Job Location:
Posting Details:
Under the direction of the Finance and Reinsurance Administrator, this position oversees quarterly and annual financial reporting for AHCCCS programs, health plan financial deliverables, performance bond compliance, and internal and external financial reporting, including submissions to CMS. Responsibilities include monitoring compliance with financial contract requirements, reviewing equity distribution requests, implementing financial policies and procedures, supporting actuarial and procurement activities, analyzing the financial impact of state and federal regulations, updating financial reporting guidance, and supervising Financial Consultant and Financial Analyst staff.
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.
Job Duties:
Supervises professional financial staff responsible for financial analysis, reporting, audit support, contract monitoring, and regulatory compliance. Provides leadership, workload management, performance oversight, technical guidance, staff development, and process improvement initiatives.
Oversees preparation, analysis, and submission of quarterly and annual financial reports for AHCCCS health plans and contractors, ensuring compliance with CMS requirements, state regulations, contractual obligations, and GAAP. Performs financial trend analysis, evaluates contractor financial performance and risk, and provides recommendations to agency leadership.
Directs internal financial reporting activities, including Financial Summary Reports, Medical Loss Ratio (MLR), Contractor Risk Indicator (CRI), sanctions, crisis services, and other financial analyses. Serves as the primary financial liaison for audits and ensures compliance with federal, state, and contractual reporting requirements.
Reviews audited financial statements, assesses contractor financial stability and solvency, coordinates audit activities, and develops recommendations related to risk mitigation, contractor oversight, and program sustainability.
Provides financial expertise for procurement activities, including RFPs, RFIs, contract development, financial evaluations, risk assessments, fiscal impact analyses, and collaboration with program, legal, procurement, actuarial, and executive leadership teams.
Knowledge, Skills & Abilities (KSAs):
Extensive knowledge of governmental accounting principles, Generally Accepted Accounting Principles (GAAP), financial reporting standards, audit methodologies, and internal control frameworks.
Medicaid managed care financing, capitation rate structures, Medical Loss Ratio (MLR) requirements, risk-sharing arrangements, reinsurance programs, and healthcare contractor financial operations.
Federal and state laws, regulations, administrative rules, and policies governing AHCCCS, Centers for Medicare & Medicaid Services (CMS), managed care organizations, and healthcare financing programs.
Financial statement preparation, analysis, and interpretation, including balance sheets, income statements, statements of cash flow, reserve calculations, and solvency assessments.
Contract administration, procurement processes, Requests for Proposal (RFP), contractor performance monitoring, and financial compliance requirements.
Audit processes and procedures, including coordination with internal auditors, external auditors, federal oversight agencies, and regulatory entities.
Organizational leadership principles, employee supervision, performance management, coaching, workforce development, and succession planning.
Business process improvement methodologies, risk management practices, strategic planning principles, and performance measurement systems.
Advanced analytical skills sufficient to evaluate complex financial data, identify trends, assess financial risks, and develop actionable recommendations.
Strong financial management skills in planning, organizing, directing, and evaluating large-scale financial reporting and compliance activities.
Researching, interpreting, and applying federal and state statutes, regulations, contractual provisions, and financial reporting requirements.
Preparing and presenting complex financial information to executive leadership, stakeholders, contractors, external auditors, and regulatory agencies.
Developing policies, procedures, financial reporting guides, and operational standards to ensure compliance and consistency.
Project management and coordination of multiple reporting cycles, audits, financial reviews, and regulatory deliverables with competing priorities and deadlines.
Utilizing financial management systems, data analytics tools, spreadsheet applications, and reporting platforms to evaluate program performance and financial outcomes.
Strong negotiation, collaboration, and stakeholder management skills to build effective working relationships with contractors, consultants, governmental agencies, and executive leadership.
Lead and direct staff engaged in complex financial analysis, reporting, compliance monitoring, and contractor oversight activities.
Independently evaluate contractor financial performance, solvency, reserve adequacy, and compliance with contractual and regulatory requirements.
Exercise sound judgment and make recommendations regarding significant financial, operational, and compliance issues affecting AHCCCS programs and contractors.
Analyze large and complex datasets, identify emerging risks, and develop strategic solutions to financial and operational challenges.
Communicate complex financial concepts clearly and effectively, both orally and in writing, to technical and non-technical audiences.
Establish priorities, manage multiple high-profile projects simultaneously, and meet critical deadlines in a fast-paced regulatory environment.
Interpret legislative, regulatory, and policy changes and assess potential fiscal and operational impacts to AHCCCS and contracted health plans.
Represent the agency in meetings, audits, negotiations, and discussions with CMS, contractors, external auditors, executive leadership, and other governmental entities.
Build collaborative partnerships across organizational boundaries and influence decision-making on matters involving significant fiscal and programmatic impact.
Develop strategic financial oversight initiatives that support organizational goals, regulatory compliance, fiscal integrity, and effective stewardship of public funds.
Pre-Employment Requirements:
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: Driver’s License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Among the many benefits of a career with the State of Arizona, there are:
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 program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
