Deputy Assistant Director

Deputy Assistant Director

Job No : 531012

Work Type : Full-time

Location : REMOTE OPTIONS, PHOENIX

Categories : Administrative Support / Customer Service, Research, Management / Supervisor, Healthcare / Nursing / Investigations / Compliance

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.

Deputy Assistant Director

Division of Managed Care Services (DMCS)

Job Location :

Address : 801 E. Jefferson Street, Phoenix, AZ 85034

All AHCCCS Employees must reside within the state of Arizona.

Posting Details :

Salary : $110,000 - $116,000

Grade : 29

Position will remain open until filled.

Job Summary :

The Deputy Assistant Director for the Division of Managed Care Services (DMCS) position is responsible for directing expansive clinical initiatives and frequently makes programmatic and policy decisions independently as well as on behalf of the DMCS Clinical / Operations Assistant Director and the AHCCCS Chief Medical Officer (CMO) / medical directors. The position is responsible for leading the DMCS clinical teams, including the Behavioral Health Grievance and Appeals, Medical Coding, Medical Management, Maternal Child / EPSDT, and Quality Management units. This position must also work closely with the Division of Managed Care Operations (DMCO) to ensure collaborative, coordinated efforts related to monitoring and oversight of the Managed Care Organizations (MCOs), policies, processes, and programs as well as ongoing clinical support to DMCO's Clinical Resolution Unit. This position leads and / or participates in numerous Agency and stakeholder initiatives related to clinical elements of member care and Managed Care Organization (MCO) operations. This position drives implementation of clinical initiatives, resolves clinically complex member and provider concerns, and promotes systemic improvement and / or sustainment of sound clinical practices at the MCO level.

This position leads / supports efforts related to significant stakeholder priorities and engages in numerous agency committees / workgroups (e.g. Financial Review, Coding and Benefits Review Team, Technology and Services) as well as addresses substantial policy and legislation-related work. The position will monitor workflow processes that facilitate timely completion of mission critical work as well as numerous state and federal deliverables. This position is responsible for program integrity specific to quality of care and quality outcomes, including chairing the health and safety committee, leading onsite investigative efforts of providers when critical concerns arise, and promoting ongoing adherence to strict confidentiality of quality issues. This position holds major roles in procurement initiatives such as MCO procurement, may be regularly called update as a witness and / or subject matter expert in agency-involved litigation, and will lead / take responsibility for the division in the absence of the Assistant Director.

Major duties and responsibilities include but are not limited to :

• Administration and oversight of the Clinical Units to maintain a coordinated, cohesive team. Serves as decision-maker for clinical programs / operations on behalf of CMO and DMCS AD.
• Lead and / or attend Division and Agency meetings / committees as well as external stakeholder meetings related to the clinical programs / initiatives. Represent DMCS at Medical Director, Medical Management, Quality Management, Dental Director, and other meetings. Actively participate in the Financial Review Committee and serve as an advisor to FRC staff in developing clinically-facing estimates.
• Review and interpret federal and state legislation / Rules, provide feedback related to potential impact to efficacy / efficiency of the Medicaid program. Develop / review AHCCCS policy to be consistent with regulations / legislation. Able to make policy decisions and interpretations independently.
• Participation in RFPs, waiver development / evaluation, grant writing and other program development requirements. Coordinate and oversee contracts and intergovernmental agreements applicable to the Clinical units.
• Lead and / or support processes related to Immediate jeopardy / serious incidents or concerns involving immediate care needs / substantial impact to members, which may include immediate on-site evaluation of member health / safety. Serve as Agency authority related to incidents and coordinate with other state agencies to remediate emergent / urgent member concerns.
• Serve as a subject matter expert for issues, concerns, grievance / appeals, administrative hearings, legislative hearings, and / or legal proceedings related to clinical aspects of the managed care delivery system.

Knowledge, Skills & Abilities (KSAs) :

Knowledge :

Skills :

Abilities :

Qualifications :

Arizona Driver's License.

Minimum :

Preferred :

Pre-Employment 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 :

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.

Retirement :

Lifetime Pension Benefit Program

Deferred Retirement Compensation Program

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.

Advertised : 09 Jan 2025 US Mountain Standard Time

Applications close :

Salary : $110,000 - $116,000