Job Summary :
This position provides administrative services for the Office of the General Counsel (OGC). The primary responsibility of this position is entering and scheduling hearings for provider claims dispute cases, health plan hearing requests, member and eligibility appeals, as well as related administrative support for cases which include H2O related matters.
Major duties and responsibilities include, but are not limited to :
Enter and schedule health plan requests for hearing (claims, members), schedule AHCCCS member and applicant appeals; draft and issue AHCCCS Notices of Hearing, authorized representative, voluntary withdrawal, and untimely letters, forms and informal decisions;
follow up on returned mail. Recommend / develop / modify procedures and forms to improve program effectiveness.
- Provide administrative support to other OGC units; perform other administrative duties such as answering phones, processing mail and faxes, receiving visitors, assisting with OnePrint and other equipment maintenance and monitoring office supplies.
- Initiate and perform the archiving and records retention process following established rules and guidelines.
- Coordinate participation in HIP, SECC, other agency wide and OGC events.
Knowledge, Skills & Abilities (KSAs) :
Knowledge :
- Principles and practices of administration and management
- Agency or program rules, regulations and operating procedures
- Microsoft Office (Word, Excel) or comparable office application
- Quality control procedures
- Process workflow design
- Rocket TE, Docuware, RightFax and Prolaw database computer systems
Skills :
- Organizational and planning skills
- Type proficiently
- Oral and written communication skills
- Computer skills
- Interpersonal and training skills
- Analytical skills
- Flexibility for variable workload
- Proofreading for high degree of accuracy
Abilities :
- Analyze and coordinate activities and establish priorities
- Develop effective operating procedures
- Adjust to changing priorities
- Multi-task
- Work with others effectively and to delegate appropriately
- Provide training concepts
- Manage work assignments
Qualifications : Minimum :
Minimum :
Three years responsible administrative experience; or Bachelor's degree in a field appropriate to the assignment and two years responsible administrative experience;
or a Master's degree in a field appropriate to the assignment and one year responsible administrative experience.
Preferred :
Preference will be given to candidates with experience in a healthcare or hospital 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)
- Other Leaves - Bereavement, civic duty, and military.
- 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.