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.

Policy Analyst

Division of Fee for Service Management (DFSM)

Job Location:

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

This position has the potential to work from a Virtual Office (VO) setting or may Telecommute based on the needs of the unit and at the discretion of leadership.

Posting Details:

Salary: $50,000 – $55,000

Grade: 21

First Review of Resumes: February 3, 2025

Job Summary:

This position works closely with DFSM leadership and sister divisions to oversee the development, interpretation, communication, writing and updating of DFSM claims policy for internal and external customers.

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.

Job Duties:

Major duties and responsibilities include but are not limited to:

• Develops and updates policies for the division. Interprets AHCCCS policies, rules, regulations, sub-regulatory guidance, research changes and additions, identifies potential issues, communicates impact of changes to division/agency/management.
• Works closely on cross-divisional policy updates and acts as a subject matter expert in regards to policy application. Analyzes, evaluates and makes recommendations for system changes/updates to improve efficiency, approve and monitor changes, and maintain documentation of changes.
• Provides professional and technical assistance, consults with providers, agencies, contractors, other state agencies, CMS (Centers for Medicare and Medicaid Services) representatives, other divisions and staff regarding AHCCCS benefits and reimbursement policy and procedure. Writes and maintains publications and manuals designed to accomplish this objective.
• Collaborates with Provider Education team on developing and revising educational content and materials.

Knowledge, Skills & Abilities (KSAs):

Knowledge:

• Business and technical writing techniques, research and analysis
• AHCCCS programs, rules and regulations, policies and procedures
• PMMIS system, claims and reference subsets
• Federal and state laws and regulations governing Medicare and Medicaid laws and processes concerning Medicaid claims processing and Medicare/Medicaid reimbursement policies
• Customer service and grievance methods

Skills:

• Superior written and oral communication/presentation skills
• Meeting facilitation
• Organizational skills
• Effective interpersonal and group skills
• Analytical and comprehension skills to interpret and apply federal and state statutes and regulations
• Intermediate computer skills
• Effective community/provider relations/ customer service skills

Abilities:

• Practice clear and effective oral and written communication
• Think strategically in making policy recommendations
• Coordinate multiple projects keeping on-task and meeting deadlines
• Build effective working relationships with internal and external customers
• Demonstrate cultural sensitivities when dealing with the practices of multiple cultures

Selective Preference(s):

Minimum Qualification: Two to three years experience in health care delivery systems interpreting laws/rules and writing policies.

Preferred Qualification: Bachelor’s degree in a related field and three or more years of experience in a regulatory environment and experience with the Fee for Service population.

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.

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 pilot 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.

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