Managed Care Program Administrator

DEPT OF HEALTH SERVICES The Arizona Department of Health Services promotes and protects the health of Arizona’s children and adults. Our mission is to promote, protect, and improve the health and wellness of individuals and communities in Arizona. We strive to set the standard for personal and community health through direct care, science, public policy, and leadership. ADHS promotes alternative work schedules, flexible hours.

We have positions that can fit any stage in your career, from entry to senior level. We offer a robust benefit package, including the ADHS Student Loan Assistance Program, where eligible employees can receive up to $437.50 per month for their outstanding student loans. Come check us out and see how you can make a difference in the lives of all Arizonans.

Job Location:

Address: 501 N 24th Street Phoenix, AZ. 85008. Posting Details:
Salary: $70,000-$75,000. Grade: 24.

The specialty clinic manager will manage and supervise the clinic staff, including hiring, training, and performance evaluations. Responsible for overseeing the day-to-day administrative and operational activities, ensuring the clinic runs smoothly and delivers quality patient care. Developing and implementing effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Monitor and optimize patient appointment scheduling (on-site and off-site), ensuring optimal utilization of resources and minimal patient wait times to collaborate with healthcare providers to establish and maintain high standards of patient care and service quality.

Oversee the management of occupational health, dental clinic, podiatry clinic, infection prevention and the management of clinic patient records, ensuring accuracy, confidentiality, and compliance with privacy regulations. Coordinate with external partners and vendors to ensure necessary supplies and services are available for clinic operations. Oversee the clinic's financial activities, including billing and budgeting. Conduct regular staff meetings and training sessions to promote communication, skill development, and adherence to policies and procedures.

Stay updated with industry trends, regulations, and best practices, and make informed recommendations for improving clinic operations. Works with AHCCCS and other MCO plans to obtain necessary referrals and prior authorizations for required services.

• Oversee the management of occupational health, dental clinic, podiatry clinic, and infection prevention. Oversee the day-to-day administrative and operational activities, ensuring the clinic runs smoothly and delivers quality patient care. Oversee the management of clinic patient records, ensuring accuracy, confidentiality, and compliance with privacy regulations.
• Coordinate with external partners and vendors to ensure necessary supplies and services are available for clinic operations. Oversee the clinic's financial activities, including billing and budgeting.
• Develop and implement effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Stay updated with industry trends, regulations, and best practices, and make informed recommendations for improving clinic operations.
• Monitor and optimize patient scheduling (on-site and off-site), ensuring optimal utilization of resources and minimal patient wait times. Collaborate with healthcare providers to establish and maintain high standards of patient care and service quality. Works with AHCCCS and other MCO plans to obtain necessary referrals and prior authorizations for required services.
• Organize and supervise the administrative staff, including a medical biller/coder, scheduler, and medical assistants. Manage and supervise the clinic staff, including hiring, training, and performance evaluations.
• Develop and implement effective operational policies and procedures to ensure smooth clinic operations and compliance with regulations. Conduct regular staff meetings and training sessions to promote communication, skill development, and adherence to policies and procedures.
• Ensures adherence to regulatory agency rules/regulations/standards and to hospital policies and procedures.
• Other duties as assigned as related to the position (typically 5% - 10%).

• Knowledge of:
  • Electronic Health records systems
  • Healthcare laws and regulations
  • Healthcare marketing strategies
  • Healthcare regulations, compliance, and best practices
  • Hospital policies and procedures
  • Performing and implementing research
  • Team building and participation in team exercised at the management level
  • Principles of adult learning
  • Performance Management (PM), and Continuous Quality Improvement (CQI) and Lean methodologies.
• Skills in:
  • Financial management and budgeting
  • Leadership or managerial role within a healthcare setting
  • Proven track record of improving clinical operations
  • Strong communication and interpersonal skills
  • Ability to…