Contract and Policy Analyst

1 month ago

Phoenix, United States Arizona Official Website of State of Arizona Full time

Job Summary:

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). Providing support to the Contracts and Policy Administrator and two Assistant Directors within the division, researching complex and/or participating on special work groups and coordinating the efforts of numerous staff across multiple divisions.

Job Duties:

Major duties and responsibilities include, but are not limited to:
• Oversee and tracks the development and/or revisions for the AHCCCS Contractor Operations Manual (ACOM) and AHCCCS Medical Policy Manual (AMPM) policies, attachments, exhibits, forms, and other materials. Including actively participating in policy discussion and coordinating, editing, and providing comprehensive review of all policy changes and identify impacts and changes.
• Organizing Policy Committee review, public comment feedback, and publishing of the policies to the appropriate location on the website.
• Obtain input into solicitations on critical management care contract provisions/revisions from stakeholders within and outside DMCO, coordinate with subject matter expert review/revision and feedback. Tracking contract revisions to ensure alignment across all lines of business.
• Assist in preparing the required documentation for the Centers for Medicare and Medicaid Services (CMS) to obtain approval of new and renewal contracts within established timeframes. Assist with contract development/amendments and/or Request for Proposal process as needed within the unit.
• Manage ad hoc administrative projects that may involve researching laws, statutes, rules or other federal, state or local guidance and making recommendations or providing feedback based on that research.

Knowledge, Skills & Abilities (KSAs):

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

Qualifications:

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.

Pre-Employment Requirements:

• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
• 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 .) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

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: 

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

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 (pilot program).
• 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 . For a complete list of benefits provided by The State of Arizona, please visit our

Retirement:

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.

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