The Division of Business and Finance is looking for a highly motivated individual to join our team as a Finance and Program Monitor.
This position is on the AHCCCS Actuarial Team and is responsible for all financial support to the actuaries related to implementation and monitoring of the Hospital Enhanced Access Leading to Health Improvements Initiative (HEALTHII) and Health Care Investment Fund (HCIF) rate increase program.
This position will collaborate with cross-functional teams, including clinical, financial, operational, rates and reimbursement, directed payments, budget, policy and contract areas. Responsibilities include analysis of provider utilization data, Health Plan encounter data, preparing payment guidance, calculation of impacts to capitation rates, documentation of processes, identifying/implementing process improvements, supporting the actuaries with additional ad hoc analyses as necessary, and performing all related reconciliations, on both a quarterly and annual basis, in addition to supervisory responsibilities.
This position requires a strong financial analysis background, attention to detail, and the ability to manage multiple, often overlapping, priorities and deadlines. A healthcare background would be ideal.
Major duties and responsibilities include but are not limited to:
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