Address:  801 E. Jefferson Street, Phoenix, AZ 85034

Must reside in the State of Arizona.

Salary:  $70,000 - $75,000

Grade: 26

Closing Date: Open Until Filled

This position is eligible for full-time remote work (including virtual office arrangement in Arizona).

A career in public service awaits you. COME JOIN OUR TEAM!

A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities.

What You'll Do:

The Information Services Division (ISD)  Electronic Data Interchange (EDI) Team Business Analyst is responsible for the analysis, review and interpretation of any HIPPA requirements/ANSI ASC X12 transactions and its impacts to AHCCCS business processes and external trading partners.

Major duties and responsibilities include but are not limited to:
• Performs complex research and analysis of customer support issues/inquiries of EDI system alerts. Provides technical support/training to customers. Analyzes and interprets ANSI ASC X12 transactions and its impacts to AHCCCS business processes and external trading partners.
• Performing software lifecycle tasks such as user requirements gathering, analysis, documentation, communications, and testing. Works directly with EDI developers, other team staff and users to ensure functional and technical requirements are met.
• Reviewing, discussing, and comprehending assignments with project manager.
• Participates in industry standards committees and meetings. Reviews documentation of national health care recommendations/standards in adherence with new and ongoing federal and state laws, codes, policies, and guidelines. Interprets and analyzes these in order to provide a thorough analysis of its impact to AHCCCS and its trading partners.
• Reviews SSR tasks that would potentially impact any EDI transactions.
• Perform analysis and updates to EDI transactions notes/specs as it relates to any EDI mapping changes, SSR tasks or HIPAA/business users requests/changes.

Knowledge:
• ANSI ASC X12 transactions of 270/271, 275, 276/277, 278, 820, 834, 835, and 837
• Healthcare such as, claims and or encounter processing and data analysis experience and related knowledge of HIPPA rules pertaining to claims, encounters, enrollment and eligibility rules and procedures
• Software Development

Skills:
• Proficient in Microsoft Office (Excel, Access, Word, and Outlook) or comparable software, Filezilla, UltraEdit and SQL queries
• Interpersonal communication skills, telephone etiquette, and customer relation skills
• Organizational skills
• Business and systems analysis skills

Abilities:
• Interface with internal and external trading partners
• Work independently as well as in a team
• Function with minimal supervision
• Multi-task by handling a variety of duties in a timely and efficient manner
• Work in a remote environment

Minimum:
• Bachelor’s Degree and/or 10 years of experience in business analysis or equivalent.

Preferred:
• Experience to include 2-3 years experience working with data warehouses and business intelligence tools and/or 1 year of experience in Medicaid and/or Medicare.

• 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.