Description:

Job Summary:
This position works collaboratively to provide legal counsel and representation to clients within the Agency. This includes the A Government Entity Director, Deputy Directors, Assistant Directors, and other leadership and staff throughout the Agency.

Major duties and responsibilities include but are not limited to:

Perform legal research, provide legal advice, and prepare related legal documents regarding compliance with state and federal law and other relevant legal authorities regarding the administration of AHCCCS' programs. This includes the public behavioral health delivery system, protection of the rights of persons with the serious mental illness designation, claiming of federal financial participation (FFP), managed care contracting, healthcare provider qualification and enrollment, provider reimbursement, beneficiary program eligibility, the scope of covered physical and behavioral health l services, third party liability and coordination of benefits, and the administrative hearing process for applicants, beneficiaries, providers and contractors.
Review and analyze current and proposed state and federal statutes and regulations, state and federal legislative proposals, sub-regulatory guidance, and case law applicable to the AHCCCS program. Ensure compliance with state and federal privacy and confidentiality requirements and respond to public records requests and subpoenas consistent with those state and federal privacy and confidentiality requirements.
Review and analyze current and proposed state and federal statutes and regulations, state and federal legislative proposals, sub-regulatory guidance, and case law applicable to the AHCCCS program.
Assist with the Office of Inspector General and other State/Federal law enforcement entities on issues of Medicaid fraud, waste and abuse.
Participate in the negotiation, preparation and review of diverse contracts, including many of the largest procurements in the State. These include managed care contracts for physical, behavioral and long-term care services, and intergovernmental agreements including complex intergovernmental fund transfers; ensure compliance with procurement requirements; interpret contracts and advise in contract disputes including procurement protests. Assist with the drafting and negotiation of the Medicaid State Plan and the Section 1115 Waiver documents.
Provide legal representation to the Agency in various administrative and regulatory matters and provide legal support to staff that represent the agency at administrative hearings.
Review and analyze trusts associated with applications for benefits for compliance with legal and program requirements. Approving or denying trusts pursuant to 42 U.S.C. 1396p, recommending amendments to trust in order to qualify for program eligibility and providing oversight of trust reviews.
Review Administrative Law Judge Recommended Decisions and assist with the preparation of Director Decisions and Final Decisions.
Assist with the drafting of formal administrative rules consistent with program requirements, Agency objectives, and the Arizona Administrative Procedure Act.

Knowledge, Skills & Abilities (KSAs):
Knowledge of:

Administrative hearing and rule-making process
Legal research methods and principles and their application
Legal aspects of health care
Managed care programs
Entitlement programs including the Title XIX and Title XXI Programs, grant programs and funding
Principles and practices to resolve issues involving trust law in general and Arizona law relating to treatment of trusts in particular
Ethical standards applicable to lawyers and public employees
Arizona law regarding public records
Arizona Law relevant to rule making
Federal and state laws and regulations, AHCCCS programs, policies and procedures
Administrative law, contract law and tort law
Relevant court decisions, rules of evidence and court rules
Experience in resolving issues involving the application of State and Federal law as it relates to the treatment of trusts in determining eligibility for AHCCCS and Title XIX programs
HIPAA privacy laws and regulations; Part 2 Privacy provisions (42 CFR Part 2)
Substantive and procedural due process

Skill in:

Writing/preparing complex documents/reports
Preparation of complex legal documents including pleadings, motions, discovery, affidavits or declarations
Researching, extracting and utilizing relevant information and applying them to complex facts from complex problems, cases and assignments
Utilizing interpersonal skills, sound judgment, oral and written communications, effective negotiation skills, and an adaptable, cooperative and persuasive approach
Strong organizational and interpersonal skills
Attention to detail and accuracy
Strong legal project management and facilitation skills, including project development, organization and prioritization
Computer system skills, including advanced Microsoft Office skills and Google Suite
Leadership and management skills

Ability to:

Analyze and present legal positions clearly and logically in written and oral form
Identify and perform analysis/synthesis of complex issues and present recommendations and reports
Plan, prioritize and organize multiple projects and tasks
Communicate complex issues verbally and in writing in a clear and concise manner
Present cases and persuade administrative and judicial decision-makers through various stages of legal representation

Qualifications:
Arizona Driver's License

Minimum:
Juris Doctorate Degree from an accredited law school and the ability to maintain a current and valid license to practice law in the State of Arizona (or qualified for admission on motion).

Preferred:

Minimum of two years experience in the following areas: Health law, Medicare/Medicaid healthcare finance, or prior
experience representing state or federal agencies Leadership of business, program, and operational units of a large organization.

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.