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You will be updated with latest job alerts via emailThis position is responsible for overseeing the individuals who respond to customer member provider and applicant issues referred by multiple AHCCCS sources. This position will oversee the research and resolution related to all AHCCCS health insurance programs handle escalated situations develop and provide staffing training interagency coordination efforts and interactions with state and federal agencies. This position will provide support to the management team.
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 States 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:
Supervise a unit of Customer Service Representatives that work in a call center environment dealing with escalated and urgent member provider customer and applicant issues related to all AHCCCS Health Insurance programs whether eligibility is determined by AHCCCS or DES.
Provides in depth research and ensures follow through on member customer Justice Enrollment or provider issues from verbal or written correspondence from customers as well as applicant issues regarding eligibility medical care quality of care or general information inquiries from AHCCCS management and divisions.
Provide policy interpretations practices and procedures while maintaining accuracy and consistency for all AHCCCS health insurance eligibility programs administered by DES and AHCCCS.
Act as liaison with staff from other divisions and agencies and represent the agency when reporting findings to agency management. The position also facilitates interagency coordination with federal state county and city agencies. Research design prepare and update statistical reports. Supports management and administrator in meeting with internal and external stakeholders.
Recruit train coach and work with staff on performance issues and employee relations. Facilitate meetings and participate in special projects as necessary.
Providing continual internal and external customer services. Support the division mission and values and champion the lean initiative.
Provides in-house support to ensure all operational needs such as mail letters and member drop-in support is provided. Will also provide support to the MCDU area in the absence of the Customer Service Manager Senior.
Knowledge of:
Problem resolution techniques customer service techniques supervisory principles and techniques.
AHCCCS philosophy goals and objectives.
Methods of developing performance and productivity standards.
Rules regulations policy procedures including personnel rules.
Automated databases.
Eligibility related systems.
Fundamental administrative support activities.
Research analysis and report preparation.
Quality control reviews.
Call center operations.
Basic principles of employee training methods.
Lean concepts.
Skilled in:
Supervising unit operations.
Communicating effectively verbally and in writing with staff members at different skill and experience levels and the public with varied backgrounds.
High-level customer service delivery.
Developing and maintaining interpersonal relationships.
Determining the personnel needs of the unit and responding appropriately.
Coordination of work flow.
Conducting research.
Work and time management.
Problem identification and resolution.
Assessing maintaining reviewing and analyzing database information.
Developing and presenting instructional materials.
Microsoft word processing and spreadsheet software HEAplus Medicaid Programs and Prepaid Medical Management information System (PMMIS) PMMIS Recipient PMMIS Provider DocuWare and other proprietary applications.
Ability to:
Coordinate & assign work for the unit.
Collect summarize and analyze data to prepare reports.
Supervise train and motivate staff.
Prioritize assign and review work.
Plan for efficient use of resources personnel and materials.
Research and resolve issues.
Provide information to customers providers.
Evaluate work processes.
Establish and maintain effective work re
Minimum: Three years of experience in a multi-functional customer service environment.
Preferred: Supervisory experience a plus. Experience working in medical eligibility enrollment claims processing or claims customer service. Bilingual (Spanish) a plus.
Successfully pass fingerprint background check prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys ability to reasonably accommodate any restrictions.
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:Drivers 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. 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 programhere. 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
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.
Required Experience:
Manager
Full-Time