DEPARTMENT OF CHILD SAFETY

The Arizona Department of child Safety (DCS) is a social and human services agency whose mission is to successfully partner with families, caregivers, and the community to strengthen families, ensure safety, and achieve permanency for all Arizona’s children through prevention, services, and support.

Management Analyst 4

Job Location:

COMPREHENSIVE HEALTH PLAN
3003 N Central Ave Phoenix, AZ 85012

Posting Details:

Salary: $32.5770 HRLY/$67,760.16 Salary 

Grade: 21

Closing Date: Open until filled

Job Summary:

This position serves as the Department of Child Safety's (DCS) Comprehensive Health Plan (CHP)'s Quality Health Care Data Analytics subject matter expert. The position is responsible for the end-to-end delivery of health data management services focused on measuring the quality of health care for children in foster care utilizing metrics from systems, including but not limited to NCQA, HEDIS, and Medicare. The Clinical Informatics Analyst participates in the monitoring of DCS CHP's contracted Managed Care Organization (MCO); specifically, validates performance measures and other data driven metrics produced by the MCO. This position also contributes to DCS CHP's Quality Management Department's activities for ongoing continuous performance improvements, compliance and alignment with Agency strategic initiatives.

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:

• Provides and analyzes data; confirms data accuracy and validity; leads data driven improvements and completion of compliance data measures for the DCS CHP Quality Management efforts. Develop visual products, analyses and presentations that contribute to meaningful reporting to meet state, federal and other standards such as accreditation.
  
• Collaborates with clinical and non-clinical disciplines to accurately and efficiently report on various deliverables. This position supports an inter-professional healthcare team as well as other stakeholders in their decision making, in quality roles and settings to achieve successful implementation to meet requirements. This includes meetings with other department teams to discuss potential improvements.
  
• Utilizes various applications and systems, DCS Lean Management strategies and tools, policies and procedures for the identification, collection, and analysis of performance measurement data including Healthcare Effectiveness Data and Information Set (HEDIS) measures. Participates in quality monitoring, evaluations and oversight of DCS CHP's contracted Managed Care Organization (MCO).
  
• Communicates with stakeholders, including but not limited to, DCS Leadership, Arizona Health Care Cost Containment System (AHCCCS), other Managed Care Organizations; participates in committee structures a the Quality Department's representative data subject matter expert; and reports and present data analytics as needed.
  
• Collaborate with the QM nurse and QA Compliance officer to review monitor and track the QM mailbox as well as the QM portal for Compliance with the AHCCCS Medical Policy Manual and AHCCCS Contractor Operations Manual.
  
• Interprets and applies statutes, regulations, and Arizona Health Care Cost Containment System (AHCCCS) policy and rules; Completes audits, performance review reporting, AHCCCS requests, Healthcare Effectiveness Data and Information Set (HEDIS) reports, accreditation reports and other reports required from the Quality Department or as support to other areas within the DCS CHP.
  
• Other duties as assigned as related to the position.

Knowledge, Skills & Abilities (KSAs):

Knowledge of:

• Delivery of quality data in health care for children and youth in the child welfare system/managed care systems of care
  
• Principles of quality/performan