Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Salary: $50,000 - $55,000

Grade: 21

FLSA Status: Exempt

This position will remain open until filled.

This position will oversee the tracking and maintenance of the managed care contracts and/or AHCCCS Contractor Operations Manual (ACOM), and AHCCCS Medical Policy Manual (AMPM). Provide support to the Contracts and Policy Administrator and Assistant Director within the division, researching complex and/or participating on special work groups and coordinating the efforts of numerous staff across multiple divisions.

Major duties and responsibilities include but are not limited to:
• Lead the drafting, revisions, and maintenance of policy language, ensuring consistency with agency goals, legislative mandates, and regulatory requirements. Conduct in-depth reviews of contract and policy changes, assessing their impact on agency operations and ensuring alignment with overarching agency objectives. Work closely with executive leadership, legal, and various program managers to ensure all policy provisions reflect agency priorities and stakeholder needs.
• Lead the drafting, revisions, and maintenance of contract language, ensuring consistency with agency goals, legislative mandates, and regulatory requirements. Conduct in-depth reviews of contract and policy changes, assessing their impact on agency operations and ensuring alignment with overarching agency objectives. Work closely with executive leadership, legal, and various program managers to ensure all contract provisions reflect agency priorities and stakeholder needs. Organize and ensure accuracy for all Contract Amendments and Renewals.
• Monitor and track to provide a clear understanding related to the revision process through an overarching tracking system that provides at the minute understanding of where documents are in the development/revision process.
• Ensure that the Agency is meeting CMS requirements related to the Managed Care Contracts. Ensure that language is accurate and aligned reflecting clear expectations for the Contractor Chart of Deliverables. Collect all the required documentation for the Centers for Medicare and Medicaid Services (CMS) to submit for approval of new and renewal contracts within established timeframes.
• Manage ad hoc administrative projects that may involve researching laws, statutes, rules or other federal, state or local guidance and making recommendations and/or providing feedback based on that research.

Knowledge:
• Requires an extensive knowledge of technical writing, editing, and proofreading of policy development and distribution processes
• Must possess a thorough understanding of policies across multiple functional areas within the agency
• Medicaid managed care program and managed care principles
• Researching Federal healthcare regulations, Arizona state statutes and administrative codes, AHCCCS policy documents and applicable Division documents and related integrated healthcare guidance
• Project management and communication principles
• Computer software (e.g. SharePoint, Microsoft word, spreadsheets and databases)

Skills:
• Requires technical writing, editing, and proofreading
• Must possess organizational skills to manage multiple projects simultaneously, and the ability to prioritize projects and manage competing deadlines to ensure successful project completion
• Oral presentations and regulatory research

Abilities:
• Synthesize and consolidate technical information into clear and concisely written guidance documents
• Work cooperatively with others across agency divisions as needed
• Provide guidance to other unit or division staff across the agency as needed
• Produce effective written communication; excellent interpersonal skills and ability to multi-task in a fast paced environment

Minimum:
• 1-2 years experience in a regulatory environment & experience with Medicaid managed care contracting.

Preferred:
• Bachelor's degree in a related field and/or direct experience (2-4 years) in a healthcare environment.

• 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.