Administrative Coordinator - Program Integrity Unit Manager

Arizona Department of Administration • Phoenix, AZ

4d • Onsite

About The Position

The Department of Economic Security (DES), Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as an Administrative Coordinator. Provides supervision and oversight to the Program Integrity Unit (PIU) within the Division of Developmental Disabilities (Division) Corporate Compliance Unit (CCU). Monitors Fraud, Waste and Abuse (FWA) prevention, detection, and reporting activities including but not limited to training Division's staff and providers, tracking and trending reporting metrics, and collaborating with other governmental agencies including 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.
• AHCCCS rules, policies, and contract requirements.
• Division's rules, policies, procedures, and guidelines.
• Organizational relationship of the Division to members and families, AdSS, subcontracted provider network and service provision.
• Fraud, Waste and Abuse (FWA) related law, statutes, regulations, policies, and contract requirements.
• Contracts, qualified vendor specifications and payment methodologies.
• Acute and long-term care principles.
• Health Insurance Portability and Accountability Act (HIPAA).
• Skills in: Project management.
• Communicating and conveying information to a large audience.
• Working with diverse functional areas within DES/Division and other governmental agencies.
• Written and verbal communication skills, including editing documents for professional appearance.
• Preparing reports, data analysis, and risk assessments.
• Interviewing and eliciting information in support of project objectives.
• Strong program planning and evaluation as related to compliance development.
• Researching, investigating, developing, implementing, and monitoring corrective measures.
• Interpreting related Federal and State laws, statutes, regulations, policies, procedures, and contract requirements.
• Leadership, supervision.
• Using computer systems and software (Microsoft, Google, Focus, and OnBase).
• Ability to: Maintain confidentiality and professionalism at all times and through all work.
• Work in a fast-paced environment with shifting priorities.
• Analyze data trends and implement process improvement.
• Coach and lead individuals in developing and implementing change.
• Examine claims and calculate payments, based on contract terms, to determine the accuracy of payment through the use of various reports and supporting documentation.
• Develop and maintain effective working relationships with all levels of Division staff, other programs, agencies, vendors, and the public.
• 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, and (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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager