Financial Reporting Manager

Arizona Department of Administration•Phoenix, AZ

1d•Remote

About The Position

The Financial Reporting Manager serves as AHCCCS’s subject matter expert and agency resource on financial matters involving Federally Qualified Health Clinics (FQHCs) and Rural Health Clinics (RHCs), including rates, policy, and reimbursement. The role administers rate and reimbursement processes, communicates with clinics and other external stakeholders, and supports AHCCCS financial stewardship. The position is based in Arizona and is listed as 100% virtual, with occasional office meetings; remote work is subject to business needs and performance expectations. The manager oversees rate setting, annual reconciliation, quarterly supplemental payments, and the FQHC/RHC rate rebase every three years, as well as annual rate calculations in intervening years. The role also reviews policies and procedures, supports CMS State Plan amendments, leads internal and external workgroups, and communicates policy, rate, and payment changes to clinics and other stakeholders. Other related duties typically account for 5%–10% of the position. Travel may be required for State business.

Requirements

Bachelor’s degree in economics, business, finance, healthcare, policy, or a related field and four years of related experience, or equivalent experience.
Knowledge of healthcare reimbursement and financial statement preparation and analysis.
Knowledge of Medicare Cost Report and Uniform Accounting Report preparation and analysis.
Knowledge of research techniques for collecting, analyzing, interpreting, and communicating results.
Knowledge of healthcare management, operations, and prepaid managed care programs.
Knowledge of Title XIX, the Social Security Act, AHCCCS rules and regulations, operating policies and procedures, CMS, and coding rules.
Advanced analytical and modeling skills.
Proficiency with sophisticated analytical software programs such as SPSS.
Ability to analyze, evaluate, and resolve complex problems.
Excellent interpersonal skills in one-on-one and large-group settings.
Effective collaboration skills with a diverse workforce.
Project management skills to meet goals and deadlines.
Effective written and verbal communication skills.
Ability to lead or facilitate teams of professionals inside or outside the agency.
Ability to multitask in a fast-paced environment and produce work with limited supervision.
Ability to collect, analyze, and interpret charge and cost data related to AHCCCS covered-service programs and reimbursement policies and procedures.
Must reside in Arizona.
If selected for an interview, completion of a skills assessment is required.
Must successfully pass a fingerprint background check, prior-employment verification, and reference checks.
Employees who drive on State business must meet the stated driver-training and driving-record requirements; a qualifying out-of-state MVR may be required.

Nice To Haves

Master’s degree in economics, business, finance, healthcare, or policy.
Two to three years of experience working in a healthcare environment.

Responsibilities

Administer AHCCCS FQHC/RHC rates, reimbursement policies, and standard operating procedures.
Review FQHC/RHC policy and procedures and compare current rate coverage with Medicare and other Medicaid agencies to identify differences and potential improvements.
Develop familiarity with FQHC/RHC services and billing that affect rates and reimbursement.
Lead internal and external FQHC/RHC workgroups and meetings as the rates and reimbursement subject matter expert.
Communicate changes to FQHC/RHCs and other stakeholders, and ensure AHCCCS guidance, State Plan amendments, and related materials are updated and stakeholders notified.
Complete annual FQHC reconciliation for more than 40 facilities, ensuring appropriate payment for visits during the reconciliation period and responsible stewardship of AHCCCS funds.
Calculate quarterly supplemental payments and communicate with health centers as applicable.
Oversee and implement the FQHC/RHC rate rebase every three years, including payment calculations, rate oversight, and communications, while identifying improvements.
Calculate annual rates in non-rebase years based on a percentage increase and ensure calculations follow the State Plan.
Support CMS State Plan amendments and CMS questions through research, responses, and data analysis as assigned.
Request financial information and other materials from FQHC/RHCs for rate rebasing and reconciliations.
Communicate with FQHC/RHCs about agency rates, reimbursement policy, and payment issues.
Perform other duties related to the position, typically 5%–10% of the role.

Benefits

10 paid holidays per year.
Paid vacation and sick leave, accruing from the first day of employment (prorated for part-time employees).
Paid parental leave of up to 12 weeks per year for a newborn or newly placed foster or adopted child.
Bereavement, civic duty, and military leave.
Retirement program with lifetime pension benefits through the Arizona State Retirement System.
Medical, dental, life, and disability insurance.
Eligibility to participate in the Public Service Loan Forgiveness Program, subject to qualifications.
Rideshare and public transit subsidy.
Learning and career development opportunities.
Voluntary deferred retirement compensation program administered through Nationwide.