AHCCCS

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

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.

Salary: $260,000 - $285,000 

Grade: 36

Closing Date: Open Until Filled

The Deputy Chief Medical Officer (DCMO) provides medical leadership support to the AHCCCS Chief Medical Officer and directly oversees the AHCCCS pharmacy and dental programs.

Responsibilities include supporting AHCCCS major clinical initiatives, providing leadership role and participating in AHCCCS committees/workgroups where medical expertise is warranted, supports other CMO direct reports and functions, supports the development and maintenance of AHCCCS medical policies in the AHCCCS Medical Policy Manual (AMPM), and consults with other AHCCCS divisions in need of medical expertise.

This position supervises and manages the Dental Director, Pharmacy Director, and OOD Medical Director.

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.

Major duties and responsibilities include but are not limited to:
• Oversees AHCCCS pharmacy and dental programs.
• Consults with other AHCCCS divisions in need of medical expertise (e.g., Division of Member and Provider Services, Office of Inspector General, Legal Services, Federal Relations).
• Participates in AHCCCS committees and work groups requiring medical expertise.
• Supports the development and maintenance of AHCCCS medical policies in the AHCCCS Medical Policy Manual (AMPM).

Knowledge:
• Federal regulations related to Medicaid, Medicare and health insurance programs
• AHCCCS rules, regulations, policies, and procedures
• QISMC, NCQA URAC, and JC standards of care
• CMS Quality Aims and core measure sets
• Disease management program requirements
• Medical data, information analysis and data analytics
• Peer review and quality assurance processes
• Health plan operations, medical practices, pharmaceuticals and benefit management
• Managed care model
• Chronic disease management model
• Public health and population health status improvement
• Long-term care services and programs
• Understanding of behavioral health and the importance of integration with physical health
• Provider payment modernization models
• Claims and medical coding processes
• Arizona provider community and the healthcare delivery system
• Care management and care coordination strategies
• Clinical Medicine and standard treatment guidelines

Skills:
• Excellent verbal and written communication skills
• Excellent presentation skills
• Organization and behavioral management skills
• Good medical practice skills
• Skilled negotiator and conflict manager
• Strategic planning and execution management skills
• Budget planning and expenditure management

Abilities:
• Develop and improve programs and ensure quality delivery of pharmacy and dental services
• Effectively lead, motivate and develop employees
• Be comfortable with public speaking and conflict resolution
• Maintain and improve operational adeptness

Minimum:
• Arizona Drivers License
• Licensed physician in good standing in the State of Arizona. Board Certified in Family Practice, Pediatrics, Ob/GYN, Internal Medicine, General Surgery or other Medical Specialty recognized by the American Board of Medical Specialties.

Preferred:
• Advanced degree in public health, business administration, or certification in QM/UM or peer review. Experience in medical management as the Medical Director for health plan or health plan system. Experience with one or more of the accreditation organizations.

• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities

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.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.