Job Description

Adult System of Care Clinical Program Manager

  • 527317
  • PHOENIX
  • AHCCCS
  • Full-time

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

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.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. 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.

Come join our dynamic and dedicated team.

Adult System of Care Clinical Program Manager

 

Job Location:

Address: 801 E Jefferson Street, Phoenix, AZ 85034

Posting Details:

Must reside in the state of Arizona.

Salary: $68,000 - $78,000

Grade: 23

Open Until Filled

This position is eligible for full-time remote work (including virtual office arrangement).

Job Summary:

A career in public service awaits you. COME JOIN OUR TEAM!

We are looking for a highly motivated individual with the mindset of social services, experience in policy work, related to treatment and contract monitoring. The ideal candidate will have experience working with Substance Use Disorder(s), Serious Mental Illness (SMI) and have a Clinical background in terms of therapy treatments. We need someone who is ready to join a fast paced environment and thrives working independently, yet can easily come together for collaboration with the team when necessary. If you are excited about new opportunities and want to contribute to transforming healthcare, this could be the perfect role for you!

You will be responsible for projects of considerable difficulty such as conducting special and administrative studies; developing cooperative work relationships with stakeholders; developing clear, concise, and thorough work plans, statistical analysis of data, conduct service system research by applying appropriate methods to identify critical areas to improve outcomes for Adult Medicaid members and Integrated Care systems. This position will report and disseminate findings that support program planning and decision making; development of data collection strategies and develop initiatives and programs to enhance integrated behavioral health and physical health care management and monitoring.

What You'll Do:
* Completes comprehensive analyses of services and programs, evaluating factors affecting services and implementing proposals and plans for system improvements. This includes participating and/or acting as a lead for activities involving the review and evaluation of member concerns, assessing system gaps and the current practice of contractors and providers to identify corrective actions and formulate solutions to improve the quality of services offered and rendered within the AHCCCS Managed Care network and public health care system.
* Conducts and/or participates in behavioral health program and project evaluation, including presentations of analyses stemming from the program and project evaluation(s). This includes participating and/or acting as a leader for completing Managed Care Organization deliverable review, monitoring activities, and providing technical assistance to contractors and providers. This position will serve as the agency subject matter expert on current Evidence Based Practice behavioral health services and assessment tools including, but not limited to: the ASAM continuum and criteria and the LOCUS.
* Conducts literature reviews and engages in collecting background research related to analytical methods, data presentation methods, and other topics as requested by the Adult System of Care Program Administrator. Participates in and/or leads policy and contract revision work groups and activities to support advancement and quality improvement in the integrated service delivery system with a primary focus on evidence-based behavioral health related services and practice.
* Analyzes behavioral health data in partnership with external contractors, stakeholders, and other AHCCCS divisions. This includes accessing multiple databases and data warehouses, preparing and cleaning data, independently completing data analyses utilizing advanced data/statistical analysis techniques, creating summaries and presentations of data analysis outcomes and proposing changes to current contracts, policies and quality metrics as need and/or directed. Also includes writing and publishing reports and protocols for AHCCCS staff, MCOs, and internal/external stakeholders.
* Supports and participates in other quality and utilization management activities, internally within AHCCCS and externally on behalf of AHCCCS. This includes participating in and/or acting as a leader in cross-divisional and cross-agency work groups, review and evaluation of trended data and outcomes, participating in site visits as needed, and providing updates to AHCCCS Leadership as requested.
* Presents, orally or in writing, data analyses, survey results, and program evaluation findings and analyses. This includes acting as an official representative of AHCCCS when providing public presentations on program data, engaging in strategic planning efforts, and evaluating/monitoring outcomes identified in the strategic plan.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
* Understanding of the purpose, goals and philosophy regarding Adult Recovery Teams/Person Centered Planning
* Adult System of Care strategies and programs, specifically programs, services, interventions, and treatment modalities for individuals living with Substance Use Disorder(s), individuals who have been incarcerated, and individuals who are living with a Serious Mental Illness (SMI) diagnosis
* Medicaid Policy and managed care systems
* Managed care contract requirements and expectations
* Delivery of Medicaid reimbursable behavioral health services to both GMH/SU and SMI populations
* Role of/legal jurisdiction of ADJC, AOC, ADE and ADES/DCYF and DDD
* Clinical knowledge of evidence based practices regarding integrated behavioral/physical health services and needs
* Clinical best practices, best practice protocols, and interventions/modalities for working with adults and families.
* Mediation protocol when working with health plans, healthcare providers, members, and the community
* Healthcare needs, concerns, and best practices for specialized populations such as survivors of intimate partner violence, survivors of human trafficking, LGBTQIA+ individuals, Indigenous and Native individuals, Transition-aged Youth, adults and families experiencing housing instability or homelessness, adults with a history of incarceration, and older adults
* Social Determinants of Health (SDOH)
* Title 13 and Title 36 processes
* Collaboration concepts and process
* Arnold Vs. Sarn

Skills:
* Written and verbal communication with a variety of people using different methods of communicating ideas, expectations, and collaborating with others
* Assessing and evaluating contract compliance evaluation
* Policy and contract development and analysis, including the writing and revision of policy and contracts
* Facilitation of meetings that include a variety of internal, external, community, and member stakeholders and stakeholder groups
* Presenting information and engaging in educational presentations of healthcare related topics to internal and external stakeholders both in-person and virtually
* Data collection, analysis, and evaluation of programs and services using data/data-driven metrics
* Creating and modifying existing data driven metrics to ensure meaningful insights to current services being provided and planning for future needs and anticipating services that may be needed in the future
* Considering the needs of adults across the lifespan when planning policy, contract, and programs/services expectations and creating outcome measures
* Working effectively with a variety of professionals, community representatives/stakeholders, members receiving services, and family members of those receiving services
* Working effectively with other state departments and with governmental officials
* Working collaboratively and in an oversight and monitoring role to engage in compliance actions with Contractors

Abilities:
* Facilitate internal and external stakeholder meetings independently
* Mediate conflicts among internal and external stakeholders in order to ensure effective services are provided to members/member families
* Independently resolve case specific issues, specifically those related to individuals facing barriers to treatment or accessing services
* Provide policy level collaboration among the partnering agencies, specifically as related to best practice(s) for substance abuse/use treatment, treatment for individuals living with SMI, and individuals who have been incarcerated in addition to all adult members utilizing behavioral health services and implementation/use of the LOCUS
* Meet multiple, and often competing deadlines
* Adapt to situations and engage in flexible communication to meet the needs of the situation, task, or to achieve an outcome
* Handle multiple projects at one time, switching between projects and focus throughout the day
* Conduct research regarding state of the art integrated healthcare services and systems of care
* Demonstrate cultural competence and facilitate discussions, advocate for, and support culturally relevant and responsive services and policies
* Demonstrate depth of knowledge regarding Social Determinants of Health (SDOH) and their impact on healthcare and health promotion
* Demonstrate consistent attention to the needs of specialized populations including, but not limited to: survivors of intimate partner violence, survivors of human trafficking, LGBTQIA+ individuals, Indigenous and Native individuals, Transition-aged Youth, adults and families experiencing housing instability or homelessness, adults with a history of incarceration, and older adults
* Work Virtual Office without direct daily supervision/oversight

Qualifications

Minimum:
* Three years direct clinical service provision and programmatic oversight/monitoring experience in behavioral health service delivery systems including experience in a public managed care environment and/or a Bachelor's degree in social work, public health, healthcare, or related fields.

Preferred:
* Five years of experience; a graduate or higher degree in a behavioral health or health related field; holds an active license from the Arizona Board of Behavioral Health Examiners (AzBBHE) as an LMSW, LCSW, LAC, LPC, LAMFT, LMFT, or LISAC.

Pre-Employment Requirements:

* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.

* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.

* 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 for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. 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.

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).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
* Other Leaves - Bereavement, civic duty, and military.
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career development opportunities

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

Retirement:

Lifetime Pension Benefit Program
* Administered through the Arizona State Retirement System (ASRS)
* Defined benefit plan that provides for life-long income upon retirement.
* Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
* Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
* Voluntary participation.
* Program administered through Nationwide.
* Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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