ADMINISTRATIVE COORDINATOR - PROGRAM INTEGRITY UNIT MANAGER

Arizona Department of Administration•Phoenix, AZ

5d•$60,000 - $67,000•Onsite

About The Position

The Department of Economic Security (DES) is seeking an experienced and highly motivated individual to join our team as an Administrative Coordinator within the Division of Developmental Disabilities (DDD). This role provides supervision and oversight to the Program Integrity Unit (PIU) within the Division's Corporate Compliance Unit (CCU). The position monitors Fraud, Waste and Abuse (FWA) prevention, detection, and reporting activities. This includes training Division's staff and providers, tracking and trending reporting metrics, and collaborating with other governmental agencies such as the Arizona Health Care Cost Containment System (AHCCCS) Office of Inspector General (OIG), Department of Economic Security (DES) OIG, and Social Security Administration (SSA). Applicants for this position cannot be licensed or certified by the DDD Office of Licensing, Certification and Regulation, cannot have a principal interest in or have a spouse or close family member with a principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Requirements

Knowledge in Managed Care principles and delivery systems.
Knowledge in AHCCCS rules, policies, and contract requirements.
Knowledge in Division's rules, policies, procedures, and guidelines.
Knowledge in Organizational relationship of the Division to members and families, AdSS, subcontracted provider network and service provision.
Knowledge in Fraud, Waste and Abuse (FWA) related law, statutes, regulations, policies, and contract requirements.
Knowledge in Contracts, qualified vendor specifications and payment methodologies.
Knowledge in Acute and long-term care principles.
Knowledge in Health Insurance Portability and Accountability Act (HIPAA).
Skills in project management.
Skills in Communicating and conveying information to a large audience.
Skills in Working with diverse functional areas within DES/Division and other governmental agencies.
Skills in Written and verbal communication skills, including editing documents for professional appearance.
Skills in Preparing reports, data analysis, and risk assessments.
Skills in Interviewing and eliciting information in support of project objectives.
Skills in Strong program planning and evaluation as related to compliance development.
Skills in Researching, investigating, developing, implementing, and monitoring corrective measures.
Skills in Interpreting related Federal and State laws, statutes, regulations, policies, procedures, and contract requirements.
Skills in Leadership, supervision.
Skills in Using computer systems and software (Microsoft, Google, Focus, and OnBase).
Ability to maintain confidentiality and professionalism at all times and through all work.
Ability to Work in a fast-paced environment with shifting priorities.
Ability to Analyze data trends and implement process improvement.
Ability to Coach and lead individuals in developing and implementing change.
Ability to Examine claims and calculate payments, based on contract terms, to determine the accuracy of payment through the use of various reports and supporting documentation.
Ability to Develop and maintain effective working relationships with all levels of Division staff, other programs, agencies, vendors, and the public.
Ability to Collaborate and effectively participate in group projects.

Nice To Haves

Bachelor’s Degree in Public Health, Health Care Administration, Business Administration or closely related field
3 years of supervisory experience

Responsibilities

Oversees and monitors FWA prevention, detection, and reporting requirements.
Ensures proper disposition of FWA referrals.
Overseeing Monitoring and Oversight activities to include reports of noncompliance and systemic issues, conducting Risk Assessments, and auditing corrective actions.
Warrants maintenance of compliance activities and Risk Mitigation.
Oversees and conducts audits, ensuring the Division’s compliance with CMS requirements, Federal and State laws, regulations, statutes, policy, procedure, and contract requirements.
Understands and ensures adherence to the seven Elements of Compliance.
Prepares and submits Corporate Compliance AHCCCS deliverables.
Reviews and approves deliverable submissions from AdSS.
Develops a variety of communications and training materials, incorporating the latest State and Federal laws, statutes, regulations, policies, procedures, and contract requirements.
Conducts meetings, work groups, and training with internal and external stakeholders.
Completes Performance Appraisals, authorizes leave, and approves ETE Time Cards for staff.
Demonstrates leadership skills, provides coaching, mentoring, professional development and follows personnel rules.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities