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PROGRAM COMPLIANCE AUDITOR 2

  • 501418
  • PHOENIX
  • DEPT OF ECONOMIC SECURITY
  • Full-time
  • Closing date: Sep 26 2021 at 23:55 MST

DEPARTMENT OF ECONOMIC SECURITY

Your Partner For A Stronger Arizona.

DES works with families, community organizations, advocates and state and federal partners to realize our collective vision that every child, adult, and family in Arizona will be safe and economically secure.

DES serves more than 3 million Arizonans Our Mission is to make Arizona stronger by helping Arizonans reach their full potential through temporary assistance for those in need, and care for the vulnerable.

PROGRAM COMPLIANCE AUDITOR 2

Division of Developmental Disabilities

Job Location:

Address:  1789 West Jefferson, Phoenix Arizona, 85007

Posting Details:

Salary: $33,435.00 - $59,812.00 

Grade: 19

Closing Date: 9/26/2021

Job Summary:

This position will assist the manager with existing and new complex projects, which includes the development of project schedules, metrics, timeliness, charts, process flowcharts and other devices and tools to properly manage the projects and to report the activities accomplished by such. Plan, schedule and conduct periodic audits in accordance with the Monitoring & Compliance Unit’s Annual Audit Schedule of Division operational areas that are reviewed by AHCCCS including but not limited to: General Administration (GA), Grievance System (GS), Maternal/Child Health and EPSDT (MCH), Medical Management (MM), Member Information (MI), Quality Management (QM), Quality Improvement (QI), Reinsurance (RI), Third Party Liability (TPL), Corporate Compliance (CC), Case Management (CM), Claims and Information Systems (CIS) and Delivery Systems (DS). Research and develop audit tool to define parameters/scope of audit. Complete audits and conduct exit meeting with Operational Area leadership. Document processes and prepare audit findings. Draft written reports, memorandum and other documents. Conduct follow up audits to monitor implemented interventions. Conduct business and statistical analysis to track progress. Engage in continuous knowledge development regarding agency/state rules, regulations, best practices, tools, techniques and performance standards. Maintain open communication with management and applicable committees. Prepares or assists in preparing and working on special projects. Work collaboratively in teams and across organizations; synthesize feedback and adjust plans accordingly. Manages multiple small to medium-sized projects/audits. Work’s cross-functionally to solve problems and implement changes. Recommends project standards, goals and procedures. May serve as back up to key staff when needed. Performs other duties as assigned.

Job Duties:

• Assist and participate in complex projects, which includes the development of project schedules, metrics, timeliness, charts, process flowcharts and other devices and tools to properly manage the projects and to report the activities accomplished. Plan, schedule and conduct periodic audits in accordance with the Monitoring & Compliance Unit’s Annual Audit Schedule of Division operational areas that are reviewed by AHCCCS.
• Research and develop audit tool to define parameters/scope of audit. Complete audits and conduct exit meeting with Operational Area leadership. Document processes and prepare audit findings. Draft written reports, memorandum and other documents. Conduct follow up audits to monitor implemented interventions. Conduct business and statistical analysis to track progress.
• Engage in continuous knowledge development regarding agency/state rules, regulations, best practices, tools, techniques and performance standards. Maintain communication with management and applicable committees. Identify, track, and trend any emerging non-compliant program practices and systems for the purpose of intervening early and interrupting institutionalization of non-compliance across affected programs.
• Balance, prioritize and organize multiple tasks; work collaboratively in teams and across organizations; synthesize feedback and adjust plans accordingly. Assist the Monitoring and Oversight unit in the conduct of Readiness Reviews in preparation for formal AHCCCS/ALTCS audits of DDD’s Long Term Care Program and federal audits of the AZEIP program.
• Manages multiple small to medium-sized projects/audits. Work’s cross-functionally to solve problems and implement changes. Recommends project standards, goals and procedures. May serve as back up to key staff when needed.

Knowledge, Skills & Abilities (KSAs):

• Knowledge of federal and state laws pertaining to Medicaid Managed Care and LTSS, including principles and practices of business administration and time management.
• Knowledge of clear understanding of rules and procedures governing the services for the ALTCS DDD population.
• Knowledge of financial management, LEAN and Six Sigma or Project Management principles, the principles of public administration; and professional effective communication.
• Knowledge of methods for tracking complex work with milestones and detailed time lines; and knowledge of public contracts and policy.
• Skilled in analytical thinking.
• Skilled in strong technical and professional writing.
• Skilled in planning, organizing, prioritizing, coordinating and administering multiple projects/tasks.
• Skilled in conceptualizing; planning, designing, and developing projects.
• Skilled in working with diverse high-performance teams.
• Skilled in interpersonal, written and oral communications.
• Ability to plan, organize, coordinate, and evaluate complex contract and policy language.
• Ability to organize and maintain large project schedules including daily metrics.
• Ability to research, analyze and synthesize data; read, interpret and analyze complex statutes, rules and policies related to health care, finance, and IT systems.
• Ability to create technical reports, and visual data for metrics.
• Ability to lead a team and work independently.
• Ability to take direction and communicate effectively complex and technical issues to internal and external audiences.
• Ability to respond promptly to customer needs; take a customer-centric approach to problem solving; use time efficiently; demonstrate continuous effort to improve operations and streamline work processes.

Selective Preference(s):

• A Bachelor’s degree in public or business administration with at least two years of professional experience in the Managed Care or public health care environment
• OR Master's degree in business or public administration from an accredited college or university may substitute for one year of the required experience.

Pre-Employment Requirements:

• 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 in accordance with DES Fleet Management-Safety Program policy and procedures (DES 1-07-26 & DES 1-07-26-01).

Benefits:

We offer a competitive benefits package that is unmatched by the private sector and a culture that encourages team success and advocates for personal advancement.
-Affordable Health, Dental, Vision and Life and Disability Insurance
-10 holidays per year
-Paid Vacation and Sick time off - start earning it your 1st day
-Eligible to participate in the Public Service Loan Forgiveness Program (must meet qualifications)
-Contribute to, and participate in the Arizona State Retirement System
-Ride Share and Public Transit Subsidy
-Career Advancement Opportunities
-Tuition reimbursement
-Opportunity to work remotely (home office) on an ad-hoc basis

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

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.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 520-483-7202.
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.

Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.