Management Analyst

Job Summary

This position is responsible for the supervision and evaluation of data processing and data quality assurance activities for the Federally funded National Breast and Cervical Cancer Screening Program (NBCCEDP) through the Well Woman Health Check Program (WWHP). The position leads continuous quality improvement (CQI) to ensure optimal performance, data integrity, and efficiency. It conducts data quality analyses, presents recommendations to management, provides technical assistance, and coordinates process improvements and systems implementation.

• Review and audit claims submitted by contractors participating in the WWHP.
• Investigate medical procedure codes billed to ensure compliance with NBCCEDP policy and procedures and the State of Arizona WWHP scope of work.
• Approve or correct codes based on medical documentation and engage contractors for clarification.
• Develop or update functional or operational manuals outlining established methods of performing work in accordance with WWHP policy.
• Ensure accuracy in daily continuous quality improvement (CQI) of data entry process.
• Train and support team members and participate in weekly huddles and quarterly contractor meetings as a presenter.

Knowledge of

• Medical billing and coding education and training.
• CPT (Current Procedural Terminology) codes and Medicare regulations.
• CMS Medicaid and Medicare authorized billing codes.
• Microsoft Excel and working with Adobe PDF files.
• Performance Management, Continuous Quality Improvement, and Lean methodologies.

Skills in

• Reviewing and entering data into a specialized system.
• Setting up, manipulating, and editing documents.
• Identifying problems and determining effective solutions.
• Excellent typing and transcription skills with speed and accuracy.
• Presenting information on a statewide level.
• Understanding of medical terminology and data entry protocols.

Abilities to

• Exhibit excellent communication skills, including verbal and written.
• Conduct basic research and collect data.
• Accuracy, attention to detail, organizational and time‑management skills.
• Problem solve independently and learn new systems quickly.
• Multi‑task, manage tasks and project prioritization.
• Support a diverse multi‑cultural workforce and promote equal opportunity.

Associates or Bachelor’s degree in Allied Health Science, Certified Medical Billing and Coding and 3 years experience working as a medical biller/coder. Preference given to candidates with a Medical Billing and Coding Certification.

None.

• Affordable medical and dental insurance plans
• Paid vacation and sick time
• Paid parental leave up to 12 weeks per year (pilot program)
• 10 paid holidays per year
• Wellness program and plans
• Life insurance
• Short‑/long‑term disability insurance
• Defined retirement plan
• Infant at Work program
• Credit union membership
• Transit subsidy
• ADHS Student Assistance Pilot Program

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling . Requests should be made as early as possible to allow sufficient time to arrange the accommodation. The State of Arizona is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E‑Verify Employment Eligibility Verification.