Medicaid Program Integrity Jobs in Arizona (NOW HIRING)

AHCCCS Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective 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, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.
Accounting Supervisor 1
Job Location:
Address: Division of Business and Finance (DBF)
150 N. 18th Ave., Phoenix, Az 85007
Posting Details:
Must Reside in Arizona. Salary: $70,000 - $80,465 Grade:22 FLSA Status: Exempt Closing Date: Open Until Filled This is primarily an in-office position. Employees may be eligible to work from home up to two business days per week, with the remaining days expected to be worked on-site.
Job Summary:
The Division of Business and Finance (DBF) is looking for a highly motivated individual to join our team as an Accounting Supervisor 1. Responsible for financial operations by analyzing and reviewing the available funding for processing of manual invoices, payments, and both Inter and Intra agency transfer. Develop and implement new processes and procedures to enhance workflow and productivity in order to ensure that all payments and reconciliations are processed within scheduled time frames.
Oversee, monitor, and train accounting staff to ensure that all health plans and provider's payments and reports are finalized in a timely manner. Analyze and review the available funding for processing of manual invoices, payments, and both Inter and Intra agency transfers. Manage and oversee sister agencies' reconciliations of their sub funds for revenues and expenditures. Develop and implement new processes and procedures to enhance workflow and productivity in order to ensure that all payments and reconciliations are processed within scheduled timeframes.
This is primarily an in-office position. Employees may be eligible to work from home up to two business days per week, with the remaining days expected to be worked on-site.
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.
Major duties and responsibilities include, but are not limited to:
• Analyze, review, and reconcile system payments as well as supplemental programmatic payments to health plans and health care providers from PMMIS (Prepaid Medical Management Information System) to AZ360, the State accounting system to ensure system integrity and timely disbursement of payments and recording of expenditures. Collaborate with Dept. of Administration General Accounting Office (GAO) regarding any processes that have not successfully run or that reject such as JVFT process or items on the AD Exception report.
• Run Cognos and journal accounting downloads to summarize expenditure/revenue data elements reconciliations and management requests. Enhance existing reports that can assist division to analyze and assist with monthly financial reviews.
• Provide supervision, training, and monitor the accuracy and quality of all work products including direct supervision of accounting staff.
• Collaborate with Dept. of Administration General Accounting Office and Provider Registration to fix vendor conversion/modification errors for system integrity, timely payments, and 1099s.
• Analyze and manipulate large volume of data to reconcile the JVFT process when they are not run successfully, as well as moving aged invoices from one budget year to another.
• Research and respond to health plan and FFS provider Service Now ticket inquiries, and requests. Enter new or update health plans in AZ360.
• Monitor and Run Call Center reports to identify problem areas for training and evaluations, as well as to track misdirected calls that belong to other divisions.
• Monitor the management of sister agency sub fund for DES/DD reconciliation of revenue and expenditures.
Knowledge, Skills & Abilities (KSAs):
Knowledge of:
• Principles, concepts, practices, methods and techniques of government accounting and fiscal management (GAAP, GAAS), AHCCCS rules and regulations
• Rules and regulations and processing of all administrative claims as outlines under the State of Arizona Accounting Manual
• Complex knowledge of the Federal funding process related to programmatic expenditures including knowledge of the applicable Code of Federal Regulations (CFR's)and the Cash Management Improvement Act (CMIA)
• Mainframe, PMMIS, AZ360, Info Advantage, Cognos, and Data Warehouse in order to research provider's payments and remittances as well as large volume of data downloads
• Comprehensive knowledge of reconciliation processes
• Microsoft Office applications including, Excel, Word and Access database and Google Suite
Skill in:
• Analysis and interpretation of financial data and accounting systems
• Oral and written communication
• Interpersonal relationships as applied to individuals associated with this agency, other State agencies and healthcare providers
• Organizational skills
• Supervisory techniques related to organization and management of staff workers and supervisory personnel
Ability to:
• Resolve problems and questions from management, peers, and subordinate staff regarding work processes, policies, and organization or methods of financial data compilation and reporting
• Write reports summarizing financial data compilation, interpretation, and analysis
• Write procedures for work assignments
• Work effectively and efficiently in a high paced continuously changing environment with frequent interruptions
• Analyze and research problems independently, determines the nature of the problem and provides resolutions
• Perform multiple tasks and meet established timelines as well as coordinate various assignments and establish priorities
• Provide quality customer service
Qualifications:
Minimum:
• Bachelor's degree in accounting or a closely related field and one year experience at the Accountant 4 level or equivalent.
Preferred:
• Master's Degree in Business Administration or Accounting.
Pre-Employment Requirements:
• 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.)
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: Driver's License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
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 part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• 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
By providing the option of a full-time or part-time 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 program here . For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
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.