Would you like to be part of an amazing culture that helps Arizonans reach their full potential through providing services to support them? The Arizona Department of Economic Security (DES) is looking for individuals that are committed to service, community, and teamwork. The Department of Economic Security Division of Developmental Disabilities is seeking an experienced and highly motivated individual to join our team as a PI/QI Manager.
The PI/QI Manager position is responsible for: ensuring that the DDD participates in active and continuous performance improvement initiatives; contractually mandated Performance Measures (including National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information System (HEDIS) and Center for Medicaid and Medicare Services (CMS) Core Measures), Performance Improvement Projects, and other activities of quality and performance improvement; data analysis to identify opportunities for improvement, demographic/health disparities, and assessment of effectiveness and sustained improvement.
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, 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.
•Leads team in direct management of DDD specific performance measures, and evaluates sub-contractor performance. Responsible for implementation and oversight of initiatives that will directly impact achievement and/or sustainment of Minimum Performance Standards (MPS) outlined in Contract. Leads hybrid reviews and ensures sufficient quality checks of all submitted medical records and other supporting documentation.
•Leads team to develop and select Performance Improvement Project (PIP) topics to evaluate clinical and nonclinical- care related to specific or all populations. Develop and implement methodologies, develop data requests, review programming, perform quality checks on data samples, collect and analyze results, research best practices, interventions and activities to improve outcomes, and write and publish outcome reports.
•Leads team in coordinating quality improvement initiatives. Lead analysis of data, facilitate identification of interventions, develop implementation plan, monitor implementation and report outcomes of quality improvement activities. Respond to data requests related to performance improvement projects.
•Providing supervision, mentoring, and coaching of staff to ensure compliance with regulations and policies of the DDD. Facilitating regular 1:1s, team huddles, and other communication modalities with the QI team. Completing Performance Appraisals, authorizing leave, and approving ETE Time Cards for staff.
•Receives data, develops and runs system queries, conducts data analysis, and utilizes results to recommend quality improvement opportunities; identifies gaps, barriers and activities that are effective in improving care and services to members. Assess for disparities and develops interventions for improvement. Identifies deficiencies and recommends corrective action.
•Comprehensive knowledge of quality and process improvement principles and practices and methodologies, including the Plan-Do-Study-Act (PDSA) cycle.
•Comprehensive knowledge of DDD Policy and Procedures, Administrative Directives, and the service delivery system.
•DDD Mission and Value statements, local, state, and federal laws, and other related governing documentation surrounding DDD practices.
•Human dynamics and organizational systems.
•Applicable laws, rules, policies, procedures and contract for Arizona Health Care Cost Containment System (AHCCCS).
•Effective oral and written communication skills.
•Analyze problems and develop effective plans for corrective action.
•Continuous improvement and financial accountability.
•Word processing, spreadsheet and database applications.
•Management and leadership techniques.
•Evaluate data and documents relate with multi-level of employees and organizational personnel.
•Plan and organize complex work and complete reports based on data, and document in a clear and professional manner.
•Lead and direct assigned employees.
•Clear and concise communication; work cooperatively with others, establish and maintain relationships.
•The ideal/preferred candidate will have a minimum of two (2) years of experience working with Intellectual Disability population, at least two (2) years work experience in a performance improvement role and at least two (2) years work experience with HEDIS and CMS Core measures.
•Certified Professional in Healthcare Quality (CPHQ) by the National Association for Health Care Quality (NAHQ) or Certified in Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers, or comparable education and experience in health plan data and outcomes measurement.
•Candidates for this position shall be subject to a search of the Child Protective Services Central Registry pursuant to A.R.S. 8-804.
•Travel may be required for State business This position requires possession of and ability to retain a current, valid state-issued driver’s license appropriate to the assignment. Employees who drive on state business are subject to driver’s license record checks, must maintain acceptable driving records 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 maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
•In accordance with the Arizona Health Care Cost Containment System contract as defined in 42 CFR 455,104, SMDL #09-001, a search for the incumbent will be conducted monthly using the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM).
The Arizona Department of Economic Security offers a comprehensive benefits package to include:
- Career Advancement & Employee Development Opportunities
- Flexible schedules to create a work/life balance
- Tuition Reimbursement
- Participation in the Arizona State Retirement System (ASRS)
- 10 paid holidays per year
- Stipend Opportunities
- Infant at Work Program
- RideShare and Public Transit Subsidy
- Affordable Medical, Dental, and Vision
- Life and Disability Insurance
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.
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.
Apply through azstatejobs.azdoa.gov. For questions about this career opportunity, please call Teresa Brown at 480-673-0590 or email firstname.lastname@example.org.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 480-673-0590. 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.