AHCCCS

Address:  Office of the General Counsel (OGC)
801 E. Jefferson Street, Phoenix, AZ 85034

Salary:  $55,000 - $62,000

Grade: 21

Closing Date: Open Until Filled

The Office of the General Counsel (OGC) is looking for a highly motivated individual to join our team as an Administrative Services Manager. OGC receives approximately 18,000 submissions per year for appeals, claim disputes, and hearing requests and that must be processed in accordance with state and federal rules and statutes and agency requirements regarding Medicaid. This position is responsible for managing this appeals and claims disputes processing.

This position may be available for remote work within Arizona (2 to 3 days per week in the office/hoteling).

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:
• Develop and monitor the appeals and claims processing. Manage unit staff; evaluate work flow, train staff, manage work assignments, and organize direct report assignments to meet changing agency needs; hiring; annual evaluations; conflict management; discipline. Manage changes directed by AHCCCS and its divisions that impact the Administrative Services Unit (ASU).
• Represent AHCCCS Administration at Office of Administrative Hearings (OAH) hearings as needed; Prepare and issue legally sound and accurate Notices of Decision to parties.
• Coordinate with the Office of Administrative Hearing including but not limited to working through any scheduling issues, maintaining a positive working relationship with OAH, and coordinating any policy changes that may impact OAH
• Prepare reports for Executive Management to support the Agency's compliance with federal Medicaid grievance system regulations and the state's administrative review process.
• Serve as the division liaison for wellness groups, to the Office of the Director's Lean Project Manager, and integrating lean principles throughout the division.
• Establish and maintain professional relationships with other AHCCCS divisions and external stakeholders; facilitate improvements to the systemwide process to increase efficiency and effectiveness of the program.

Knowledge of:
• Principles and practices of administration and management; agency and program rules, regulations and operating procedures; business law as it relates to contracts, grants and other agreements.
• Health-e-Arizona, PMMIS, Docuware, Kofax, ProLaw, and ServiceNow database computer systems.
• Workflow and process improvement theory and tools; Process workflow design.
• Training concepts.
• Quality control procedures.

Skill in:
• Principles and practices of supervision.
• Organizational and planning skills.
• Communication skills.
• Google Mail and Calendar; Microsoft Word and Excel, Microsoft Office.
• Interpersonal and training skills.
• Change management.

Ability to:
• Analyze, plan, organize and prioritize staff assignments in order to meet established timelines.
• Develop effective operating procedures.
• Adjust to changing priorities and multi-task.
• Work with others effectively and to delegate appropriately.

Minimum:
• 2 years of administration experience, including supervisory experience.
• Demonstrated knowledge and work experience with ProLaw and/or ServiceNow.

Preferred:
• Knowledge of AHCCCS programs, government program/application compliance with federal regulations and state statutes.
• A degree/education in the areas of health care management, legal fields, business/public administration.

• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
• 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.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

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 (pilot program).
• 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

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.