Budget and Eligibility Specialist

Maricopa County • Phoenix, AZ

9d • Hybrid

About The Position

Do you love to multi-task and enjoy juggling competing priorities? Are you organized with a passion for budget and healthcare administration? Consider applying for our Budget and Eligibility Specialist position, where you will play a key role in Maricopa County, Correctional Health Services (CHS). The Budget and Eligibility Specialist is responsible for preparing monthly budget analysis/forecasting along with annual budget development and processing AHCCCS applications to obtain eligibility status for a large healthcare organization. In this role, you will have the opportunity to make a meaningful impact every day, supporting both internal teams and external stakeholders while ensuring the accurate processing of budget and medical claims data.

Requirements

• Two years of accounting, budgeting, healthcare compliance or specialized administrative experience
• Bachelor’s degree in Finance, Healthcare Compliance or related field
• A combination of post-secondary education and/or job-related experience may substitute for the minimum qualifications on a year-for-year basis.
• Must successfully complete a fingerprint/background check with Maricopa County Sheriff’s Office
• Successful candidates must currently possess, or have the ability to obtain, a valid driver's license by the time of hire

Nice To Haves

• Experience with Budgeting
• Experience with Electronic Health Record system
• Experience with insurance, billing rules, or claims processing
• Advanced knowledge in Microsoft Office Suite

Responsibilities

• Assist in the development and analysis of the department’s annual operating budget
• Support the preparation and submission of budget proposals in collaboration with the County Budget Office, including assisting with staffing projections, personnel cost modeling, and operational expenditure forecasts
• Contribute to monthly budget-to-actual analysis and variance reporting
• Assist in monitoring position control and personnel expenditures to help ensure alignment with authorized staffing levels and budget allocations
• Assist in maintaining compliance with County budget policies, financial regulations, and applicable laws
• Research patient information in HEAPlus and prepare AHCCCS applications to secure eligibility determinations and submit applications to AHCCCS and monitor status
• Monitor the CHS Prior Authorization database for outpatient, inpatient, emergency department, and ambulance services
• Ensure proper documentation and compliance with PHI and HIPAA requirements
• Maintain required certifications and training for HEAPlus, AHCCCS, and CHS systems
• Use computer research tools to conduct legal research on statutes, cases, and other sources for legal precedents and regulation compliance
• Comprehensively track all legal functions, compiles statistical data for the legal division, and reports data analysis to CHS Leadership
• Accept service of process/legal documents, such as Notices of Claim, complaints, and subpoenas, for the department and CHS employees.

Benefits

• Tuition reimbursement
• Exceptional work-life balance
• Opportunities for growth and development within Maricopa County
• Low-cost, high-value healthcare for you and your qualifying dependents
• Child care benefits, including access to our on-site center, Maricopa County Kids Club , dedicated to serving Maricopa County families
• Paid vacation, sick time, and parental leave
• Extensive wellness program, including an incentive
• Enrollment in the Arizona State Retirement System, a defined retirement benefit requiring a 12% monthly contribution rate that includes a 100% employer match on Day 1

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level