DEPARTMENT OF CHILD SAFETY

COMPREHENSIVE HEALTH PLAN
3003 N Central Ave Phoenix, AZ 85012

Salary: $32.5770 HRLY/$67,760.16 Salary 

Grade: 21

Closing Date: Open until filled

This position serves as the Department of Child Safety's (DCS) Comprehensive Health Plan (CHP)'s Quality Health Care Data Analytics subject matter expert. The position is responsible for the end-to-end delivery of health data management services focused on measuring the quality of health care for children in foster care utilizing metrics from systems, including but not limited to NCQA, HEDIS, and Medicare. The Clinical Informatics Analyst participates in the monitoring of DCS CHP's contracted Managed Care Organization (MCO); specifically, validates performance measures and other data driven metrics produced by the MCO. This position also contributes to DCS CHP's Quality Management Department's activities for ongoing continuous performance improvements, compliance and alignment with Agency strategic initiatives.

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.

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.

• Provides and analyzes data; confirms data accuracy and validity; leads data driven improvements and completion of compliance data measures for the DCS CHP Quality Management efforts. Develop visual products, analyses and presentations that contribute to meaningful reporting to meet state, federal and other standards such as accreditation.
  
• Collaborates with clinical and non-clinical disciplines to accurately and efficiently report on various deliverables. This position supports an inter-professional healthcare team as well as other stakeholders in their decision making, in quality roles and settings to achieve successful implementation to meet requirements. This includes meetings with other department teams to discuss potential improvements.
  
• Utilizes various applications and systems, DCS Lean Management strategies and tools, policies and procedures for the identification, collection, and analysis of performance measurement data including Healthcare Effectiveness Data and Information Set (HEDIS) measures. Participates in quality monitoring, evaluations and oversight of DCS CHP's contracted Managed Care Organization (MCO).
  
• Communicates with stakeholders, including but not limited to, DCS Leadership, Arizona Health Care Cost Containment System (AHCCCS), other Managed Care Organizations; participates in committee structures a the Quality Department's representative data subject matter expert; and reports and present data analytics as needed.
  
• Collaborate with the QM nurse and QA Compliance officer to review monitor and track the QM mailbox as well as the QM portal for Compliance with the AHCCCS Medical Policy Manual and AHCCCS Contractor Operations Manual.
  
• Interprets and applies statutes, regulations, and Arizona Health Care Cost Containment System (AHCCCS) policy and rules; Completes audits, performance review reporting, AHCCCS requests, Healthcare Effectiveness Data and Information Set (HEDIS) reports, accreditation reports and other reports required from the Quality Department or as support to other areas within the DCS CHP.
  
• Other duties as assigned as related to the position.

Knowledge of:

• Delivery of quality data in health care for children and youth in the child welfare system/managed care systems of care
  
• Principles of quality/performance improvement and driving process improvements utilizing quality data
  
• Understanding of regulatory methodologies, managed care delivery systems, and state government/management practices
  
• State legislative laws, regulations and rules related to behavioral health care and child welfare
  
• Principles of managed care

Skills in:

• Organization and change management
  
• Prioritizing numerous responsibilities and effectively managing time
  
• Computer software such as Microsoft Office or similar products (e.g. Word, Excel) and data analytics software
  
• Management and analytical/decision making
  
• Problem solving/trouble shooting
  
• Verbal and written presentation and communication
  
• Facilitating
  
• Implementing improvement processes
  
• Data management
  
• Cross-referencing data against other sources to validate data provided by other partners on performance in contracts-
• Supporting integration, coordination and data integrity from multiple systems

Ability to:

• Perform analysis on data related to health care, benchmarks and operations
  
• Analyze and report on data from claims, financial reports, patient, providers, grievances, concerns and complaints
  
• Ensure data compliance with rules and regulations of children's system of care healthcare delivery system
  
• Plan, analyze and coordinate data activities
  
• Effectively communicate to groups of community stakeholders, health professionals and paraprofessionals
  
• Assess implications on operations and processes-
• Detail, complex concepts/problems, and resolve operational issues impacting quality of services
  
• Meet established deadlines
  
• Navigate information systems
  
• Apply DCS policies and procedures
  
• Implement applications, tools and processes

5 years as a nurse, with 3+ years experience in quality management and preferably at least 2 years in managed care quality improvement or management. Management level experience preferred. Preference for Certified Professional in Healthcare Quality (CPHQ) by the National Association for Health Care Quality and/or Certified in Health Care Quality and Management (CHCQM).

Bachelor's Degree in Healthcare Informatics or a related healthcare/technology degree and experience or
Master's Degree in Healthcare Informatics or a related healthcare/technology degree and experience (Preferred)

In-state travel is required. Requires possession of and ability to retain a current, valid state-issued driver license appropriate to the assignment. Employees who drive on state business are subject to driver license record check, must maintain acceptable driving record and must complete any required driver training (see Arizona Administrative Code R2-10-207.12). Employees may be required to use their own transportation as well as maintain valid motor vehicle insurance and current Arizona vehicle registration. Mileage may be reimbursed, if applicable.

The ability to secure and maintain clearance from the DCS Central Registry.

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).

The State of Arizona provides an excellent comprehensive benefits package including:
● Affordable medical, dental, life, and short-term disability insurance plans
● Top-ranked retirement and long-term disability plans
● 10 paid holidays per year
● Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
● Sick time accrued at 3.70 hours bi-weekly
● Deferred compensation plan
● Wellness plans

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

Positions in this classification participate in the Arizona State Retirement System (ASRS). Enrollment eligibility will become effective after 27 weeks of employment.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-255-3141 or by email at ADA@AZDCS.GOV.   Requests should be made as early as possible to allow time to arrange the accommodation.  Should you have any further questions regarding the interview process you can reach out to a member of our recruitment team at 602-255-2903 or by email at recruiting@azdcs.gov.  The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.