FINANCIAL REPORTING MANAGER

Overview

This position serves as an agency resource for Federally Qualified Health Clinics (FQHC) and Rural Health Clinics (RHC) related to rates, policy, and reimbursement. The role functions as a subject matter expert for FQHCs and RHCs on financial topics, including rate and reimbursement matters, and maintains direct communication with external stakeholders.

Work is 100% virtual office with the occasional requirement to meet in the office for meetings. Remote work must be performed within Arizona unless an exception is properly authorized in advance.

Responsibilities

• Become an expert and administer FQHC/RHC rates and reimbursement policies and standard operating procedures.
• Critically review current FQHC/RHC policy and standard operating procedures and compare current rate coverage to Medicare and other Medicaid agencies to identify differences and areas of improvement.
• Become familiar with all aspects of FQHC/RHC services and billing impacting rates and reimbursements.
• Lead FQHC/RHC work-groups (internal and external) and attend FQHC/RHC meetings as a rates and reimbursement subject matter expert.
• Communicate changes to FQHC/RHCs and other essential stakeholders; ensure guidance, SPA, and other items are updated and stakeholders are notified.
• Oversee and complete the FQHC annual reconciliation for over 40+ facilities, ensuring Health Centers are paid appropriately for visits during the reconciliation time period and supporting responsible financial stewardship.
• Calculate quarterly supplemental payments and handle applicable communication with health centers.
• Oversee and implement the FQHC/RHC rebase every 3 years, including identifying areas for improvement, calculating payments, and communicating and providing oversight of rates.
• On off years, calculate yearly rates based on a percentage increase while ensuring rates are calculated according to the State Plan.
• Provide support and guidance on CMS State Plan amendments and respond to CMS questions by assisting with research, responses, and data analysis as assigned.
• Communicate with FQHC/RHCs to collect financial information and other materials needed for rebase and reconciliation activities.
• Communicate agency rates and reimbursement policy and address payment issues with FQHC/RHCs.
• Other duties as assigned (typically 5%–10%).

Requirements

Knowledge, Skills & Abilities (KSAs)

Knowledge

• Health care reimbursement; financial statement preparation and analysis
• Medicare Cost Report & Uniform Accounting Report preparation and analysis
• Research techniques for collecting, analyzing, interpreting, and communicating results
• Health care, including concepts of health care management, operations, and prepaid managed care programs
• Title XIX & the Social Security Act
• Agency rules & regulations, operating policies & procedures, and CMS requirements
• Coding rules

Skills

• Advanced analytical and modeling skills
• Proficiency with sophisticated analytical software programs such as SPSS
• Analysis, evaluation, and resolution of complex problems
• Excellent interpersonal skills in one-on-one and large groups
• Effective collaboration with a diverse workforce
• Project management to meet goals and deadlines
• Effective written and verbal communication

Abilities

• Effectively lead and/or facilitate a team of professionals from within and/or outside the agency
• Multi-task in a fast-paced environment
• Produce work products with limited supervision
• Collect, analyze, and interpret charge and cost data related to AHCCCS-covered service programs and reimbursement policies and procedures

Minimum Qualifications

• Bachelor’s Degree in economics, business, finance, healthcare, policy, or related field and 4 years of related experience (or equivalent experience).

Preferred Qualifications

• Master’s Degree in economics, business, finance, healthcare, policy, and 2–3 years working in a healthcare environment.

Pre-Employment Requirements

• If selected for an interview, completion of a skills assessment for this position is required.
• Successfully pass a fingerprint background check, prior employment verifications, and reference checks. Employment is contingent upon completion of the above 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 required driver training (see Arizona Administrative Code R2-10-207.12.) 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 and maintain valid motor vehicle insurance and current Arizona vehicle registration; mileage will be reimbursed.
• All newly hired State employees must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Compensation & Benefits

Compensation

• Salary: $85,000 - $95,000
• Grade: 24
• FLSA Status: Exempt

Benefits

• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively); start earning on the 1st day (prorated for part-time employees)
• Paid Parental Leave—up to 12 weeks per year
• Other leaves: Bereavement, civic duty, and military
• Top-ranked retirement program with lifetime pension benefits
• Robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Eligibility to participate in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• Learning and career development opportunities

Retirement:

• Lifetime Pension Benefit Program (administered through the Arizona State Retirement System (ASRS))
  • Defined benefit plan providing 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; administered through Nationwide
  • Tax-deferred retirement investments through payroll deductions

Location

• 150 North 18th Avenue, Phoenix, Arizona 85007
• Must reside in Arizona.
• Work model: 100% virtual office with the occasional requirement to meet in the office for meetings.

Other Information

• This position will remain open until filled.
• This role may offer the ability to work remotely, within Arizona, based upon the department’s business needs and continual meeting of expected performance measures.