Phoenix Medical Eligibility Assessor

Phoenix Medical Eligibility Assessor

• 542744
• PHOENIX
• REMOTE OPTIONS
• AHCCCS
• Full-time
• Closing at: Aug 16 2026 - 23:55 MST

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AHCCCS

Arizona Health Care Cost Containment System

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.

We're Hiring!

Phoenix Medical Eligibility Assessor

Arizona Health Care Cost Containment System

Division of Member and Provider Services

150 N. 18th Avenue Phoenix, Arizona 85007

https://www.ahcccs.gov

Salary: $24.6827 Hourly

Flexible Work Options: Remote within Arizona

Requisition Closing Date: August 16, 2026

Make An Impact With AHCCCS

AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona's citizens, ensuring access to quality healthcare for vulnerable populations.

Why AHCCCS?

At AHCCCS, your work doesn't just support a system-it transforms lives across Arizona.

Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles.

Diverse Career Paths: Whether you''re an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry.

Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions.

What You'll Do

As a Medical Eligibility Assessor, you'll:

• Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS)
• Review medical records
• Record and update actions taken on case files
• Directly interact with customers
• Travel to various off-site locations

Your Competencies and Skills

We're looking for someone who can:

• Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings.
• Determine Medicaid eligibility based on medical records, health conditions, and treatment history.
• Ensure compliance with Medicaid guidelines, state, and federal laws.
• Prepare and submit medical assessment results accurately and on time.
• Provide community resources for customers not eligible.
• Recognize improvement opportunities in medical assessments.
• Stay current on Medicaid rules and regulations.

What We Need From You

Required Qualifications:

• Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree.
• Valid Driver's License
• Pass a Fingerprint Background Screening
• Complete E-Verify employment eligibility
• Attend required training at start of employment

What Sets You Apart

Preferred Qualifications:

• Background in medical case management
• Licensure as a Registered Nurse
• Professional experience working with the elderly or disabled

The Perks

Join us, and you'll enjoy:

• Comprehensive medical, dental, and life insurance options
• Supportive retirement plan through Arizona State Retirement System (ASRS)
• 10 paid holidays and generous vacation/sick leave
• Up to 12 weeks of paid parental leave (pilot program)
• Tuition reimbursement, wellness plans, and professional development
• Flexible schedules to support work-life balance
• Visit the State of Arizona benefits page for more

Are You Ready to Make a Difference?

Take the next step in your career and join a team that's transforming lives across Arizona.

Apply today and be part of something extraordinary!

For questions, contact AHCCCS Careers at 602‑417‑4000 or careers@azahcccs.gov

Additional Details

Applications are reviewed on a rolling basis-apply early to ensure consideration!

Travel within Arizona may be required for this role.