This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Division of Managed Care (DMC) is looking for a highly motivated individual to join our team as a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of the EPSDT, women’s preventive health, family planning, and maternity care services within AHCCCS’s statewide managed care and fee for-service programs. This role ensures services that support pregnant and postpartum members; infants and children are delivered in compliance with state and federal requirements. This position is responsible for quality improvement activities, validating deliverables, identifying gaps and recommending strategies to improve performance.

• Oversight and monitoring of EPSDT, women’s preventive health, family planning, and maternity care programs to ensure state and federal requirements are met.
• Participate in operational reviews, administrative reviews, technical assistance, and focused studies/reviews to ensure compliance with contractual and policy requirements for all lines of business. Follow-up on written reports, corrective action plans and other compliance actions as appropriate.
• Represent the MCH EPSDT Unit in the development and revision of contracts, amendments and policy. This position may participate in work groups, steering teams, and scoring teams as needed and requested by the agency.
• Provide education and technical assistance to internal and external stakeholders, including Contractor's and FFS providers, as appropriate regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve EPSDT and maternal child health services to AHCCCS members. Includes identification, research and resolution of issues as needed.
• Collaborate with other AHCCCS units and state and local health and social service agencies, including ADHS, DES/DDD, DCS, Head Start, Vaccines for Children (VFC), childhood lead prevention program etc. as well as community and private health care providers.
• Coordinate and complete tracking, evaluation, and responses to Contractor deliverables such as annual program plans and member materials, to assure MCH EPSDT components are thoroughly addressed and align with policies.
• Lead special projects and reviews to ensure completion within the designated timelines and alignment with current recommendations. Provide ongoing updates to Management.

Qualifications

• Minimum: Possession of a current license to practice as a registered nurse in the State of Arizona and three (3) years of relevant healthcare experience.
• Preferred: At least one year of experience working in Medicaid, managed care, case management, or health plan administration.

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.
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits

• 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.
• 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