State of Arizona · 7 hours ago
Financial Reporting Manager
Phoenix, AZ
Full-time
Hybrid
Mid, Senior Level
$85K/yr - $95K/yr
4+ years expThe Arizona Health Care Cost Containment System (AHCCCS) is seeking a Financial Reporting Manager to guide a team responsible for establishing reimbursement rates for Arizona Medicaid providers. This role involves developing defensible rate-setting methodologies and effectively communicating decisions to various stakeholders.
GovernmentOffice AdministrationPublic Relations
No H1B
Responsibilities
Oversee development of fee-for-service reimbursement rates, including research, development, system implementation, internal and external distribution, ongoing maintenance, and issue resolution
Perform complex data analyses and fiscal impact analyses for proposed changes for reimbursement rates and methodologies; develop and present recommendations to management; supervise staff in performance of same
Research and analysis of alternative rate-setting methodologies, various administrative rules, policies and requirements, both state and federal, as they apply to fiscal responsibilities concerning rate-setting
Attend internal and external meetings serving as agency's rate-setting expert, to answer questions, provide recommendations, and participate in problem solving and decision making
Administer workload and ensure quality of work products of professional level employees
Qualification
Required
Bachelor's degree in finance, economics, statistics, health care management, or related field
A combination of four years experience with financial analysis and/or capitation rate setting or equivalent experience
Knowledge of financial/fiscal data analysis methods
Knowledge of statistical analysis and research methodology
Knowledge of Medicare and Medicaid payment regulations, and state and federal laws relating to the AHCCCS program
Knowledge of rate-setting methodologies
Knowledge of financial reporting, auditing and financial analysis
Knowledge of health care industry coding standards
Knowledge of medical terminology
Knowledge of healthcare measurement methodology, such as, utilization measurement
Knowledge of working use of mainframe systems, such as TSO and CICS environments
Knowledge of AHCCCS mainframe databases, including claims and encounters, recipient files, provider files and reference tables
Knowledge of PC and mainframe computer system applications, programming and operations within the context of healthcare industry usage
Knowledge of managed care payment principles
Knowledge of AHCCCS and managed care service delivery systems, including the various types of services provided/required, service provider types and specialties incorporated into the AHCCCS programs along with the types of services provided
Knowledge of management theories and techniques, supervisory skills, staff motivation techniques, and performance evaluation and measurement
Skills in financial statement review
Skills in auditing
Skills in analysis, research techniques and problem-solving skills to resolve operational problems and improve systems related to rate-setting
Skills in internet research to track rate-setting issues, methodology updates, and federal requirements
Skills in application of data analysis to extract and report service utilization from claims and encounter service data, and to use utilization data to analyze fiscal impacts of rate payment scenarios
Skills in personal and mainframe computer systems and application software, such as, spreadsheet, word processing, financial/accounting, database, and/or graphics software
Skills in effective supervisory skills to manage support staff and provide a positive work environment
Skills in project management, including the development of project objectives, task analysis and work plans
Skills in proficient use of Microsoft Excel; experience with SPSS, Cognos/Business Objects or other SOL program
Skills in management and leadership
Ability to analyze, summarize, interpret, understand and report data
Ability to analyze and synthesize financial and/or managerial data and complex payment issues
Ability to develop and apply rate-setting methods and make recommendations for rate changes
Ability to query mainframe (CICS and TSO environments) and personal computer databases
Ability to specify system service requirements, communicate and work with information systems staff to create or revise data extracts, upload and download of data files, production and ad hoc reports, rate system updates and the ability to enhance and update the AHCCCS fee schedule web site
Ability to work and communicate with a broad spectrum of professionals internally and externally, and the ability to effectively present information both orally and in writing
Ability to write technical/analytical reports and work independently or as part of a team
Preferred
Master's degree in economics, business, finance, healthcare, policy and two to three years working in a health care environment
Benefits
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.
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.
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