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

Must reside in the State of Arizona.

Salary: $95000 $120000

Grade: 29

Closing Date: Open Until Filled

This position is eligible for fulltime remote work (including virtual office arrangement in Arizona).

A career in public service awaits you. COME JOIN OUR TEAM!

This position manages two teams: Healthcare Analytics Medical Economics and Data Governance.

The Healthcare Analytics Medical Economics team translates Medicaid claims encounters membership and other data into consumable actionable insights via summaries visualizations and recommendations. It also enables AHCCCS to make datadriven decisions to meet the AHCCCS mission of reaching across Arizona to provide comprehensive quality health care to those in need.

The Data Governance team establishes management and governance practices over the agencys data assets. This includes championing data management and best practices in the agency and representing AHCCCS at the State Data Management Steering Committee.

Major duties and responsibilities include but are not limited to:
Oversight of Healthcare Analytics Medical Economics Team datadriven analysis and its presentation: Working with business areas to create and monitor standard reporting packages and dashboards including key performance indicators Researching healthcare delivery topics analyze data and recommend solutions to address business challenges by applying knowledge of medical claims analysis criticalthinking skills and healthcare experience and expertise Analyze claims encounters membership and other data to identify early signs of trends or other issues related to medical care costs and quality of care Present the results of analysis to Agency leaders and peers.
Oversight of Data Governance Team and process: Coordination of data stewardship Responsible for agency data related documentation Representing AHCCCS at the State Data Management Steering Committee Ensuring that statewide policies are implemented and followed.
Manage coach and mentor team members. Support the intake prioritization and coordinated of adhoc analytics and data governance requests from departments across the organization.
Lead Agency initiatives supporting staffing to deliver results across all functions within the Healthcare Analytics Medical Economics and Data Governance teams including: Develop research and analyze processes to review financial data to draw conclusions for senior leadership.
Lead efforts to educate executives employees and customers regarding the strategic value of data and its important role as a business asset and a decisionmaking tool. Collaborate with line of business data owners to assess prioritize and mitigate risks that may affect business operations and regulatory compliance resulting from data quality issues.
Establish and monitor data quality efforts and provide a central leadership for the resolution of data issues. Develop methods to monitor program or area progress and take corrective actions when necessary.
Manage and monitor multiple projects simultaneously establishing project plans and objectives to ensure goal attainment within defined parameters.
Support the development and training of team members and colleagues.

Knowledge:
Data management concepts practices and procedures focusing on data governance
Healthcare data and concepts including medical and pharmacy claims utilization management and demographic data and healthcare industry coding systems ICD10 CPT/HCPCS Revenue Codes and others as applicable
Modeling of complex datasets
Data analysis and data mining
Reporting and analytics
IBM Cognos Power BI and/or equivalent BI tools
Microsoft Excel Word and PowerPoint
Medicaid/Medicare programs and services
PMMIS
AHCCCS business needs operations and dependencies
Encounter processing

Skills:
Strong customer service skills
Excellent interpersonal written & oral communication skills (verbal written and presentation)
Excellent problemsolving skills & attention to details
Managed Care Organization and CMS policy that relate to data governance

Abilities:
Balance prioritize and organize multiple tasks
Work collaboratively in teams and across organizations
Synthesize feedback and adjust plans accordingly
Build strong relationships inside and outside the organization
Resolve incidents/problems efficiently and effectively recognizing customers competence levels and able to approach each level appropriately
Supervise small to medium teams
Understand and anticipate needs and priorities of both internal and external customers
Organize and present data in a way that facilitates inferences conclusions and decisions

Minimum:
Bachelors degree in Mathematics Statistics Economics or related field plus 5 years of relevant professional work experience (or equivalent experience). Medicaid or Medicare experience working with healthcare data including but not limited to medical claims data at a medical insurance company or equivalent at a State or Federal level for these programs. Experience querying summarizing and manipulating data using SQL SAS Python R Machine Learning Cognos or PowerBI.

Preferred:
Masters degree in Mathematics Statistics Economics or healthcare related discipline. Experience preparing/presenting dashboards and data using a data visualization tool such as PowerBI. Experience clearly explaining complex methodologies and present findings and recommendations to both technical and nontechnical audiences.

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.