Compliance Program Specialist

Posted over 1 month ago

Job Description

Compliance Program Specialist
  • 494912
  • PHOENIX
  • AHCCCS
  • Full-time
AHCCCSThe Arizona Health Care Cost Containment System (AHCCCS), Arizonas 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.
Compliance Program SpecialistAHCCCS
Posting Details:
Salary: $40,000
Grade: 19
Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as a Compliance Program Specialist. The Compliance Program Specialist is responsible for managing the Direct Care Worker training and testing online database and performing audits for Direct Care Worker training and testing programs that are not contracted with a Managed Care Organization to provide services. Additionally, the Compliance Program Specialist is responsible for coordinating and overseeing the Managed Care Organizations compliance with the Community Service Agency credentialing requirements.

Job Duties:

* Auditing Direct Care Worker training and testing programs for compliance with AHCCCS policy

* Managing the Direct Care Worker training and testing Help Desk and technical assistance requests of users of the online testing records database

* Tracking and monitoring Community Service Agency credentialing compliance with AHCCCS policy by the Managed Care Organizations

* Providing administrative support directed at compliance activities for other team projects

* Providing technical assistance to Managed Care Organizations and prospective Community Service Agencies on compliance with AHCCCS policy on Community Service Agency credentialing

Knowledge, Skills & Abilities (KSAs):

* Service delivery systems and the provision of attendant care and rehabilitation and support services for individuals with disabilities and/or behavioral health needs

* Basic auditing and compliance processes including establishing policy requirements, compliance standards, auditing records and tracking compliance milestones

* Arizona Management System or process improvement and standard work

* Planning and coordinating multiple tasks at a detailed level

* Documentation development and application including Microsoft Word, Excel, Sharepoint and Access Databases.

* Clearly communicate verbally and in writing to a variety of people from different backgrounds

Selective Preference(s):

* Minimum of one year experience in the healthcare field

* Minimum of three years experience in audit, compliance or project management fields

* Bachelors Degree in Healthcare, Management, Business or other related field

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.

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