AHCCCS

Address: 150 N. 18th Avenue Phoenix, AZ 85007

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Salary: $55,000

FLSA Status: Non-Exempt

Grade: 21

First Review of Resumes: August 12, 2025

Program Specialist to provide support to ALTCS PAS Assessors statewide to include both pre and post determination quality assurance reviews, policy development, training opportunities, provide expert level knowledge/experience, and contribute to lean initiatives. PAS Program Specialist must meet the same minimum requirements as stated in rule for a PAS Assessor.

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:
• Perform quality assurance (QA) reviews and analysis on completed PAS. Provide constructive feedback to employees and managers. Analyze and interpret rules, regulations, and policy as it relates to Medicaid and ALTCS medical eligibility.
• Enter QA findings in Employee Metrics to notify assessors and managers of outcomes. Respond to challenges of QA review findings and general questions in relation to QA findings and provides consultative services in relation to the quality review of case files.
• Assist in designing, developing, and enhancing ALTCS medical eligibility training for both policy and computer system operation for new hires, refresher and targeted training.
• Participate in unit meetings fostering teamwork and collaborative efforts. Provides continual internal and external customer service in support of agency and division mission and values. Participate and champion AMS activities (i.e. Gemba, huddle boards, collaborative groups, SWP) within the unit and division.
• Identify error trends, training needs and suggest policy manual updates in an effort to improve the quality of eligibility determinations. Provides support and direction based on research, analysis, and interpretation of program rules and regulations. Conduct PAS assessment when needed.

Knowledge of:
• AHCCCS Federal, State, and agency rules, policies and procedures on ALTCS eligibility, primarily medical eligibility
• Interview skills and techniques
• Medical conditions including ICD-10 codes
• Prescription drugs and uses
• Social service case management

Skilled in:
• Communication skills, both verbal and written
• Problem identification and resolution
• Assessing, reviewing and analyzing database information
• Adhering to policies and procedures
• Researching and interpreting Federal and State laws, statues, rules, regulations, policies, procedures and guidelines
• Interviewing customers and summarizing the discussion and recording notes throughout the interview
• Computer systems, databases, and programs to include HEAplus, Employee Metrics, PMMIS, Docuware, RightFax and Asset Verification System (AVS), and Microsoft Office

Ability to:
• Work independently
• Organize and prioritize work assignments
• Communicate effectively both verbally and in writing with the ability to interact well interpersonally
• Document accurately and effectively
• Review electronic case files
• Relate to other employees with patience, courtesy and tact
• Conduct training

AZ Drivers License

Minimum: One year experience as a PAS Assessor or equivalent OR four years of experience providing social service case management that included individual planning and delivery of health care services.

Preferred: One to two years experience in Medicaid rules, PAS Assessor, Medical case management with the elderly, physically disabled or developmentally disabled populations.

• 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).

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

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.