State of Arizona ยท 3 weeks ago
Management Analyst 4
Phoenix, AZ
Full-time
Onsite
Mid Level
$57K/yr - $57K/yr
3+ years expThe State of Arizona's Department of Health Services is dedicated to promoting and protecting the health of the community. The Management Analyst 4 position involves supervising data quality assurance activities for the National Breast and Cervical Cancer Screening Program, ensuring data integrity, and leading continuous quality improvement efforts.
GovernmentOffice AdministrationPublic Relations
No H1B
Responsibilities
Review and audit claims submitted by contractor participating in the Well Woman HealthCheck Program (WWHP). Reviews patient medical record/ documentation submitted for accuracy and analyzes work processes and makes recommendations for process improvement. Serve as designated quality control personnel for the WWHP
Investigate medical procedure codes billed to ensure compliance with NBCCEDP Policy and procedures and the State of Arizona WWHP Scope of Work. Conduct effectiveness reviews to ensure only program approved codes are used and communicate effectively with providers and other clinical staff regarding insufficient or unclear documentation
Deny/Approve or correct codes based on medical documentation provided. Engage contractors for clarification, missing documentation. Develop or update functional or operational manuals outlining established methods of performing work in accordance with WWHP policy
Ensure codes are accurate and sequenced correctly. Research coding for complex or unusual cases. Troubleshoot difficult cases and coding scenarios with WWHP Program Manager, Cancer Program Administrator and Epidemiologist for best decision making
Ensure accuracy in data entry and review process by conducting daily continuous quality improvement (CQI) of data entry process. Train and support team members as needed and participate in weekly huddle for program and quarterly contractor meetings as a presenter
Other duties as assigned as related to the position (typically 5% - 10%)
Qualification
Required
Supervision and evaluation of data processing and data quality assurance activities
Supervising data processes and conducting continuous quality improvement (CQI)
Leading and conducting data quality analyses routinely
Presenting recommendations to management
Providing technical assistance or consultation
Coordinating process improvements and systems implementation
Developing or updating data entry manuals
Providing quality control for all data entered in CaST
Providing training and support to other data analysts
Ensuring data entry error rate is at or below .01%
Responding to questions and concerns from other data analysts
Leading weekly huddles
Presenting at quarterly meetings with contractors
Reviewing assigned codes to diagnoses and procedures using program approved CPT codes
Ensuring codes are accurate and sequenced correctly in accordance with NBCCEDP and Medicare regulations
Following up with the clinic coordinators on any documentation that is insufficient or unclear
Communicating with other contracted clinical staff regarding documentation
Searching for information in cases where the coding is complex or unusual
Reviewing patient records and patient listing spreadsheet for accuracy
Participating in quality assurance and utilization review as needed
Providing ongoing training of new team members via google meet & in person
Providing Quality Control for the review and data entry process
Reviewing and auditing claims submitted by contractor participating in the Well Woman HealthCheck Program (WWHP)
Reviewing patient medical record/documentation submitted for accuracy
Analyzing work processes and making recommendations for process improvement
Serving as designated quality control personnel for the WWHP
Investigating medical procedure codes billed to ensure compliance with NBCCEDP Policy and procedures
Conducting effectiveness reviews to ensure only program approved codes are used
Communicating effectively with providers and other clinical staff regarding insufficient or unclear documentation
Denying/Approving or correcting codes based on medical documentation provided
Engaging contractors for clarification, missing documentation
Developing or updating functional or operational manuals outlining established methods of performing work
Researching coding for complex or unusual cases
Troubleshooting difficult cases and coding scenarios with WWHP Program Manager, Cancer Program Administrator and Epidemiologist
Ensuring accuracy in data entry and review process by conducting daily continuous quality improvement (CQI) of data entry process
Training and supporting team members as needed
Participating in weekly huddle for program and quarterly contractor meetings as a presenter
Exhibiting excellent communication skills including verbal and written
Conducting basic research and collecting data
Demonstrating accuracy and attention to detail
Exhibiting organizational and time-management skills
Problem solving independently
Learning new systems and concepts quickly
Reading and understanding the program manual and scope of work
Multitasking, managing tasks, and project prioritization
Working under pressure & problem solving creatively
Supervising and managing processes
Supporting a diverse multi-cultural workforce that reflects the community
Preferred
Associates or Bachelors degree in Allied Health Science
Certified Medical Billing and Coding
3 years experience working as a medical biller/coder
Preference given to candidates with a Medical Billing and Coding Certification
Benefits
Affordable medical and dental insurance plans
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program)
10 paid holidays per year
Wellness program and plans
Life insurance
Short/long-term disability insurance
Defined retirement plan
Award winning Infant at Work program
Credit union membership
Transit subsidy
ADHS Student Assistance Pilot Program
Company
State of Arizona
As public servants, we deeply care about Arizona and are committed to facing the issues of our state head-on.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Aletha Della Rocco
Human Resources Business Partner, Talent Acquisition
George McNeely MBA
Chief Human Resources Officer - Arizona Department of Administration - Shared Services
Recent News
Phoenix Business Journal
2025-01-11
The Arizona Republic
2024-01-27
Company data provided by crunchbase