Quality Manager

Arizona Department of Administration • Phoenix, AZ

3d • Hybrid

About The Position

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. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. Come join our dynamic and dedicated team.

Requirements

• Three years of supervisory level experience
• Three years of professional experience performing eligibility work
• Arizona Drivers License

Nice To Haves

• Five years of related experience related to health or eligibility programs appropriate to the assignment, which included program planning or administration
• Three years of managerial experience
• A college degree in a field appropriate to the assignment may substitute for some professional experience.

Responsibilities

• Manage and develop eligibility Quality Assurance staff and supervisors who are responsible for quality assurance reviews, outcome analysis, deficiency challenges, quality clarifications, updates to the quality assurance process and procedures, results tools and supporting materials. Oversight of work assignment along with timeliness of the QA team.
• Ensures that uniform interpretations and application of State and Federal laws, agency policies and rules and regulations governing Medicaid and KidsCare and other related program activities are maintained. Monitor new rules and regulations to determine impact on QA operations and make plans of necessary changes to the quality review process.
• Champion AMS and provide guidance, insight and support. Provide innovative and solutions focused Process Improvement and Root Cause Analysis. Mentor QA staff to develop an operationally efficient and highly performing engaged workforce.
• Participate in leadership meetings to include CORE Managers, Program Support/Operations collaboration, OECO Leadership and others as appropriate. Participate in DMPS and agency policy and systems development work groups and process improvement teams as appropriate.
• Monitor trend analysis of review data and propose communications, education and/or policy revisions.
• Consult with both DMPS Program Support and DMPS Operations regarding program integrity growth opportunities.

Benefits

• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees