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Title: Policy Analyst

Arizona Health Care Cost Containment System
Phoenix, AZ Full Time
POSTED ON 2/27/2025
AVAILABLE BEFORE 5/27/2025

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.

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