Job Description

09/16/2020 09/30/2020
ADMINISTRATIVE 19
PHOENIX 44,000.00-46,000.00

Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork

QUALITY MANAGMENT SPECIALIST

First Resume Review: 09/30/2020

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility.

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. Visit our careers page to learn more about AHCCCS. Use your skills to benefit others; join the AHCCCS Team!

JOB SUMMARY:

The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Clinical Care Specialist. This position serves as the coordinator for DFSM quality management (QM) activities , deliverable tracking, and the development of infrastructure for QM activities. After a successful training period, this position will work primarily from home, with some in-office meetings and on site duties being required. Major duties and responsibilities include but are not limited to:

* Provide support to the QM team including tracking receipt, review and response of cases to ensure timely tracking and processing. Responds to requests regarding the status of the QM unit’s cases. Maintains documentation of communications and recommendations, monitors the timeliness of submissions for the unit in accordance with policy and Desk Level Procedures.

* Coordinates amongst the DFSM QM team, DHCM QM, and other stakeholders including TRBHAs.

* Develops desk levels, spreadsheets, and draft communications for the unit as requested. Maintain hard and/or electronic copies of files including but not limited to desk levels and process/data flow charts. Completes and maintains documentation of archived records/files. Sends external correspondence, tracks timelines for requests and responses.

* Schedule and provide unit support for internal and external meetings by preparing and distributing meeting materials and taking meeting minutes, coordinate follow-up from discussions and track resulting deliverables and agreements.

* Works closely with other units, divisions, internal and external customers to facilitate quality related initiatives as directed by the QM Manager responding to inquiries as appropriate.

* Perform research and data gathering as requested.

* Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs):

* Knowledge of maintenance and organization of filing systems and office procedures

* Skill in performing detailed work with speed and accuracy

* Skill in time management

* Ability to communicate effectively both orally and in written form

* Ability to problem solve

SELECTIVE PREFERENCE(S):

* At least two (2) years in a project management support role

* Computer experience with Google Suite and Windows applications


BENEFITS

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Click here to learn more about benefits.

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 417-4497. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. AHCCCS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.

Click the APPLY NOW button to submit your application.

For technical assistance, email HRIShelpdesk@azdoa.gov or call 602-542-4700.

Application Instructions

Please apply for this position by following the link provided below. A new window will open on your screen and you will be directed to the Arizona Health Care Cost Containment System (AHCCCS) employment website.

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