Job Description

HEALTH PROGRAM MANAGER 2

  • 502440
  • CHINLE
  • AHCCCS
  • Full-time
  • Closing at: Nov 9 2021 at 23:55 MST

AHCCCS

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs, and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona.

Health Program Manager 2

Posting Details:

Salary: $50,865 

Grade: 21

Closing Date: 11/9/2021

Job Summary:

OPEN TO AHCCCS EMPLOYEES ONLY

The Division of Member Services (DMPS) is looking for a highly motivated individual to join our team as a Health Program Manager 2 for the Chinle Office. This position supervises and manages a staff of medical eligibility specialist, financial eligibility specialist, and supervisors who are responsible for determining the eligibility of potential and continuing members who work with the administration of the Arizona Long Term Care (ALTCS), Medicare Savings Programs (MSP) and Medical Assistance - Specialty Programs (MA-SP). Position monitors reports; timely actions; oversees case completion; monitors and evaluates job performance; consults with management and supervisory staff to provide technical assistance; and assists the Regional Manager with office functions. Statewide travel with possible overnight stays. Major duties and responsibilities include but are not limited to:

Job Duties:

* Ensure that uniform interpretations and application of State and Federal laws, agency policies and rules and regulations governing ALTCS, MCS, and MA-SP programs and other related program activities are maintained. Resolving escalated issues and making referrals as appropriate.

* Monitoring the timeliness of eligibility determinations. Updating and utilizing reports to ensure determinations are made within 45 days. Following up with staff on cases approaching or exceeding the due date. Being proactive by ensuring timely determinations are made.

* Monitoring the quality of eligibility determinations. Completing pre-disposition QA reviews as needed. Following up with staff on QA findings. Developing corrective action plans in response to QA findings and being proactive by ensuring consistent quality determinations are made.

* Manage and develop financial and medical staff and supervisors. Conducting regular unit meetings to ensure information is given to staff in a timely manner; attending staff meetings. Holding weekly meetings to review pending reports. Meeting no less than monthly with direct reports for performance conferences.

* Champion AMS in Eligibility Operations and provide guidance, insight and support to the lag and lead goals at the administrative and operational levels. Mentor supervisors to develop an operationally efficient and highly performing engaged workforce. Creating and maintaining an atmosphere in support of division/ agency vision and culture resulting in high morale and employee involvement.

* Works with office logistics along with ordering and assigning computer, phone and other technology for employees.

* Participating in problem solving and/or planning work groups. Conducting orientation and on the job training for staff.

* Due to COVID-19 precautions the recruiting process has been adjusted to meet the standard health guidelines outlined by the State. Interviews will be conducted virtually and may also be by way of video conference utilizing a platform like Google Meet/Hangouts or Zoom.

Knowledge, Skills & Abilities (KSAs):

* Knowledge off ALTCS Medical and Financial eligibility and MSP and MA-SP Federal and State rules, regulations, policies and procedures and of personnel rules, policies and procedures.

* Knowledge of the tasks and functions performed by ALTCS supervisors, financial and medical eligibility staff, clerical staff and central office staff.

* Knowledge of Quality Assurance (QA) process and how findings relate to the specific functions performed by staff.

* Some knowledge of the tasks and functions performed by ALTCS and MA-SP supervisors, financial and medical eligibility staff.

* Skill in establishing and maintaining effective working relationships with professional subordinates while evaluating their work and recommending changes.

* Skill in organizational skills for prioritizing, scheduling, coordinating and implementing workload.

* Strong interpersonal skills to effectively manage staff and interact with program contractors, health plans and AHCCCS members.

* Ability to Interpret, analyze and apply current laws, rules, regulations and policies.

* Ability to Direct subordinates and determine work assignments.

* Ability to Communicate effectively, both orally and in writing.

Selective Preference(s):

* Three years of professional experience related to health programs in Aging, Developmental/Physical Disabilities or Mental Health, which include program planning or administration.

* A Master’s Degree in Nursing, Social Work, Rehabilitation, Counseling, Education, Sociology, Psychology or closely related field may substitute for one year of the required experience.

* Bilingual - must be fluent in Navajo.

Pre-Employment Requirements:

* Arizona driver license.

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.

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

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-417-4497.
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.

Application Instructions

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