Medicaid Program Manager Jobs in Gilbert, AZ (NOW HIRING)

AHCCCS is seeking a Senior Medical Economics Analyst to join the Office of Data Analytics within the Information Services Division. This position plays a key role in turning complex Medicaid data into clear, actionable insights that support decision-making across the agency. 

What You'll Do: 

Analyze Medicaid claims, encounters, pharmacy, utilization, membership, demographic, provider, and other healthcare datasets to identify trends, risks, cost drivers, utilization patterns, quality outcomes, and opportunities for improvement. Conduct research and perform complex analyses to support business operations, healthcare programs, financial management, and strategic initiatives. Develop recommendations based on data findings and communicate implications to stakeholders. 

Knowledge:

Minimum:
Bachelor's degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline and/or 10 years of experience in business analysis, healthcare analytics, medical economics, data analysis or closely related field. Experience working with healthcare data including but not limited to medical claims data, Medicaid data, Medicare data, or similar healthcare datasets. Experience querying, summarizing, and manipulating data using SQL, SAS, Python, R, Machine Learning methods, Cognos, PowerBI, or similar technologies. Strong ability to analyze complex datasets and communicate findings in a clear and actionable way. 
Preferred:
Master's degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline. Medicaid or Medicare experience especially with claims, encounter, utilization, pharmacy, or managed care data. Experience preparing dashboards, reports, or data visualizations using PowerBI or comparable data visualization tool. Experience explaining complex methodologies and presenting findings and recommendations to both technical and non-technical audiences. Familiarity with AHCCCS business needs, PIMMIS, encounter processing, managed care organizations, CMS policy, or healthcare data governance concepts. 

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).

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

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.

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.