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SalaryDEPARTMENT OF ECONOMIC SECURITY
Your Partner For A Stronger Arizona.
DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.
DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life.
CREDENTIALING SPECIALIST
Job Location:
Division of Developmental Disabilities (DDD)
4000 North Central Avenue, Phoenix, Arizona 85012
Posting Details:
Salary: $61,000.00 - $68,000.00
Grade: 21
Closing Date: February 22, 2024
Job Summary:
The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Credentialing Specialist. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services empower individuals with developmental disabilities to lead self-directed, healthy, and meaningful lives.
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 a close family with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.
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.
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.
Job Duties:
- AHCCCS compliance w/ credentialing of Qualified Vendor Agencies contracted w/ DDD, policies/procedures review, maintaining credentialing calendar, completing monthly/quarterly organizational initial & re-credentialing in preparation for the Med. Officer's & Credentialing Committee's review/approval, coordinating w/ the Contracts Unit for required credentialing docs., review all required primary sources for licensing, HCBS certification, etc.
- Supports staff in the QA Unit through coaching and mentoring. Provides training. Serves as a back up to the supervisor.
- Coordinates QM Standards in regard to credentialing with AHCCCS Chapter 950 policies compliance, including submitted data review, completing internal review tool, analyzing data, review with Health Plan Credentialing staff, and imposing possible corrective actions/compliance follow-up for the Division and the contracted Health Plans.
Knowledge, Skills & Abilities (KSAs):
- Credentialing, quality assurance, quality management, quality improvement, risk assessment and prevention.
- Data analysis, summary report writing, corrective action plan development, prevailing concepts and philosophies regarding developmental disabilities.
- Adult learning strategies utilized while providing training.
- Oral and written communication and documentation.
- Public speaking.
- Analyzing large amounts of data.
- Learn and interpret Arizona Health Care Cost Containment System (AHCCCS) requirements, credentialing requirements, Center for Medicare and Medicaid Services grants requirements, and federal and state laws.
- Utilize computer technology (e.g., developmental database development and maintenance, desktop publishing, Microsoft Office Suite, etc.).
Selective Preference(s):
- A Certified Professional in Healthcare Quality (CPHQ) certification.
Pre-Employment Requirements:
- Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver’s 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.) R2-10-207.11).
- Successfully pass background and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s 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).
Benefits:
- 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
- Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
- Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
- Sick time accrued at 3.70 hours bi-weekly
- Deferred compensation plan
- Wellness plans
- Tuition Reimbursement
- Stipend Opportunities
- Infant at Work Program
- Rideshare and Public Transit Subsidy
- Career Advancement & Employee Development Opportunities
- Flexible schedules to create a work/life balance
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.
Retirement:
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.
Contact Us:
For questions about this career opportunity, please contact Wendy Browning at 480-273-9918.
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 480-273-9918. Requests should be made as early as possible to allow time to arrange the accommodation.
