This position reports to the Quality Management (QM) Manager within the Division of Health Care Management, with indirect supervision support provided by the QM. This is a virtual office position and is responsible for administrative functions related to processing, tracking, and trending of Quality of Care concerns (QOCs). As a Quality Management Analyst, the chosen candidate will provide support to the QM Coordinators, QM Supervisor, and the QM Manager including documentation of unit processes, weekly summary reports on QM coordinator caseload status, detailed records of all opened cases, documenting and testing QM Portal updates, involved in QM Dashboard projects, and assisting in development and maintenance of performance metrics. This position will also support documentation, tracking, and trending of systemic QOCs.
• Quality management principles.
• Managed care system delivery.
• Statistical analysis and graphical representation of data.
• Federal and State laws and agency rule, regulations, policies, and procedures governing the position.
• Adult and child health care delivery systems.
• Principles and theories of research and statistical analysis.
• Principles and practices of medical terminology, and community health resources
• Microsoft Office (or comparable software program), Share Point, Google Workspace, database manipulation, etc.
• Determination of propriety of medically necessary services, care alternatives, standards of care, and overall care delivery.
• Communications both oral and written
• Work independently.
• Work in a fast-paced environment.
• Prioritize workload.
• Interpret and apply applicable rules, regulations, policies, and procedures to work. Work within a team as well as with Unit and Agency leadership
• Ability to extract data and build reports
Two years of management or healthcare analysis experience appropriate to the position; OR four years of experience appropriate to the position; A Bachelor's or Master's degree in a field appropriate to the position will substitute for one or two years of the required experience respectively, but will not substitute for the management or healthcare analysis experience.
Experience in health care delivery systems (Medical and or Behavioral Health) that includes quality program planning, metric/outcome tracking, and/or clinical services assessments.
• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
• 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.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
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)
• 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
• Opportunity to work 100% virtually or remotely on an ad-hoc basis (home office)
By providing the option of a full-time or part-time virtual/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.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
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 firstname.lastname@example.org.
Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA 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 Employment Opportunity Employer.