Health Program Manager 1

Arizona Department of Administration; Phoenix (AZ); Hybrid; USD 33,000 - 55,000; Full time

Benefits offered by this job

Paid holidays

Vacation and Sick Time

Parental Leave

Retirement plan

Health insurance

Public Service Loan Forgiveness

RideShare subsidy

Career development

Job summary

AHCCCS in Arizona's Medicaid program is seeking a Health Program Manager 1 in the Division of Managed Care. The role oversees the PASRR program for Arizona residents in skilled nursing facilities, coordinating Level I and II submissions and ensuring compliance with federal and state rules.

The position requires two years of related experience (associates may substitute); a Bachelor's in healthcare is preferred. Remote work within Arizona may be available based on agency needs.

Qualifications

• Two years of professional experience related to health programs.
• Associates degree may substitute for one year of experience.
• Bachelor's degree in healthcare-related field preferred.
• Strong computer skills; familiarity with PASRR policies and procedures.

Responsibilities

• Coordinate and monitor PASRR referrals and evaluations, determining the appropriate reviewer for Level II submissions.
• Maintain PASRR mailbox/Portal and PASRR database; assist providers and resolve discrepancies.
• Develop and monitor program policies; conduct performance audits for compliance with laws and mandates.
• Support training initiatives and provide technical assistance to staff, MCOs, and providers.
• Interpret Federal and State PASRR rules and maintain client records.

Skills

Program planning

Written and oral communication

Interpersonal skills

Program monitoring

Data entry

Clinical review

Education

Two years of professional health program experience

Bachelor's degree in healthcare or related field preferred

Tools

PASRR Portal

Job description

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.

Health Program Manager 1

Division of Managed Care (DMC)

Address:150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees mustresidewithin the state of Arizona.

Salary: Up to $55,000

Grade: 20

FLSA Status: Exempt

This position will remain open until filled.

This position may offer the ability to work remote, within Arizona, based upon the agency’s business needs and continual meeting of expected performance measures.

Job Summary:

The purpose of this position is to implement the Pre-admission Screening and Resident Review (PASRR) program for Arizona residents admitted to a skilled nursing facility. This position is responsible for coordinating and evaluating Level I and Level II PASRR submissions to ensure compliance with Federal and State rules and regulations related to PASRR. This position audits submissions for accuracy and completeness and utilizes clinical judgment to evaluate decisions made by submitting providers and ensures that Level II requests are processed in accordance with policies and reviewed timely by the third-party clinicians.

Major duties and responsibilities include but are not limited to:

• Coordinate and monitor the processing of PASRR referrals and evaluations. Use clinical judgement to evaluate the accuracy and completeness of Level I and Level II submissions as well as to determine which third-party reviewer is best suited to address Level II submissions (behavioral health professional or intellectual/developmental disability professional).
• Maintain the PASRR mailbox/Portal and update the PASRR database to monitor and track clients. Provide support to providers by addressing inquiries and/or connecting providers with ISD or other appropriate resources. Resolve discrepancies and provide general problem solving efforts regarding the PASRR program (e.g. concerns, appeals, grievances
• Assist with development and monitoring of the program policies and procedures, including performance audits to ensure conformance with federal and state laws, and all legal mandates.
• Support training initiatives and provide technical assistance to internal staff, MCOs and providers as needed.
• Interpret Federal and State rules and regulations.
• Maintain client records and referrals.
• Attend meetings, seminars and conferences related to program.

Knowledge, Skills & Abilities (KSAs):

Knowledge:

• Federal and State laws and regulations
• Program planning and design
• Local, state and federal program resources
• Statewide hospitals and nursing facilities
• Medical and psychiatric terminology
• PASRR, department policy and procedures
• Applicable commercial software application and usage
• Record maintenance and report development methodology

Skills:

• Program planning, development and monitoring
• Demonstrated written and oral communication
• Listening, interviewing and eliciting information to support program objectives
• Interpersonal skills to establish and maintain effective working relationships
• Program monitoring and auditing
• Intermediate computer skills and basic data entry
• Clinical review and program determinations

Abilities:

• Review, evaluate, plan and organize health program activities and establish priorities
• Effectively problem solve
• Interact with difficult individuals and situations
• Evaluate compliance with policies and/or regulation

Qualifications:

Minimum:

• Two years of professional experience related to health programs appropriate to the assignment. Associates degree in a field appropriate to the assignment may substitute for one year of the required experience.

Preferred:

• Bachelor's degree a healthcare related field and/or 2-3 years of work experience related in Analytics, Auditing, Health Care, or Behavioral Health. Strong computer skills, understanding of State and Federal policies and procedures governing Medicaid and Medicare and knowledge of PASRR policies and procedures.

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.)

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:

• 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.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [e-mail].

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.

Advertised: 09 Sep 2026 US Mountain Standard Time