Remote QA Lead - Medicaid Eligibility

State of Arizona; Phoenix (AZ); Remote; USD 46,000 - 57,000; Full time

Benefits offered by this job

10 paid holidays

Paid Vacation and Sick time off

Paid Parental Leave

Lifetime Pension Benefit Program

Insurance plan (medical, dental, life,

Public Transit Subsidy

Learning and career development

Job summary

AHCCCS in Phoenix, AZ is seeking a Quality Assurance Supervisor to lead a team of QA Reviewers evaluating eligibility determinations and ensuring policy compliance. You will mentor staff, review performance, and generate reports to identify error trends and improve outcomes.

The role emphasizes data analysis, coordination of projects, and adherence to state regulations. A remote-work option within Arizona is available, with opportunities for collaboration across the Division of Member and

Qualifications

• Knowledge of Federal, State, and agency statutes, rules, and regulations applicable to area of assignment.
• QA process and how findings relate to the specific functions performed by staff.
• Arizona Management System concepts.
• Supervisory principles, Arizona State Personnel rules and AHCCCS policies.
• AHCCCS philosophy, goals, and objectives.

Responsibilities

• Hires and supervises staff, assigns and monitors work, evaluates job performance, and performs quality assurance reviews for each staff member monthly. Develops, implements and conducts orientation and on the job training for QA Reviewers.
• Compile statistics and monthly reports of QA results. Review and analyze statistical reports. Participate in a collaborative corrective action plan in response to error trends.
• Apply rules, regulations, and policy as it relates to all programs.
• Coordinate special projects at the direction of upper management.
• Conducts and participates in meetings to meet the needs of the division and agency. Champions AMS activities.

Skills

Communication skills

Analytics

Management

Organizing

Computer applications

Tools

Proprietary state applications

Job description

AHCCCS in Phoenix, AZ is seeking a Quality Assurance Supervisor to lead a team of QA Reviewers evaluating eligibility determinations and ensuring policy compliance. You will mentor staff, review performance, and generate reports to identify error trends and improve outcomes.

The role emphasizes data analysis, coordination of projects, and adherence to state regulations. A remote-work option within Arizona is available, with opportunities for collaboration across the Division of Member and