Benefits and Eligibility Specialist Advanced

<div> <h1><span>AHCCCS</span></h1> <h2><span><em><span>Arizona Health Care Cost Containment System<br/>Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork<br/><br/>The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.<br/><br/>AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. <br/><br/>Come join our dynamic and dedicated team.</span></em></span></h2> </div> <h3 dir="ltr"><span><strong>Benefits and Eligibility Specialist Advanced</strong></span></h3> <h3 dir="ltr"><span><strong>Division of Member and Provider Services (DMPS)</strong></span></h3> <div> <span>Job Location:</span> </div> <div> <h4><span><span>Address: 150 N. 18th Avenue Phoenix, Arizona 85007</span></span></h4> <h4><span><span>This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.</span></span></h4> </div> <div> <span>Posting Details:</span> </div> <div> <h4><span><span>Salary: $46,000</span></span></h4> <h4><span><span>FLSA Status: Non Exempt<br/></span></span></h4> <h4><span><span>Grade: 20<br/></span></span></h4> <h4><span><span>First Review of Resumes: August 11, 2026</span></span></h4> <h4><span><span>Closing Date: August 13, 2026</span></span></h4> </div> <div> <span>Job Summary:</span> </div> <div> <p><span>This position provides technical consultation and support to a variety of program areas in DMPS. Researches, analyzes and interprets program rules to determine solutions to complex system problems and writes tickets for systematic fixes when necessary. Helps to prevent quality control errors by assisting in the correct determination of eligibility and enrollment.</span></p> <p><em><span>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.</span></em></p> </div> <div> <p><span><strong>Major duties and responsibilities include but are not limited to:</strong><br/>• Research and resolve daily, weekly and monthly reconciliation and operations reports. Possible resolutions include updating eligibility, Medicare enrollment, special programs and demographic information in HEAplus and/or directly in PMMIS. Reconcile discrepancies between eligibility and enrollment systems by performing root cause analysis, interpreting program rules, and elevating root-cause findings as appropriate.<br/>• Provide technical consultation &amp; support to a variety of customers, including DMPS &amp; other AHCCCS staff as well as health plans &amp; program contractors. Answer questions about system changes, review documents and resolve end user problems with systems used to determine eligibility. Ensure that when tickets are necessary, they are written accurately, with detail, and are descriptive to the root cause or issue.<br/>• Participate in cross-functional and Arizona Management System (AMS) process improvement meetings and activities.<br/>• Coordination of acquiring access to the many systems needed when employees are hired, are on extended leave, or are separated from DMPS. Conduct access audits when necessary.<br/></span></p> </div> <div> <span>Knowledge, Skills &amp; Abilities (KSAs):</span> </div> <div> <p><span><strong>Knowledge of:</strong><br/>• AHCCCS policy and procedures regarding CHIP (KidsCare) and Medicaid including, but not limited to: ALTCS, MAGI, Non-MAGI, Medicare Savings Program, and SSI-MAO specialty categories<br/>• Methodologies and standards for efficient and effective work procedures<br/>• Troubleshooting techniques<br/>• Arizona Management System (AMS)<br/>• Customer service and support<br/><br/><strong>Skilled in:</strong><br/>• Identifying and researching system vs. procedural errors and analyzing program logic<br/>• Detail oriented<br/>• Verbal and written communication<br/>• Interpersonal interfacing with peers and other internal and external