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Integrated Services Care Specialist

  • 540463
  • PHOENIX
  • REMOTE OPTIONS
  • AHCCCS
  • Full-time
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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.

Integrated Services Care Specialist

Division of Fee For Service Management (DFSM)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Posting Details:

Salary: $47,999 

Grade: 19

FLSA Status: Non-Exempt

First Review of Resumes: April 27, 2026  

Job Summary:

This position provides support for the DFSM Continuation of Operations Plan (COOP) development and implementation, conducting support and follow up to care coordination tracking and reporting of Care Coordination data. This position will serve as the lead for care coordination projects, including maintenance of SharePoint and HIE data platform users. As part of the Case Management System Units (CMSU), Care Coordination functions, the position will work to develop CSMU infrastructure for care coordination, including developing and maintaining desk levels, process flows. and data flows. This position will also work with care coordination partners, including Regional Behavioral Health Authorities, Tribal Regional Behavioral Health Authorities and IHS/638 facilities. Under the direction of the CMSU Integrated Services Administrator, the position will work closely with CMSU care coordination team and support staff. This position will be in-office to address member and provider communication outreach and support the unit during site visits based on the unit and divisional needs.

Major duties and responsibilities include but are not limited to:
• Provides support to the CMSU Care Coordination functions, including documentation for High Needs/High Cost clinical staffing, member eligibility, member rolls. and maintaining care coordination eligibility.
• Responds to partner inquiries related to care coordination processes, and other miscellaneous issues.
• Develop and implement CSMU infrastructure related to care coordination, including desk levels, process, and data flows, serve as lead for care coordination platforms, including the HIE and SharePoint.
• Cross train CSMU staff in care coordination functions and provide back up to CSMU transportation, If needed.
• Develop and implement COOP protocols and processes

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Knowledge, Skills & Abilities (KSAs):

Knowledge of:
• Behavioral Healthcare Delivery Systems
• Familiarity with Native American Tribes/ programs
• Member psychosocial and medical needs
• Medicaid, Medicare Federal Regulations, State Statute and Rule and policies applicable to AHCCCS programs
• ICD and HCPC codes
• Specific geography of Arizona and New Mexico and surrounding states
• AHCCCS and DFSM Policies and Procedures
• Familiarity of authorization and utilization review
• Medical technology computer data retrieval and input

Skill in:
• Problem solving skills
• Excellent verbal/written communication skills
• Organizational skills to coordinate, monitor and report
• Analytical skills to identify and correlate specific patterns, initiate investigations, submit findings and recommendations
• Strong interpersonal skills in working with people of diverse cultures and socioeconomic backgrounds
• Documentation and reporting of data and trends
• Intermediate computer skills (i.e. Microsoft Office Suite, Word, Excel, and Google)

Ability to:
• Strong ability to collaborate with others for mutually beneficial outcome
• Plan, organize, prioritize work, and multitask in a fast paced environment
• Understand clinical information
• Read, interpret, and apply complex rules and regulations
• Independent decision making yet knowing when to elevate the decision
• Support unit in-office based on business needs
• Ability to work Virtual Office (VO), Telecommute or both

Selective Preference(s):

Minimum Qualifications: Two years of experience in a healthcare support role.

Preferred Qualifications: Experience in Behavioral Health, prior experience working with Tribal entities.

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 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.

Contact Us:

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