Financial consultant fee-for-service rates(job id 27946) phoenix job

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. Health insurance benefits AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility. Women’s health organizations Visit our careers page to learn more about AHCCCS.


Private health insurance florida Use your skills to benefit others; join the AHCCCS Team!

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Fee-For-Service Rates Specialist . Objectives of primary health care Major duties and responsibilities include but are not limited to:

* Developing reimbursement rates by analysis of fiscal impact to the state and financial impact on providers of various alternative cost coverage models; implement and maintain, by periodic payment system audits, the resulting fee schedules used to reimburse up to $5 billion in health care services each year.

* Perform complex data analyses and fiscal impact analyses for proposed changes to reimbursement rates and methodologies, development and present recommendations to management.

* Reviewing, evaluating and recommending improvements in reimbursement rates and existing rate-setting systems and practices.

* Perform regular and ad-hoc auditing and analysis of service utilization, cost of provision, and financial impacts by specific populations, services, providers, locations and contractors; advises management on reimbursement rate issues, and on the financial effects of rate and policy changes, and other measures proposed to revise current practices.

* Attend internal and external meetings serving as the agency’s rate-setting expert, to answer questions, provide recommendations and participate in problem solving and decision making.

* Demonstrated experience in financial/fiscal data analysis methods.

* Experience in personal and mainframe computer systems and application software skills, such as, extensive experience with Excel, Word Processing, financial/accounting, database, and /or graphic software.

* Proficient in application of data analysis skills to extract and report service utilization from claims and encounter service data and to use utilization data to analyze fiscal impacts of rate payment scenarios.

* Ability to work and communicate with a broad spectrum of professionals internally and externally, and the ability to effectively present information both orally and in writing.

* Demonstrated experience in rate setting, statistical analysis and research methodology.

* Experience in writing technical/analytical reports; and work independently or as part of a team.

* Bachelor’s degree or advanced degree in Business, Health Administration, Social Sciences, Economics or related field.

* Two-three years’ experience working in a managed care environment.

* Working familiarity with Cognos, Business Objects or similar SQL programs.

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Health insurance application Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Women’s health jobs Click here to learn more about benefits.

E-Verify: All newly hired employees will be subject to the E-Verify Employment Eligibility Verification Program.

Reasonable Accommodation Request: Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 417-4072. Health insurance obamacare Requests should be made as early as possible to allow sufficient time to arrange the accommodation. Health insurance innovations AHCCCS is an Equal Employment Opportunity Employer.

Please note: AHCCCS does not provide status updates on positions in recruitment. Women’s’ health associates The notification received via email is confirmation that your resume was successfully submitted. Scranton primary health care center Applicants selected to move forward in the interview process will be contacted.

If you experience issues while applying for this position, please dial 602-542-4700 and select option 9 for assistance.

Please apply for this position by following the link provided below. Health care courses A new window will open on your screen and you will be directed to the Arizona Health Care Cost Containment System (AHCCCS) employment website. Compare health insurance rates Click here to apply with Arizona Health Care Cost Containment System (AHCCCS)

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