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RHTP Business Analyst Senior in PHOENIX
The Senior Business Analyst, reporting to the Evaluation and Data Manager, will provide advanced analytical and operational support for the RHTP program, focusing on process optimization, data-driven decision-making, and compliance alignment. This role will help develop and maintain dashboards, analyze program performance metrics, and identify operational efficiencies to ensure timely achievement of CMS strategic priorities, including support to fiscal teams. The analyst will also support risk assessments and contribute to quarterly and annual reporting, ensuring that program activities remain audit-ready and aligned with federal requirements. In coordination with the Evaluation and Data Manager, the analyst will provide technical assistance to the full spectrum of RHTP stakeholders. This position is critical for translating complex data into actionable insights that inform leadership decisions and improve program outcomes, and is commensurate with the magnitude of the anticipated RHTP award. This 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 part of the financial assistance award totaling $166,998,955.92 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.
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STRATEGY AND COMPLIANCE MANAGER in various locations
The Department of Economic Security, Division of Financial Operations (DFO) is seeking an experienced and highly motivated individual to join our team as a Strategy and Compliance Manager.
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Care Management Healthcare Consultant in various locations
The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Public Health Consultant.
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Clinical Quality Management Coordinator in various locations
This position will work independently applying clinical knowledge, judgment, and expertise to assess, coordinate, and monitor service delivery. This position will complete comprehensive assessments of available resources on service providers and individual members; review case material to ensure compliance with State and Federal regulations and policies; and provide timely resolution of multiple cases assigned. This position will also be responsible for identifying systemic issues for AHCCCS to address. This position will be hybrid with some in-office meetings, on-site investigations, and reviews as needed. Occasionally, this position may also participate as needed in urgent on-site investigations and reviews outside of normal business hours and weekends.
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RHT Program Accountant 4 in various locations
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.
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Special Investigator in various locations
This position conducts complex criminal and civil investigations relating to allegations of Medicaid eligibility fraud, including determining the loss to the AHCCCS program. The responsibilities of this position include but are not limited to: In-depth research investigative report writing, researching Medicaid eligibility rules, policies, statutes. Preparing documentation for eligibility determinations, criminal prosecutions and administrative hearings.
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Management Analyst 3 in various locations
This position serves as a technical and analytical lead responsible for monitoring, auditing, and evaluating ALTCS program and MCO performance. The role develops data strategies, reports, dashboards, and audit methodologies to identify trends, risks, compliance concerns, and performance outliers across a variety of program areas, while validating data accuracy and reliability.
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Public Healthcare Consultant in various locations
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.
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Audit Manager in various locations
The Audit Manager will report to the Inspector General. This position is responsible for the direct oversight of the Quality Assurance Nurse Investigations Unit as a highly skilled Registered Nurse with Utilization Review (UR) experience. This individual will provide assistance and guidance to subordinates, as well as, executive management, and support the Inspector General (IG) efforts on a variety of administrative and management issues, projects and initiatives, data analytics, related to investigations of healthcare fraud and program mismanagement.
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Public Healthcare Consultant in various locations
Under the general direction of the Medical Management (MM) Manager and Supervisor, this position will monitor and evaluate Medical Management programs for the AHCCCS Complete Care Contractors, Arizona Long Term Care System and RBHA Contractors. Provide oversight of the MM process at the Contractor level. Participate in the Operational Review and develop, update, review and interpret policy pertaining to MM.
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