AHCCCS

Address: 150 N. 18th Avenue Phoenix, Arizona 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 

Grade: 21

FLSA Status: Non-Exempt

First Review of Resumes: September 16, 2025

This position will be the unit's dedicated PAS expert to provide knowledge and support throughout the entire pre and post hearing processes on Medicaid eligibility in support of the Division of Member and Provider Services (DMPS) position.

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:
• Regarding medical evidence gathered: Assist in the preparation of the agency's case for hearing; select evidence; gather legal authority; prepare agency witnesses. Provide guidance, coaching and direction to eligibility staff responsible for conducting research and representing the agency at eligibility hearings.
• Assist in presenting the agency's case with regards to medical information to the Administrative Law Judge, including preparing the questioning of agency witnesses; testifying; cross examining complainant's witnesses; objecting to irrelevant evidence or testimony; presenting closing remarks.
• Coordinate agency actions to avoid hearings, when applicable; monitor agency actions based on Director's Decisions regarding the hearings; update the Hearing Chapter in the Eligibility Policy Manual; develop or modifies hearing procedures as necessary (new programs, changes in policy or procedures).
• Participate in team and division meetings. Champion Arizona Management System (AMS) related to the ALTCS medical eligibility process and targets, provide guidance, insight, and support to the AMS goals at the administrative, regional, office and operational levels.
• Assists with the medical evidence and language in legal documents such Post Hearing Memorandum and legal motions; assists in the creation of agency responses to the Administrative Law Judge.
• Provide consultation to management, training, and PAS Assessors; train individuals and group to agency staff on the appeals process for PAS Assessments.

Knowledge of:
• An understanding of Federal and State laws and regulations governing the Medicaid programs
• An understanding of the medical eligibility requirements and the process and procedures of PAS assessments.
• State hearing procedures; rules of evidence; Office of Administrative Legal Services policies and procedures.
• Analytical reasoning: how to build a convincing case based on facts and legal references.
• AHCCCS policies.
• ICD-10 codes.
• Prescription drugs and uses.
• Project development, organization, and prioritizing.

Skilled in:
• Determining Medicaid eligibility using either medical eligibility criteria.
• Negotiations and logical arguments.
• Organization: Materials, thoughts, work, and assignments.
• Communicating with clarity and effectiveness by writing, speaking, and interpersonally interacting with others.

Ability to:
• Prioritize and effectively manage tasks and arguments. Meet deadlines and specified goals using discretion and good judgment
• Research medical evidence and present evidence in a logical manner using layman terms.
• Interpret policy and apply it to a specific situation

Arizona 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.
• 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.)

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.