AHCCCS

Arizona Health Care Cost Containment System
Accountability Community Innovation Leadership Passion Quality Respect Courage Teamwork

The Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive costeffective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work committed to high performance and dedicated to serving the citizens of Arizona. Among government agencies AHCCCS is recognized for high employee engagement and satisfaction supportive leadership and flexible work environments including remote work opportunities. With career paths for seasoned professionals in a variety of fields entrylevel positions and internship opportunities AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Address:801 E. Jefferson Street Phoenix AZ 85034

All AHCCCS Employees must reside within the state of Arizona.

Salary: $52000 $55000

Grade: 20

Position will remain open until filled.

The purpose of this position is to implement the Preadmission Screening and Resident Review (PAS RR) program for Arizona residents admitted to a skilled nursing facility. This position is responsible for coordinating implementing and evaluating the PASRR Program and related requirements. This position will provide ongoing training and support to providers who use the PASRR process through general technical assistance efforts as well as 1:1 training and/or corrective action efforts. This position is responsible supporting PASRR Level I and Level II reviews including evaluating submissions for completeness/accuracy and providing feedback to providers and/or facilitating Level II reviews when needed. This position requires interpretation of Federal and State rules and regulations related to PASRR. This position also supports the Case Management Unit as needed.

Major duties and responsibilities include but are not limited to:
Coordinate and monitor the processing of PASRR referrals and evaluations and back up the primary PASRR coordinator to ensure Level I and Level II submissions are addressed timely/accurately.
Train and provide technical assistance to internal staff MCOs and providers. Provide updates on changes to the PASRR processes the PASRR Portal (in coordination with ISD) and any other PASRRrelated changes. Lead technical assistance efforts with providers when trends or concerns are identified with inaccurate or incomplete information. Resolve discrepancies and provide general problemsolving efforts regarding the PASRR program (e.g. concerns appeals grievances). Track/trend data and support identification of issues/barriers/technical assistance needs.
Maintain the PASRR mailbox and update the PASRR database to monitor and track clients. Provide support to providers by addressing inquiries and/or connecting providers with ISD or other appropriate resources. Resolve discrepancies and provide general problemsolving efforts regarding the PASRR program (e.g. concerns appeals grievances).
Assist with development and monitoring of the program policies and procedures including performance audits to ensure conformance with federal and state laws and all legal mandates. Participate in contract and policy updates pertaining to PASRR program as appropriate.
Interpret Federal and State rules and regulations.
Maintain client records and referrals ensuring complete documentation on each Level I and Level II that is reviewed.
Attend meetings seminars and conferences related to program.

Knowledge:
Federal and State laws and regulations
Program planning and design
Local state and federal program resources
Statewide hospitals and nursing facilities
Medical and psychiatric terminology
PASRR department policy and procedures
Applicable software application and usage
Record maintenance and report development methodology

Skills:
Program planning development and monitoring
Strong written communication
Clear and efficient oral communication
Presenting material to individuals with varying degrees of understanding
Development of PowerPoint presentations
Listening interviewing and eliciting information to support program objectives
Interpersonal skills to establish and maintain effective working relationships

Abilities:
Review evaluate plan and organize health program activities and establish priorities
Effectively problem solve issues as they arise
Interact with difficult individuals and situations
Communicate with all levels of professionals
Provide technical assistance
Hear concerns and address in realtime or level set expectations for a future response timeline

Minimum:
Two years of professional experience related to health programs appropriate to the assignment. Associates degree in a field appropriate to the assignment may substitute for one year of the required experience.

Preferred:
Bachelors degree a healthcare related field and/or 23 years of work experience related in Analytics Auditing Health Care or Behavioral Health.

Strong computer skills understanding of State and Federal policies and procedures governing Medicaid and Medicare and knowledge of PASRR policies and procedures.

Successfully pass fingerprint background check prior employment verifications and reference checks; employment is contingent upon completion of the abovementioned process and the agencys 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 R210207.12.

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:Drivers License Requirements.

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

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 parttime employees)
Paid Parental LeaveUp to 12 weeks per year paid leave for newborn or newlyplaced foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
Other Leaves Bereavement civic duty and military.
A topranked 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 fulltime or parttime 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.

Learn more about the Paid Parental Leave pilot programhere. 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 lifelong income upon retirement.
Required participation for LongTerm Disability (LTD) and ASRS Retirement plan.
Pretaxed payroll contributions begin after a 27week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
Voluntary participation.
Program administered through Nationwide.
Taxdeferred 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 .

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.