Administrative Coordinator Program Integrity Unit Manager

Would you like to be part of an amazing team that makes Arizonans thrive At the Department of Economic Security (DES) we strengthen individuals families and communities for a better quality of life. DES is looking for individuals who are committed to service community and teamwork. To learn more about DES please visit ; or click on the link here to view Our DES video. Come join the DES Team!

The Department of Economic Security Division of Developmental Disabilities (DDD) is seeking an experienced and highly motivated individual to join our team as an Administrative Coordinator. Provides supervision and oversight to the Program Integrity Unit (PIU) within the Division of Developmental Disabilities (Division) Corporate Compliance Unit (CCU). Monitors Fraud Waste and Abuse (FWA) prevention detection and reporting activities including but not limited to training Divisions staff and providers tracking and trending reporting metrics and collaborating with other governmental agencies including Arizona Health Care Cost Containment System (AHCCCS) Office of Inspector General (OIG) Department of Economic Security (DES) OIG and Social Security Administration (SSA).

Applicants for this position cannot be licensed or certified by the DDD Office of Licensing Certification and Regulation cannot have a principal interest in or have a spouse or close family member with a principal interest in a DDD Qualified Vendor Agreement and cannot be employed or subcontracted by a DDD Qualified Vendor.

Essential Duties and Responsibilities include but not limited to:

• Oversees and monitors FWA prevention detection and reporting requirements. Ensures proper disposition of FWA referrals.
• Overseeing Monitoring and Oversight activities to include reports of noncompliance and systemic issues conducting Risk Assessments and auditing corrective actions. Warrants maintenance of compliance activities and Risk Mitigation.
• Oversees and conducts audits ensuring the Divisions compliance with CMS requirements Federal and State laws regulations statutes policy procedure and contract requirements. Understands and ensures adherence to the seven Elements of Compliance.
• Prepares and submits Corporate Compliance AHCCCS deliverables. Reviews and approves deliverable submissions from AdSS.
• Develops a variety of communications and training materials incorporating the latest State and Federal laws statutes regulations policies procedures and contract requirements. Conducts meetings work groups and training with internal and external stakeholders.
• Completes Performance Appraisals authorizes leave and approves ETE Time Cards for staff. Demonstrates leadership skills provides coaching mentoring professional development and follows personnel rules.

Knowledge in:

• Managed Care principles and delivery systems.
• AHCCCS rules policies and contract requirements.
• Divisions rules policies procedures and guidelines.
• Organizational relationship of the Division to members and families AdSS subcontracted provider network and service provision.
• Fraud Waste and Abuse (FWA) related law statutes regulations policies and contract requirements.
• Contracts qualified vendor specifications and payment methodologies.
• Acute and long-term care principles.
• Health Insurance Portability and Accountability Act (HIPAA).

Skills in:

• Project management.
• Communicating and conveying information to a large audience.
• Working with diverse functional areas within DES/Division and other governmental agencies.
• Written and verbal communication skills including editing documents for professional appearance.
• Preparing reports data analysis and risk assessments.
• Interviewing and eliciting information in support of project objectives.
• Strong program planning and evaluation as related to compliance development.
• Researching investigating developing implementing and monitoring corrective measures.
• Interpreting related Federal and State laws statutes regulations policies procedures and contract requirements.
• Leadership supervision.
• Using computer systems and software (Microsoft Google Focus and OnBase).

Ability to:

• Maintain confidentiality and professionalism at all times and through all work.
• Work in a fast-paced environment with shifting priorities.
• Analyze data trends and implement process improvement.
• Coach and lead individuals in developing and implementing change.
• Examine claims and calculate payments based on contract terms to determine the accuracy of payment through the use of various reports and supporting documentation.
• Develop and maintain effective working relationships with all levels of Division staff other programs agencies vendors and the public.
• Collaborate and effectively participate in group projects.
  
  
  

The ideal candidate for this position will have:

• Bachelors Degree in Public Health Health Care Administration Business Administration or closely related field and (3) years of supervisory experience.
  

• Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agencys ability to reasonably accommodate any restrictions.
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
• 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. Any employee operating a motor vehicle on State business must possess and retain a current valid class-appropriate drivers license complete all required training and successfully pass all necessary drivers license record checks. The license must be current unexpired and neither revoked nor suspended. Employees who drive on state business are subject to Drivers license record checks must maintain acceptable driving records and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) (R.11).

The Arizona Department of Economic Security offers a comprehensive benefits package to include:

Affordable medical dental life and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities

Learn more about the Paid Parental Leave programhere. For a complete list of benefits provided by The State of Arizona please visit our benefits page

State employees are required to participate in the Arizona State Retirement System (ASRS) the State sponsored retirement contribution plan and the Long-Term Disability (LTD) program after a 27-week waiting period. The ASRS defined benefit plan provides for life-long income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax-deferred retirement investments.

On or shortly after your first day of work you will be provided with additional information about the available insurance plans enrollment instructions submission deadlines and effective dates.

For questions about this career opportunity please contact Laura Kaspar at or

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting or Requests should be made as early as possible to allow time to arrange the accommodation.