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BENEFITS AND ELIGIBILITY SPECIALIST (ELIGIBILITY INTERVIEWER) PEORIA
As an Eligibility Interviewer, you will determine eligibility for Arizonans in need of Nutrition Assistance, Medical Assistance and/or Temporary Assistance for Needy Families. This is an ideal position for an individual who is highly motivated, has decision-making skills, can work independently and multi-task in a fast-paced environment, and provide quality interaction and communication with our clients. This is an in-person, on site-position. This is a temporary position with the State of Arizona, Department of Economic Security, not to exceed 1,500 hours by December 31, 2026. Temporary positions are benefits eligible and receive pay for State observed holidays.
RHT Program Accountant 4 REMOTE OPTIONS, PHOENIX
Under the supervision of the RHT Program Fiscal Manager, the Accountant IV performs senior-level federal grant accounting, fiscal reconciliation, financial reporting, and subr ecipient monitoring for the Rural Health Transformation Program (RHTP). This position ensures all expenditures comply with federal cost principles (2 CFR Part 200), the HHS Grants Policy Statement, and State of Arizona financial policies, including the State Accounting Manual (SAAM).The Accountant IV maintains audit-ready documentation, processes and validates sub recipient invoices, initiates payments in AZ360, and supports the preparation of required federal financial reports (FFRs), FFATA submissions, and Single Audit documentation. The position plays a central role in ensuring financial integrity, accuracy, and compliance of complex multi-year, multi-component grant activities. The position is grant funded and may be eliminated based on the availability of funding. The position is grant funded and may be eliminated based on the availability of funding. Arizona’s Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as a part of a financial assistance award totaling $166,988,955.92 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor endorsement, by CMS/HHS, or the U.S. Government.
Public Health Nursing Consultant REMOTE OPTIONS, PHOENIX
The Division of Managed Care (DMC) is looking for a highly motivated individual to join our team as a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of the EPSDT, women’s preventive health, family planning, and maternity care services within AHCCCS’s statewide managed care and fee for-service programs. This role ensures services that support pregnant and postpartum members; infants and children are delivered in compliance with state and federal requirements. This position is responsible for quality improvement activities, validating deliverables, identifying gaps and recommending strategies to improve performance.
Auditor 3 REMOTE OPTIONS, PHOENIX
This position is directly involved in negotiating the final determination of financial over-payments and recommending civil monetary penalties levied against providers participating in fraudulent billing practices. The information obtained by this position is used for a variety of activities such as: determination of fines, restitution and cost avoidance; internal deliberation's regarding settlement amounts for fines and restitution, participate in the decisions regarding opening and closing of criminal and civil investigations.
Quality Assurance Investigative Nurse REMOTE OPTIONS, PHOENIX
Under the leadership of the Inspector General and Deputy Assistant Director, this position is responsible for investigation and medical necessity clinical determinations for AHCCCS OIG. These duties include, but are not limited to; investigating, reviewing, evaluating, determining appropriate payment of medical and/or behavioral healthcare services, and medical record reviews with clinical expertise in procedures and processes in the clinical setting. Assurance of compliance with contractual, regulatory, and statutory obligations for AHCCCS members (in both Managed Care Organization (MCO) and Fee for Service (FFS) settings) for physical/acute care services, LTC supports and services, and behavioral health needs and providing subject matter expertise (SME) in a variety of settings. This position is accountable for the prevention and/or resolution of alleged billing concerns, utilization, and determination of any fraudulent activities, waste or abuse of the Medicaid program, identification of criminal activity, and review of system parameters in accordance with AHCCCS rules, regulations and federal guidance. Direct clinical investigative knowledge and expertise is applied by this position in review and timely resolution of the cases assigned, identification of Fraud, Waste and Abuse (FWA) in clinical reviews and collaboration with AHCCCS Divisions, Managed Care Organizations, Law Enforcement Agencies, and other regulatory agencies as identified within the scope of each unique case.

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