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

This position has the potential to work from a Virtual Office (VO) setting or may Telecommute based on the needs of the unit and at the discretion of leadership.

Salary: $65,000 - $72,000 

Grade: 22

First Review of Resumes: January 21, 2025

OPEN TO AHCCCS EMPLOYEES ONLY

Under the direction of the Tribal Arizona Long Term Care System (ALTCS) Administrator, this position is responsible for oversight of the Fee For Service (FFS) Tribal ALTCS Intergovernmental Agreements/Contract. This includes development of the Tribal Case Management Program and Policies that relate to the program. Monitor the performance and compliance measures of the Tribal Case Management Programs. Monitoring includes assessing the adequacy and quality of the case management services provided to members.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Major duties and responsibilities include but are not limited to:
• Ensure ongoing compliance measures are met by the Tribal Case Management Programs (case management services review, data reports, performance reports and corrective actions).
• Ensures data collected related to Tribal Case Management Programs are translated into understandable documents and/or reports. Demonstrate the ability to collect accurate data, show trends, and provide process improvements or new conclusions based on findings. Provide report and activity updates to management.
• Create and implement scheduling work hours and duties. Coordinate job rotation and cross training. Provide real-time feedback on worker performance in ways that comply with the agency's plans and vision. Organize, monitor, and evaluate direct reports work flow.
• Maintain accurate and up to date case management policy. This includes collaboration with internal and effective policies are developed and maintained.
• Provide technical assistance and ongoing training to the Tribal ALTCS Case Management Programs and FFS Providers.
• Collaborate with internal and external customers on the overall Tribal ALTCS Programs.
• Represent Arizona Health Care Cost Containment System (AHCCCS) Division of Fee For Service Management (DFSM) at meetings within the agency and externally. This will involve travel as required.

Knowledge:
• Methods to develop, administer and oversee the Tribal ALTCS Case Management Program
• Working knowledge of American Indian Tribes/programs and policy
• Working knowledge of Indian Health Services (IHS) and tribally operated 638 facilities
• Cultural competency in working with AI/AN tribes
• Case management concepts, principles, and strategies
• Accurate assessment of member healthcare needs and capacity of provider network to meet the needs
• Applicable State and Federal rules, regulations, policies, and procedures
• AHCCCS, ALTCS, Medicaid and Medicare Federal Regulations
• AHCCCS and ALTCS program design and implementation, case management functions and responsibilities, provider network and funding source
• Collect and interpret data to improve the Tribal Case Management Programs performance

Skills:
• Superior communication skills, both verbal and written
• Superior interpersonal skills in working with people of diverse cultures and socioeconomic backgrounds
• Excellent organizational skills to handle multiple projects and responsibilities
• Analytical skills to identify issues and present recommendations
• Documentation and reporting or data and trends
• Formulate reporting processes that are clear and concise
• Teach, train, and give presentations
• Intermediate computer skills
• Supervision

Abilities:
• Represent AHCCCS/DFSM effectively both internally and externally
• Drive long distances when required
• Strong ability to collaborate with others for a mutually beneficial outcome
• Work independently and make decisions within defined scope
• Effectively prioritize and reprioritize multiple projects/responsibilities as needed
• Understand the unique characteristics of issues that impact health care for AI/AN
• Identify problems and recommend solutions for issues that will arise with health care for AI/AN
• Ability to work Virtual office, Telecommute or both

Arizona Driver's License

Minimum: Four years professional experience related to healthcare with a focus on care coordination for the American Indian/Alaskan Native population or related experience.

Preferred: Bachelor's degree in a healthcare related field and 4-6 years experience at a management or supervisory level with an organization that provides long term care related services in the case management care field that includes work experience with developmental disabilities, physical disabilities, and/or the elderly.

• 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).

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

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.

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.