Clinical Program Specialist (AZ Remote) ID-1855

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.
This position is remote/hybrid within the state of AZ only
PURPOSE OF THE JOB
Responsible for the development, implementation and oversight of projects and programs related to AHCCCS Children’s System of Care. This position serves as liaison and single point of contact for population and assigned programs.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
1. Required Work Experience
  • 2 years of experience in direct interaction with members in a behavioral health or social work setting
2. Required Education
  • Bachelor’s Degree in a behavioral health related field
3. Required Licenses
  • Valid Arizona Driver License, with an acceptable driving record
4. Required Certifications
  • N/A
PREFERRED QUALIFICATIONS
1. Preferred Work Experience
  • 5 years of experience in direct interaction with members in a behavioral health or social work setting
2. Preferred Education
  • Master’s Degree in a behavioral health related field
3. Preferred Licenses
  • N/A
4. Preferred Certifications
  • N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
  • Coordination of care between Medicaid Business Segment providers and community stakeholders, facilitating access to care, case consultation, program development and assisting in the design of integrated health activities and services for members of various populations/programs
  • Provides subject matter expertise to internal and provider clinical teams for the above populations/programs
  • Provides specific case consultation, technical assistance, and/or participates, as appropriate, in clinical care teams
  • Assists in the development of various projects and programs related to transition to adulthood, including conducting gap analyses and developing project standards, policies, procedures, protocols and monitoring of transition age
youth services for the greater Medicaid Business Segment GSA
COMPETENCIES
REQUIRED COMPETENCIES
1. Required Job Skills
  • Knowledge of AHCCCS contract requirements, policies and procedures
  • Knowledge of AZ Children’s System of Care and Child and Family Team requirements
  • Knowledge of the AZ Integrated Health Plan/Managed Care Organization Model
  • Experience in coordinating care for individuals with complex behavioral health needs
  • Ability to develop, prioritize and manage multiple projects for program development and evaluation
  • Ability to develop and present educational programs and/or presentations for contracting agencies, Medicaid Business Segment Leadership and AHCCCS Leadership
  • Knowledge of and the ability to comply with ethical and legal issues surrounding member rights, confidentiality, reporting abuse and the maintaining privacy and security of protected health information
  • Ability to organize and prioritize work to meet contractual deadlines
  • Knowledge of computer applications for word processing and spreadsheets
2. Required Professional Competencies
  • Strong team member with demonstrated ability to inspire and motivate stakeholders with effective communication both verbally and in writing; and the ability to work effectively and efficiently either as a team member or independently
  • Skill in mediation and conflict resolution
3. Required Leadership Experience and Competencies
  • N/A
PREFERRED COMPETENCIES
1. Preferred Job Skills
  • N/A
2. Preferred Professional Competencies · N/A 3. 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.
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