Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, and communities for a better quality of life. DES is looking for individuals that are committed to service, community, and teamwork. To learn more about DES please visit des.az.gov; or click on the link here to view ‘Our DES’ video. Come join the DES Team!
The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Compliance Officer Senior. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community.
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 with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.
Essential Duties and Responsibilities include but are not limited to:
• Gathers, tracks and obtains updates from responsible parties regarding issues elevated to the Corporate Compliance Unit. Make recommendations to minimize risk of potential fraud, waste and/or abuse. Manages compliance activities as assigned.
• Designs, develops, implements, and evaluates audit tools and procedures to monitor standards consistent with AHCCCS Operational Review (OR), AHCCCS contracts and Division policies as well as makes recommendations for additional compliance activities.
• Analyzes, tracks and trends data obtained from various reporting sources and auditing activities. Use data to identify impacts and potential efficiencies. Ensures root causes are identified for any standard not in compliance.
• Participates in a variety of monitoring activities such as conducting on-site reviews and desk audits. Monitors implementation of Division, District and AdSS corrective action plans. Provides technical assistance to Division and AdSS staff in improving compliance with regard to Division, AHCCCS, CMS and CFR standards.
• Provides education and technical assistance to all Division staff regarding corporate compliance and the prevention and referral process for fraud, waste and abuse.
• Gathers information and data and creates a wide variety of reports and analysis to monitor and evaluate projects and programs. Reviews and makes recommendations on behalf of Division regarding internal or external requests related to AHCCCS policies pertaining Corporate Compliance.
Knowledge in:
• Managed care principles and delivery systems. Acute and long-term care principles.
• Arizona Health Care Cost Containment System (AHCCCS) statutes, rules, policies, and contract requirements.
• Federal Medicaid regulations, Division of Developmental Disabilities statutes, rules, policies, procedures, and guidelines .
• Health Insurance Portability and Accountability Act (HIPAA); Program designs for individuals with developmental disabilities.
• Organizational relationship of the Division to member/families, AdSS, subcontracted provider network and service provision.
Skills in:
• Oral and written communication; Planning, organizing, prioritizing, and time management.
• Applying critical thinking techniques; Researching, analyzing, and problem solving; Interviewing and eliciting information in support of project objectives .
• Interpersonal relations and providing leadership.
• Program planning and evaluation as related to compliance development .
• Using computer systems and programs (Microsoft Word, Outlook, Excel, Access, Power Point, AHCCCS/PMMIS system, FOCUS, CATS or similar programs).
Ability to:
• Relate in a positive and cooperative manner with a wide variety of people; Provide recommendations specific to information presented .
• Work in a fast-paced environment with shifting priorities; Remain flexible while ensuring compliance with standards.
• Problem solve and apply lessons to a broad array of situations; Quality control work products.
• Plan, coordinate, and establish priorities; Use independent judgment and work independently.
• Think through problem situations and manage difficult situations; Maintain confidentiality and professionalism at all times and through all work.
The ideal candidate for this position will have:
• Bachelor's Degree in public health (OR) closely related field or certification in Health Care Compliance (OR)
• Experience in compliance/ program administration, monitoring, auditing, or compliance in managed care organization (OR) Healthcare Fraud, Waste and Abuse plus 2 years of experience noted above.
• 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. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to Driver's license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operated a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) (R2-10-201.11).
• Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-2758.07 in order to work with children and vulnerable adults.
• Candidates for this position shall be subject to a search of both the Department of Child Safety Central Registry pursuant to A.R.S. 8-804 and the Adult Protective Services Registry pursuant to A.R.S. 46-459.
• Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency's ability to reasonably accommodate any restrictions.
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility.
The Arizona Department of Economic Security offers a comprehensive benefits package to include:
• 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
• Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Sick time accrued at 3.70 hours bi-weekly
• Deferred compensation plan
• Wellness plans
• Tuition Reimbursement
• Stipend Opportunities
• Infant at Work Program
• Rideshare and Public Transit Subsidy
• Career Advancement & Employee Development Opportunities
• Flexible schedules to create a work/life balance
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
State employees are required to participate in the Arizona State Retirement System (ASRS), the State sponsored retirement contribution plan and the Long-Term Disability (LTD) program after a 27-week waiting period. The ASRS defined benefit plan provides for life-long income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax-deferred retirement investments.
On, or shortly after, your first day of work you will be provided with additional information about the available insurance plans, enrollment instructions, submission deadlines and effective dates.
For questions about this career opportunity, please contact Shobana Jeyaraj at 480-915-7157 or shjeyaraj@azdes.gov.
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 480-915-7157 or shjeyaraj@azdes.gov. Requests should be made as early as possible to allow time to arrange the accommodation.
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
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