Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

The Adult Programs Coordinator is responsible for providing oversight and direction in the development of Evidence Based Practices (EBP) for behavioral health services and substance use services throughout the Medicaid segment network, including but not limited to, outpatient services, inpatient services, medication assisted treatment (MAT), and opiate replacement services (ORS). This position has a specific focus on the EBPs identified by SAMHSA/NREPP and ensures that services are delivered with fidelity to established models. The Adult Programs Coordinator establishes partnerships with behavioral health and substance use providers, assesses how services are being utilized, identifies areas that can be strengthened, and supports providers in strengthening program quality and outcomes. 

In addition, this position represents the organization in AHCCCS Adult System of Care meetings and initiatives, contributing to system-level planning, collaboration, and continuous quality improvement efforts.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 2 years of experience in the administration of or oversight of evidence-based behavioral health or substance use programs and services; or related field  

Required Education

• Master’s degree in a behavioral health field or health related field

Required Licenses

• Valid Arizona Driver License, with an acceptable driving record

Required Certifications

PREFERRED QUALIFICATIONS

Preferred Work Experience

N/A

Preferred Education

N/A

Preferred Licenses

N/A

Preferred Certifications

N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Serves as the subject matter expert in Evidence Based Practices for behavioral health services and substance use services offered throughout the Medicaid segment network, including but not limited to outpatient services, inpatient services, medication assisted treatment (MAT), and opiate replacement services (ORS).
• Establishes and maintains partnerships with behavioral health providers, substance use providers, and community-based organizations throughout the state.
• Provides technical assistance, training, support, planning, and information for the company, contracted providers, and stakeholders on Evidence Based Practices and the implementation of behavioral health and substance use activities in the Adult System of Care (ASOC).
• Supports access to behavioral health and substance use services for members in rural and underserved communities by collaborating with providers and stakeholders to identify service gaps and develop innovative solutions for delivering care.
• Participates in community-based outreach, including tabling at events, to share information on behavioral health and substance use services and evidence-based programs.
• Attends meetings and participates in regional and statewide initiatives related to the AHCCCS Adult System of Care (ASOC).
• Oversees contractual requirements related to AMPM 570, including the development of Case Management Plan deliverables.
• Audits programs/best practices, including ASAM, case management inventories, the Assertive Community Treatment teams, and other Ad Hoc audits, as needed.
• Coordinates with AHCCCS contractor for SMI Determinations.
• Develops deliverables, communications, reports, and policies and procedures, as appropriate.
• Coordinates and collaborates with internal and external stakeholders, providers, members, state officials on regional behavioral health substance use related issues and programs, including prevention programming.
• Serves as liaison with state, regional and community groups and participates in meetings and committees as assigned; maintains positive relations with partners.
• Maintains confidentiality, privacy and security of protected information and records
• Ability to travel occasionally
• Perform all other duties as assigned
• The position has an onsite expectation of 0 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

COMPETENCIES

REQUIRED COMPETENCIES

Required Job Skills

• Knowledge of and experience in behavioral health and substance use treatment programs and services,
• Knowledge of the Arizona healthcare system
• Knowledge of federal and state program requirements and regulations, including AHCCCS, CMS, and NCQA.
• Excellent written and oral communication skills,
• Proficient use of Microsoft Office applications.
• Knowledge of AHCCCS and ADHS policies and procedures.
• Ability to effectively prioritize and handle multiple projects.
• Ability to work effectively and collaboratively across departments.
• Ability to effectively train individuals and provide technical assistance.
• Ability to communicate appropriately and effectively both verbally and in writing.
• Ability to research and analyze various types of data.

Required Professional Competencies

• Ability to multi-task and prioritize work in a fast-paced environment and maintain a profession demeanor at all times.
• Successful time and project management,
• Demonstrated ability to work effectively independently and as part of team.

Required Leadership Experience and Competencies

PREFERRED COMPETENCIES

Preferred Job Skills

N/A

Preferred Professional Competencies

N/A

Preferred Leadership Experience and Competencies

N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.