation rate development and review process, in addition to following actuarial standards of practice as propagated by the Actuarial Standards Board (ASB).

Major duties and responsibilities include but are not limited to:

• 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 the functional team they are part of in the months when capitation rate development is not the first priority.
• The position will collaborate with cross-functional teams, including clinical, financial, operational, rates and reimbursement, directed payments, budget, policy and contract areas.

This position is available for remote work on a full-time basis within Arizona (including virtual office arrangements).

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 State’s 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.

Knowledge:

• Financial Analysis principles
• Managed care services contract provisions
• Health Care programs and principles and models of prepaid health programs
• Audits or reconciliation

Skill:

• Above average analyst skills
• Above average Excel skills
• Attention to detail
• Project management skills
• Researching and collecting data from multiple sources

Ability:

• Work in a virtual office setting
• Establish and maintain effective relationships with internal and external stakeholders
• Work collaboratively in a small team
• Prioritize in a fast-paced environment

Minimum:

• Bachelor’s degree in mathematics, actuarial science, finance, economics, or statistics. Bachelor's degree in other majors in combination with two years experience with financial analysis and/or capitation rate setting.

Preferred:

• Experience with Medicaid managed health care preferred.

• 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.

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: Driver’s License Requirements.

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

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

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

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.

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. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.