Health Care Financial Consultant

Arizona Department of Administration•Phoenix, AZ

33d•Hybrid

About The Position

A career in public service awaits you. COME JOIN OUR TEAM! A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities. The State of Arizona ranks #30 in Healthiest 100 Workplaces in America! This recognition honors organizations that champion employee wellbeing through innovative health programs, inclusive wellness initiatives, and a culture rooted in care. The Division of Business and Finance (DBF) is looking for a highly motivated individual to join our team as an Health Care Financial Consultant. This position is part of the AHCCCS Actuarial Team and will be responsible for a variety of tasks including reconciliations, capitation rate loads and monitoring, miscellaneous data processes and data analysis as well as assisting the team with all aspects of capitation rate development. The position will help monitor the financial stability of the Contractors providing Medicaid services to members under managed care contracts, help with State Directed Payments (SDP), and clearly and accurately document all processes for review by a supervisor. 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 their functional team. The position will collaborate with a variety of cross-functional teams throughout the agency. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. 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.

Requirements

Bachelor’s degree in mathematics, economics, finance, or accounting with two years' experience in financial analysis (OR equivalent experience).
Knowledge of Financial Analysis principles
Knowledge of Accounting and financial reporting
Knowledge of Administrative policies and procedures
Knowledge of Managed care services contract provisions
Knowledge of Health Care programs and principles and models of prepaid health programs
Knowledge of Audits and reconciliations
Knowledge of Health care terminology
Knowledge of Microsoft Office, Word, Excel, PowerPoint and other comparable software program
Skill in Above average financial analysis skills
Skill in Above average Excel skills
Skill in Attention to detail
Skill in Project management skills
Skill in Researching and collecting data from multiple sources
Skill in Financial statement review and analysis
Skill in Effective interpersonal skills
Ability to Work collaboratively in multiple team settings
Ability to Establish and maintain effective relationships with internal and external stakeholders
Ability to Prioritize in a fast-paced environment
Ability to Coordinate multiple projects and meet deadlines
Ability to Work independently and manage time efficiently
Ability to Work in a virtual office setting
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.)
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

Cognos (preferred)
C.P.A. or master's level degree preferred.
Experience with Medicaid managed health care preferred.

Responsibilities

Preparation and analysis of financial and encounter data, SDP data, and rates and reimbursement data to support the actuaries for the managed care programs.
Preparation and calculation of managed care program reconciliations including SDP reconciliations.
Assist with reviewing information from both the actuarial team and other reporting departments for accuracy and quality control purposes. Provide assistance with capitation rate certifications and notification rate documents review, including verifying source data, documentation of assumptions and methodologies, and identifying concerns or errors for correction.
Gain familiarity with policies/laws/regulations and review revisions for impacts to AHCCCS programs, implement process improvements as appropriate based on their functional team(s) assignments.
Facilitate communication with internal and external stakeholders, including follow-up communication as needed.

Benefits

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)
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Other Leaves - Bereavement, civic duty, and military.
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
Lifetime Pension Benefit Program
Deferred Compensation Program