DEPARTMENT 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.

MEDICAL RECORDS REVIEW MANAGER

Job Location:

Division of Developmental Disabilities (DDD)
4000 North Central Avenue, Phoenix, Arizona 85012

Posting Details:

Salary: $130,000.00 to $154,197.68 

Grade: 29

Closing Date: November 2, 2025

Job Summary:

Would you like to be part of an amazing team that helps 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 that are committed to service, community, and teamwork. To learn more about DES please visit des.az.gov; 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 a Medical Records Review Manager. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community.

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 with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Job Duties:

Essential Duties and Responsibilities include but are not limited to: 

• Trains and supervises doctoral level staff in administrative reviews and testifying as expert witnesses for DDD Eligibility Appeals. This includes development and implementation of an ongoing training program and support for physicians/psychologists regarding the interpretation of Arizona Administrative Code (AAC), Arizona Revised Statutes (ARS), case law and DDD policy. Collaborates and coordinates with Office of Administrative Review (OAR), Attorney General (AG's) Office and other functional areas. 

• Supervises the Medical Records Review Consultant (MRRC) to ensure member files are appropriately organized with timely completion of reviews. Provides leadership, mentoring, coaching, and direct supervision. Completes performance appraisals, authorizes leave, and approves Time Card for doctoral staff and MRRC.   

• Provides clinical consultation and support regarding DDD diagnoses of Autism and Cognitive Disability. Establishes and reports departmental metrics to HCS leadership in accordance with Arizona Management System (AMS) Guidelines. Tracks cases that set judicial precedence and impacts Division processes. Supports the implementation of changes appropriately in accordance with updated case law. 

• Oversees special projects for Health Care Services (HCS). Collaborates and provides additional support to the DDD Behavioral Health Administration. Attends huddles, consultation with treatment teams upon request or identified need, and support regarding behavioral analytic services and behavioral health referrals.  

• Comprehensive record review (medical, psychological, school and other relevant documents) for the purpose of DDD eligibility determinations. Participates in the determination of eligibility for DDD services, administrative hearing preparation, court appearance, and testimony in eligibility disputes to represent the decision of the Division at administrative hearings.  

• Develops Policy, Procedure, and Standard Work for principles of action related to eligibility, administrative reviews, and judicial hearings. Provides direction, and critical evaluation of policies to ensure compliance with relevant Arizona Health Care Cost Containment System (AHCCCS) and CMS policies and procedures. Serve