AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

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.

Compliance Administrator

Division of Managed Care (DMC)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $62,000 - $67,080

Grade: 22

FLSA Status: Exempt

This position will remain open until filled.

Job Summary:

The Compliance Administrator is responsible for developing, managing and overseeing adherence to compliance standards for Direct Care Worker training and testing, and Community Service Agencies representing two unlicensed provider types. This position will be responsible for developing and implementing audit strategies including developing data collection and summaries to identify and trend compliance performance.

Major duties and responsibilities include but are not limited to:
• Monitoring and overseeing the managed care organizations compliance with both direct care worker training and testing and Community Service Agency credentialing standards including performing audit functions.
• Developing and performing desk audits and approving new direct care worker training and testing programs.
• Managing direct care worker training and testing helpdesk and technical assistance requests for users in the online testing records database, including identifying ways to improve processes and streamline user experience.
• Leading strategic discussions and proposing/writing policy changes to update compliance standards and/or streamline processes in collaboration with SMEs across the agency, Managed Care Organizations and the provider industry.
• Developing strategies and work products (e.g. technical assistance trainings, data reports) to support Managed Care Organizations and providers to comply with AHCCCS policy standards including execution of direct training and technical assistance activities.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
• Service delivery systems and the provision of attendant Care and rehabilitation support services for individuals with disabilities and/ or behavioral health needs
• Concepts and techniques associated with strategic planning, implementation, process improvement and change management
• Documentation development and applications including Microsoft Word, Excel and SharePoint

Skills:
• Basic auditing and compliance processes including establishing policy requirements, compliance standards, auditing records and tracking compliance milestones
• Strong organizational and project management skills including meeting coordination, documentation, follow-up and tracking progress on short-term and long-term projects and initiatives
• Strong communication and public speaking skills including the ability to communicate with diverse audiences of both internal and external stakeholders from Executive Management to AHCCCS members
• Strong technical writing skills; must be skilled in producing written information in a succinct and organized manner that is appropriate for the intended audience
• Problem analysis and ability to make recommendations for improvements, including program evaluation or policy development
• Statistical analysis, data analysis, and research methods
• Developing expectations/goals and measured results and raising the level of team performance and capability

Abilities:
• Work independently with minimal direction
• Identify both internal and external data sources, analyze and summarize data for stakeholders

• Manage multiple projects simultaneously, prioritize projects and meet deadlines
• Motivate internal and external stakeholders effectively to obtain pertinent information for decision making and to communicate direction efficiently and effectively
• Develop and maintain effective working relationships including community-based organization, advocacy groups and stakeholder groups
• Accurate and complete data entry and documentation

Qualifications:

Minimum:
• Bachelor's Degree in Public Health, Public Administration, Social Work, Psychology, or a related field OR; 5 plus years experience to include: 1 - 2 years experience in the provision of home and community-based services or rehabilitation services.

• 3 years experience in audit, compliance or project management fields.

Preferred:
• 3 - 5 years experience in the provision of home and community-based services or rehabilitation services.

Pre-Employment Requirements:

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.

• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• 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

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

ARIZONA MANAGEMENT SYSTEM (AMS)

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.
State employees are highly engaged, collaborative and embrace a culture of public service.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements