Title: RHTP Program Area Grants Analyst Job Description: Job No: 540926 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Administrative Support/Customer Service, Budget/Finance/Payroll, Business and Financial Administration, Research 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. RHTP Program Area Grants Analyst Office of the Director (OOD) Job Location: Address: 150 North 18th Avenue Phoenix, Arizona 85007 All AHCCCS Employees must reside within the state of Arizona. Posting Details: Salary: $82,500 Grade: 23 FLSA Status: Exempt This position will remain open until filled. Job Summary: Under the supervision of the Program Area Manager, the Program Area Analyst supports the implementation portfolio for an assigned Rural Health Transformation grant program initiative area. The position is responsible for supporting the RHTP strategic goals implementation plans and executing grant programmatic efforts in close coordination with stakeholders, under the guidance of the Program Area Manager. The Program Area Analyst provides direct monitoring of sub-recipients within the assigned portfolio, coordinates and monitors initiative-level milestones, prepares data inputs for CMS progress reports, and maintains documentation to support performance assessments and financial audits in accordance with HHS and CMS requirements. This position is critical to sustaining the program's capacity for detailed oversight, accurate reporting, and audit readiness, ensuring that each initiative under the RHTP award meets its intended outcomes and complies with federal standards. The program Area Analyst provides technical assistance and administrative support to sub-recipients and partners, collaborates with fiscal and compliance teams to validate expenditures and ensure alignment with federal cost principles, and proactively identifies risks or delays for escalation to the Program Area Manager. The position is grant funded and may be eliminated based on the availability of funding. Arizona's Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as a part of a financial assistance award totaling $166,998,955.92 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor endorsement, by CMS/HHS, or the U.S. Government. Major duties and responsibilities include but are not limited to: • Support the management of the implementation portfolio for an assigned grant program area, including direct monitoring of sub-recipients within the portfolio. • Maintain documentation to support sub-recipient performance assessments and financial audits in accordance with funder requirements. • Coordinate and monitor grant program milestones, deliverables, and timelines. Support site visits and on-site monitoring activities as assigned. • Execute programmatic efforts in close coordination with stakeholders and under the guidance of the Program Area Manager. • Prepare data inputs and supporting materials for quarterly and annual progress reports. • Provide technical assistance and administrative support to sub-recipients and partners to ensure timely delivery of program objectives. • Collaborate with fiscal and compliance staff to validate expenditures and ensure alignment with federal cost principles. • Proactively identify risks or delays within the assigned portfolio and escalate to the Program Area Manager. • Other duties as assigned as related to the position (typically 5% - 10%) Knowledge, Skills & Abilities (KSAs): Knowledge of: • Working knowledge to support adherence to grant management policies, practices, procedures, guidelines, and requirements, including 2 CFR Part 200, CMS terms and conditions, and the HHS Grants Policy Statement • General understanding of accounting practices and principles, including federal cost principles and budget-to-actual reporting Skilled in: • Interpersonal and collaboration skills with internal and external key stakeholders, including sub-recipients, contractors, and consultants • Demonstrated project management capabilities • Detail-oriented • Demonstrated analytical and problem-solving skills, including basic data analysis in support of performance monitoring • Strong communication skills (Written, oral, and presentation) • Proficient in Microsoft Office (Excel, Word, and PowerPoint), Google Suite, and comfortable navigating new software products and applications Ability to: • Build relationships across diverse populations • Manage multiple priorities and work effectively in a fast-paced, dynamic environment • Organize and manage milestones, deliverables, and documentation across multiple work-streams • Identify errors, inconsistencies, and risks in program and financial documentation • Provide technical assistance to internal and external partners • Work independently and collaboratively under the guidance of a supervisor Qualifications: Arizona driver’s license. Minimum: • Bachelor's degree in a related field with 2 or more years in grants management, program operations, or other similar functions. Preferred: • Master's degree in a related field with 1-2 years experience in grants management, program implementation, or federal grant program administration. Pre-Employment Requirements: • 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 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 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: Driver’s License Requirements. 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) • Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here. • Other Leaves - Bereavement, civic duty, and military. • A top-ranked retirement program with lifetime pension benefits • A robust and affordable insurance plan, including medical, dental, life, and disability insurance • 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 program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page 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.

Principal Systems Analyst Location: Remote US Type: Contract Category: Business Analysis Industry: Financial Services Workplace Type: Remote Reference ID: JN -052026-106836 Job Description: Remote Our client seeks Principal Systems Analysts to drive analysis and documentation supporting the modernization of brokerage, trading, reporting, and data processing systems to AWS. The role requires enterprise systems analysis, strong requirements and data skills, and the ability to translate complex workflows into scalable cloud solutions. The analyst will collaborate across engineering, product, architecture, QA, and business stakeholders within an Agile model. The program spans APIs, data movement, reporting, and migration from legacy mainframe platforms. Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. Rate: $60.00 to $65.00/hr. w2 Responsibilities: - Analyze existing legacy trading, reporting, and brokerage workflows to support modernization initiatives. - Gather, document, and refine business and technical requirements for cloud migration projects. - Collaborate with engineering teams to define scalable target-state architectures and workflows. - Support modernization of APIs, reporting platforms, data movement processes, and cloud-native application capabilities. - Document current-state and future-state business processes, system interactions, and data flows. - Work closely with stakeholders to identify dependencies, integration points, and migration risks. - Conduct data analysis and mapping activities supporting cloud data migration and reporting modernization. - Participate in Agile ceremonies including backlog refinement, sprint planning, and user story development. - Create detailed functional specifications, process documentation, and acceptance criteria. - Partner with QA and SDET teams to validate business functionality and testing requirements. - Assist with production support analysis, issue resolution, and root cause investigations. - Support phased migration strategies designed to minimize operational disruption and downtime. - Facilitate communication between technical teams and business stakeholders. Experience Requirements: - 8+ years as a Systems Analyst, Business Systems Analyst, or Technical Analyst. - Experience supporting enterprise-scale modernization or migration initiatives. - Strong requirements gathering and documentation skills. - Strong data analysis and SQL experience. - Proficiency with REST and SOAP APIs. - Proficiency with JSON and YAML. - Experience with API testing tools such as Insomnia or Bruno. - Experience with SQL, relational databases, and Python or scripting. - Experience with monitoring tools such as Splunk or Datadog. - Working knowledge of API authentication models including JWT and 2Way SSL. - Experience analyzing complex enterprise applications and integrations. - Ability to translate business requirements into technical specifications. - Experience in Agile or Scrum delivery environments. - Strong collaboration and communication skills. - Ability to work across multiple teams and stakeholders. - Proven effectiveness in fast-paced enterprise environments. - Experience within financial services, brokerage, wealth management, or trading environments (preferred). - Experience supporting cloud migration initiatives (preferred). - Understanding of APIs, microservices, and cloud-native architectures (preferred). - Familiarity with AWS cloud environments (preferred). - Experience with reporting and data warehouse modernization (preferred). - Understanding of end-to-end trading workflows and financial transaction processing (preferred). - Experience with enterprise data lakes, reporting platforms, or analytics systems (preferred). Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range. W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.

• Develop detailed understanding of application functionality by working with senior staff, attending training and/or reading documentation. • Collaborate with end users to understand and define requirements. • Use technical and analytical skills to determine the best approaches to tailoring systems to meet individual requirements. • Build and configure systems to meet requirements, using available application tools. • Create documentation of custom builds as appropriate. • Develop test scenarios based on requirements. • Execute testing and identify issues. • Research and resolve issues. • Provide input to application implementation event plans. • Provide support during application implementation events, including occasional off-hours support. • Lead small to medium size complex projects with oversight • Build enhancements to current functionality using application tools. • Participate in detailed testing of software updates and upgrades. • Respond to issues reported by users; research and resolve issues in a timely fashion. • Provide excellent customer service: communicate in a friendly and professional manner, empathize with users on system issue impacts, set appropriate expectations on issue resolution. • Participate in after-hours on call support rotation, troubleshooting and resolving system issues escalated by the Help Desk. • Collaborate with vendor support personnel to research and resolve vendor product issues. • Participate in vendor user groups and online listservs, and review contents of vendor updates, to ensure optimization of the capabilities of the assigned applications. • Participate in cross-training, as a trainer and a learner, for personal development and to ensure adequate secondary coverage on all applications.

Title: Denial Recovery Coding Analyst | Enterprise Denial Management Locations: FL, GA, PA, NC, SC, TN, or TX Work Type: Remote, Full Time Job ID: 57859 Job Description: Overview Work remotely while using your denial management expertise to make a direct impact on healthcare operations. Turn insights into impact-driving coding accuracy, reducing denials, and maximizing reimbursement across the enterprise. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE) Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times. Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes. Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Responsibilities Key Responsibilities: - Manages clinical denials from assigned work queues, including claim resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals - Partners closely with Managed Care and payers to reduce denials and improve reimbursement outcomes - Analyzes denial trends and develops recommendations to improve coding accuracy and documentation practices - Meets established productivity and accuracy standards, including reviewing approximately 30 accounts per day with a 98% accuracy rate - Applies coding guidelines (NCCI, ICD-10, CPT, HCPCS, CMS) to accurately review, code, and correct accounts - Collaborates with department managers to track, report, and resolve denials, including participating in audits and compliance reviews - Identifies root causes of denials, tracks trends, and escalates findings to leadership for follow-up and process improvement - Works across multiple payer work queues, including Medicare, Medicaid, government, and commercial payers - Research denials related to authorization, medical necessity, non-covered services, coding, and billing issues, ensuring timely resolution and appeal submission - Prepares and submits detailed, well-supported reconsiderations and appeals based on medical record review and payer requirements - Monitors payer communications and policy updates to identify risks impacting reimbursement and authorization requirements - Reviews and corrects coding, including modifier usage, diagnosis sequencing, and compliance with coding guidelines - Reviews and adjusts charges as needed based on documentation, billing, and regulatory standards - Educates departments on denial prevention strategies, including improvements in coding, charging, and authorization processes Qualifications Minimum Qualifications: - High School Diploma or GED required - One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS - 1-2 years of coding experience, along with 1-2 years of denial management and/or insurance-related experience