Job Description
Maternal Child Health/EPSDT Manager
532705
PHOENIX
REMOTE OPTIONS
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.
Managed Care Program Administrator

Division of Managed Care (DMC)

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

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:
Salary: $92,400 - $96,400

Grade: 24

Position will remain open until filled.

Job Summary:
Under the leadership of the Clinical Program Management Deputy Assistant Director within the Division Managed Care (DMC), this position provides management and oversight of the Maternal and Child Health (MCH) and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) programs. The position is responsible for high-level management, support, and operations along with the related functions/systems within the MCH/EPSDT unit. This position provides expertise, leadership and support to ensure the development of fully integrated Clinical Programs within the Agency as well as within the contracted Managed Care Organizations (MCOs). This is a highly collaborative position, working closely with other clinical and non-clinical units across the Agency.

This position leads the MCH/EPSDT team, implements Arizona Management System (AMS) principles within all work units and oversees efforts related to AMS implementation and integration into day-to-day functions, supports high-level thinking and problem- solving to make programmatic decisions, and elevates any barriers or risks to the Clinical Program Management Deputy Assistant Director. This position also works very closely with the AHCCCS Chief Medical Officer and Medical, Pharmacy, and Dental Directors.

Major duties and responsibilities include but are not limited to:

Provide supervision, support, mentoring, direction and coaching to staff to ensure compliance with the regulations and policies of the Agency. Facilitate regular 1:1s, team huddles, and other communication modalities with the MCH/EPSDT team. * Participate in appropriate Agency leadership meetings, and other ad hoc meetings.
Represent the Agency (or ensure coverage) as a subject matter expert and present to stakeholders at meetings, conferences, and events, and lead or participate in collaborative efforts to promote AHCCCS initiatives.
Collaborate with state and local health and social service agencies, including but not limited to ADHS, DES, DCS, and First Things First, as well as community and private health care organizations and providers to include participation in meetings, workgroups, and committees relevant to areas of oversight.
Lead and participate in the development, implementation, and evaluation of AHCCCS medical policies, administrative policies, and technical assistance tools.
Manage oversight responsibilities of AHCCCS Managed Care Organizations in the provision of quality health care in compliance with federal, state, and AHCCCS requirements. * Provide technical assistance to internal staff, health plans, providers and other external customers related to maternal and child health.
Design data requests that inform related areas of responsibility, identify opportunities for improvement, discover gaps in Contractor reporting or performance and validate deliverables submitted.
Manage the review of quarterly, annual, and ad hoc deliverables including, but not limited to, pregnancy terminations, stillbirths, medically necessary sterilizations, and Contractor annual plans. Establish standards for reviews and deliverables, including recommended or required actions by the health plan to correct or improve performance.

Knowledge, Skills & Abilities (KSAs):
Knowledge:

State and Federal Policies and Procedures governing Title XIX, Title XXI and AHCCCS specific populations
Principles and components of the Arizona Management System (AMS)/lean methodologies and concepts
Basic understanding of Medicaid and managed care operations and functions
AHCCCS contracts, policies, and procedures
Principles and practices of program planning, assessment skills, maternal child health and EPSDT service delivery models, preventive health practices, organization of health care systems and current trends that affect these systems
Public health concepts, recommendations, programs, and practices
Issues, challenges, and barriers related to maternal health, preventive health, family planning, children's health and oral health
Programs and services affecting maternal and child health such as the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), the Arizona Early Intervention Program (AzEIP), Head Start/Early Head Start, home visiting, and Vaccines for Children (VFC)

Skills:

Interpreting existing and new rules, laws and agency policy pertaining to healthcare delivery
Effective delegation
Negotiation skills and resourcefulness as applied within the state agency, its partnerships, and outside sources.
Effectively collaborating with all levels of health care professionals and stakeholders
Project, program, and people management
Written and oral communication skills including issue briefs, summaries, emails, presentations and training, and memos
Conflict resolution
Organization and time management
Independent problem solving
Monitoring policies and procedures that result in holistic health care and/or enhance existing processes to achieve better outcomes
Representing the agency in public forums
Computer expertise including familiarity with Google and Microsoft platforms

Abilities:

Lead and engage diverse teams and individuals with compassion, respect, professionalism, and self-awareness
Maintain an open mind, change direction, and re-evaluate decisions and procedures as needed
Forecast potential challenges and barriers, identifying potential solutions before the problems arise
Prioritize workload in dynamic environment
Learn and apply new information independently or with minimal support
Understand and communicate data/health analytics
Draft and implement policy
Motivate teams and individuals to work toward team and Agency goals and visions
Ability to work Virtual Office, with occasional travel to the Phoenix office or a nearby location for meetings and events

Qualifications:

Arizona Drivers License.

Minimum:

Bachelor's degree in public health, healthcare administration, nursing or related field and/OR five or more years of experience working in a field related to health care management, health administration, public health, or managed care; Two or more years of supervisory experience; A master’s degree in public health, healthcare administration, nursing, or a related field may substitute for one year of the required experience.

Preferred:

Master’s degree in public health, healthcare administration, nursing, or a related field and four plus years of supervisory experience.

Pre-Employment Requirements:

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.)

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. Learn more about the Paid Parental Leave pilot program here.
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!

Arizona Healthcare jobs

Maternal Child Health/EPSDT Manager

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