Adult Programs Coordinator - Hybrid

Blue Cross Blue Shield of Arizona•Flagstaff, AZ

1d•Hybrid

About The Position

Blue Cross Blue Shield of Arizona (AZ Blue), a Healthiest Employer awardee, aims to inspire health and make it easy by offering various health insurance products and services to individuals, families, and businesses. AZ Blue operates with a hybrid workforce strategy called Workability, providing flexibility in work location. Positions are classified as hybrid, onsite, or remote, with most employees being hybrid. This specific Adult Programs Coordinator position is hybrid, requiring residency and work to be performed within the State of Arizona, with an onsite expectation of at least once per week. The Adult Programs Coordinator is responsible for providing oversight and direction in the development of Evidence Based Practices (EBP) for behavioral health and substance use services across the Medicaid segment network, including outpatient, inpatient, medication assisted treatment (MAT), and opiate replacement services (ORS). The role focuses on EBPs identified by SAMHSA/NREPP, ensuring fidelity to established models. This position involves establishing partnerships with providers, assessing service utilization, identifying areas for improvement, and supporting program quality and outcomes. Additionally, the coordinator represents the organization in AHCCCS Adult System of Care meetings and initiatives, contributing to system-level planning, collaboration, and continuous quality improvement.

Requirements

2 years of experience in the administration of or oversight of evidence-based behavioral health or substance use programs and services; or related field
Master’s degree in a behavioral health field or health related field
Valid Arizona Driver License, with an acceptable driving record
Knowledge of and experience in behavioral health and substance use treatment programs and services
Knowledge of the Arizona healthcare system
Knowledge of federal and state program requirements and regulations, including AHCCCS, CMS, and NCQA.
Excellent written and oral communication skills
Proficient use of Microsoft Office applications.
Knowledge of AHCCCS and ADHS policies and procedures.
Ability to effectively prioritize and handle multiple projects.
Ability to work effectively and collaboratively across departments.
Ability to effectively train individuals and provide technical assistance.
Ability to communicate appropriately and effectively both verbally and in writing.
Ability to research and analyze various types of data.
Ability to multi-task and prioritize work in a fast-paced environment and maintain a profession demeanor at all times.
Successful time and project management
Demonstrated ability to work effectively independently and as part of team.

Responsibilities

Serves as the subject matter expert in Evidence Based Practices for behavioral health services and substance use services offered throughout the Medicaid segment network, including but not limited to outpatient services, inpatient services, medication assisted treatment (MAT), and opiate replacement services (ORS).
Establishes and maintains partnerships with behavioral health providers, substance use providers, and community-based organizations throughout the state.
Provides technical assistance, training, support, planning, and information for the company, contracted providers, and stakeholders on Evidence Based Practices and the implementation of behavioral health and substance use activities in the Adult System of Care (ASOC).
Supports access to behavioral health and substance use services for members in rural and underserved communities by collaborating with providers and stakeholders to identify service gaps and develop innovative solutions for delivering care.
Participates in community-based outreach, including tabling at events, to share information on behavioral health and substance use services and evidence-based programs.
Attends meetings and participates in regional and statewide initiatives related to the AHCCCS Adult System of Care (ASOC).
Oversees contractual requirements related to AMPM 570, including the development of Case Management Plan deliverables.
Audits programs/best practices, including ASAM, case management inventories, the Assertive Community Treatment teams, and other Ad Hoc audits, as needed.
Coordinates with AHCCCS contractor for SMI Determinations.
Develops deliverables, communications, reports, and policies and procedures, as appropriate.
Coordinates and collaborates with internal and external stakeholders, providers, members, state officials on regional behavioral health substance use related issues and programs, including prevention programming.
Serves as liaison with state, regional and community groups and participates in meetings and committees as assigned; maintains positive relations with partners.
Maintains confidentiality, privacy and security of protected information and records
Ability to travel occasionally
Perform all other duties as assigned