AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s 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.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. 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.

Come join our dynamic and dedicated team.

Job Location:

Address: 150 N 18th Ave, Phoenix, Arizona 85007

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Posting Details:

Salary: $66,000 - $70,000 

FLSA Status: Exempt

Grade: 23

First Review of Resumes: May 5, 2026

Job Summary:

Under the direction of the Program Support Administrator this position provides leadership and expertise in leading quality assurance activities across eligibility and benefits operations to ensure compliance with federal and state Medicaid requirements, internal policies, and established standard work. This position will oversee eligibility quality assurance staff in identifying and measuring program metrics and provide quality assurance oversight. The Quality Manager is responsible for translating complex findings into actionable insights for leadership, sister agencies, and internal staff.

Major Duties and Responsibilities
• Manage and develop eligibility Quality Assurance staff and supervisors who are responsible for quality assurance reviews, outcome analysis, deficiency challenges, quality clarifications, updates to the quality assurance process and procedures, results tools and supporting materials. Oversight of work assignment along with timeliness of the QA team.
• Ensures that uniform interpretations and application of State and Federal laws, agency policies and rules and regulations governing Medicaid and KidsCare and other related program activities are maintained. Monitor new rules and regulations to determine impact on QA operations and make plans of necessary changes to the quality review process.
• Champion AMS and provide guidance, insight and support. Provide innovative and solutions focused Process Improvement and Root Cause Analysis. Mentor QA staff to develop an operationally efficient and highly performing engaged workforce.
• Participate in leadership meetings to include CORE Managers, Program Support/Operations collaboration, OECO Leadership and others as appropriate. Participate in DMPS and agency policy and systems development work groups and process improvement teams as appropriate.
• Monitor trend analysis of review data and propose communications, education and/or policy revisions.
• Consult with both DMPS Program Support and DMPS Operations regarding program integrity growth opportunities.

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.

Knowledge, Skills & Abilities (KSAs):

Knowledge of:
• AHCCCS philosophy, goals and objectives
• AHCCCS eligibility rules related to ALTCS and acute programs
• Federal and State laws and regulations governing Medicaid
• Quality Control (QC) and Quality Assurance (QA) processes and how findings relate to the specific functions
• Personnel rules, policies and procedures
• Leadership styles and practices
• Arizona Management System (AMS)
• Eligibility & Documentation Systems such as Health-e-Arizona Plus, AHCCCS Prepaid Medical Management Information System (PMMIS), AHCCCS Provider Enrollment Portal (APEP), and Electronic Document Data System (EDMS)
• ICD-10 codes
• Employee metrics involving productivity, quality and timeliness

Skilled in:
• Written and verbal communication
• Collaboration
• Establishing and maintaining effective working relationships with professional subordinates while evaluating their work and recommending changes
• Managing time and prioritizing work of multiple teams
• Goal setting and strategic planning
• Computer usage skills to include the custom job specific applications and Microsoft office or Google Suite
• Management and leadership
• Data collection and root cause analysis to effectively improve processes and procedures
• Interviewing techniques

Ability to:
• Communicate orally in one-on-ones as well as in larger groups and effectively in writing
• Lead and coach supervisors and front line employees
• Respond to and implement change
• Negotiate outcomes
• Interpret, analyze and apply current laws, rules, regulations and policies
• Travel to include single day and/or overnight
• Analyze data and prepare/submit a variety of administrative and statistical reports
• Manage multiple tasks and competing priorities

Selective Preference(s):

Minimum: Three years of supervisory level experience and three years of professional experience performing eligibility work. Arizona Drivers License

Preferred: Five years of related experience related to health or eligibility programs appropriate to the assignment, which included program planning or administration and three years of managerial experience; a college degree in a field appropriate to the assignment may substitute for some professional experience.

Pre-Employment 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 (see Arizona Administrative Code R2-10-207.12.)

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).

Benefits:

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 program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

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.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [email protected].
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.