AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

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.

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.

Come join our dynamic and dedicated team.

Deputy Inspector General

Office of Inspector General (OIG)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $100,000 - $110,000

Grade: 25

FLSA Status: Exempt

This position will remain open until filled.

Job Summary:

This is a high level position that reports directly to the AHCCCS OIG Deputy Assistant Director in the Fraud Support and Recovery Section. The position will act as a liaison between AHCCCS OIG, the Unified Program Integrity Contractor (UPIC), the Recovery Audit Contractor (RAC), Centers for Medicare & Medicaid (CMS) audits, and the Arizona Attorney General's Office. This position will manage the work of the UPIC and the RAC with AHCCCS OIG, and act as the contact for AHCCCS OIG CMS audits. This position will also manage AHCCCS OIG performance and production metrics for the Inspector General. Additionally, the incumbent will supervise the OIG Collection team and manage the AHCCCS OIG collection process.

Major duties and responsibilities include but are not limited to:
• Coordinate the UPIC activity and ensure the contractor is performing as required. Communicate the performance, issues, or concerns with the UPIC to the Inspector General and Deputy Assistant Director in the Fraud Recovery and Support section.
• Coordinate the RAC activity and ensure the contractor is performing as required. Communicate the performance, issues, or concerns with the RAC to the Inspector General and Deputy Assistant Director in the Fraud Recovery and Support section.
• Manage the OIG collection process and supervise the OIG Collections team. Oversee over-payments and recoupments returned to AHCCCS OIG. Ensure the collection process is followed to accurately reflect payments received and deposited by the AHCCCS Division of Business & Finance (DBF). Determine OIG bad debt quarterly and submit bad debt write off requests to the Attorney General's office annually. Monitor balance due cases assigned to the Collection team. Assist with External audit requests.
• Generate the AHCCCS OIG monthly metrics report and charts to illustrate the performance of the OIG and OIG staff. Use OIG case management data to highlight division activity on a monthly, annual, and ad-hoc basis. Create charts to visualize the data for the Inspector General, OIG managers, supervisors, and staff. Work with all OIG staff, including Lean Champions, to recommend areas of improvement and highlight successes. Coordinate CMS audits and requests for information as the AHCCCS OIG contact. Keep the Inspector General informed on CMS audit activities.
• Coordinate CMS audits and Metric requests for information as the AHCCCS OIG contact. Keep the Inspector General and OIG leadership informed of incoming, pending, and finalized CMS requests. Manage the gathering of information required to address CMS requests.
• Assist the AHCCCS OIG Deputy Assistant Director and Audit supervisor in the Fraud Support and Recovery section with AHCCCS policy and contract revisions and development, to include contract deliverable reviews.
• Assist OIG Project Managers with projects and information as needed.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
• Federal an