FINANCIAL REPORTING MANAGER

Arizona Department of Administration•Phoenix, AZ

10d•$85,000 - $95,000•Remote

About The Position

The Financial Reporting Manager serves as AHCCCS’s agency resource and subject matter expert on financial matters involving Federally Qualified Health Clinics (FQHCs) and Rural Health Clinics (RHCs), including rates, policy, and reimbursement. The role covers rate setting, reconciliation, supplemental payments, scope changes, and related matters, and maintains direct communication with external stakeholders. The position is based in Arizona and is designated as a 100% virtual office role, with occasional in-office meetings; remote work remains subject to agency business needs and performance expectations. The manager administers and reviews FQHC/RHC reimbursement policies and procedures, leads internal and external work groups, oversees annual reconciliations and quarterly supplemental payments, and manages the three-year rate rebase and annual rate calculations in intervening years. The position also supports CMS State Plan amendments through research, responses, and data analysis, and coordinates with clinics to obtain financial information and address rate, policy, and payment issues. 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 health care 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 health care management and operations and prepaid managed care programs.
Knowledge of Title XIX and the Social Security Act.
Knowledge of AHCCCS rules, regulations, operating policies and procedures, and the Centers for Medicare & Medicaid Services (CMS).
Knowledge of coding rules.
Advanced analytical and modeling skills.
Proficiency with sophisticated analytical software such as SPSS.
Ability to analyze, evaluate, and resolve complex problems.
Excellent interpersonal skills in one-on-one and 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, complete a position skills assessment.
Successfully pass fingerprint background, prior employment verification, and reference checks; employment is contingent on completing these checks and the agency’s ability to reasonably accommodate any restrictions.
If driving on State business, meet applicable driver-training and acceptable driving-record requirements; provide an out-of-state motor vehicle record when applicable. Employees may need to use their own transportation and maintain valid insurance and Arizona vehicle registration.
New State employees must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

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

Responsibilities

Administer AHCCCS FQHC/RHC rates, reimbursement policies, and standard operating procedures; review policies and compare rate coverage with Medicare and other Medicaid agencies to identify differences and improvement opportunities.
Develop subject matter expertise in FQHC/RHC services and billing that affect rates and reimbursement.
Lead internal and external FQHC/RHC work groups and meetings as the rates and reimbursement subject matter expert.
Communicate policy and rate changes to FQHC/RHCs and other stakeholders, and ensure AHCCCS guidance, State Plan Amendments, and related materials are updated and stakeholders are notified.
Conduct annual FQHC reconciliations for more than 40 facilities, ensuring appropriate payments for visits during the reconciliation period and responsible financial stewardship.
Calculate quarterly supplemental payments and communicate with health centers about them.
Oversee and implement the FQHC/RHC rate rebase every three years, including payment calculations, rate communication, and oversight, while identifying improvements.
Calculate annual rates in non-rebase years based on the applicable percentage increase and ensure calculations comply with the State Plan.
Support CMS State Plan Amendments and CMS inquiries through assigned research, responses, and data analysis.
Request and obtain financial information and other materials from FQHCs/RHCs for rate rebasing and reconciliations.
Communicate with FQHCs/RHCs about agency rates, reimbursement policy, and payment issues.
Perform other duties related to the position as assigned.

Benefits

10 paid holidays per year.
Paid vacation and sick leave; annual amounts are 13 and 12 days, respectively, with accrual beginning on the first day of employment.
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.
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 with tax-deferred investments through payroll deductions.