Looking to build a lasting career?  Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?

• Top-level compensation packages
• Exceptional health, dental, and disability benefits
• Career and compensation advancement programs
• Student loan forgiveness programs
• 401k company match
• Bilingual pay differential
• Holiday, PTO and employer paid life insurance
• Clinical licensure supervision and reimbursement
• Evidence-based treatment approaches, training, and supervision
• One of the first fully vaccinated COVID-19 workplaces in Arizona

Intermountain Centers and its statewide affiliates, Community Partners Integrated Healthcare, Pinal Hispanic Council, Intermountain Health Center, Intermountain Foster Care, Behavioral Consultation Services and MHRI Housing are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.

General Summary: Responsible for the oversight and direction of the Compliance and Quality Improvement Department and the Contracts and Credentialling Department. Works with department leadership and staff ensuring organizational goals are achieved and risk mitigation policies are in place.

JOB RESPONSIBILITIES:

General:

• Supports and furthers the vision, mission, and goals of the organization.
• Develops departmental goals that are measurable and realistic ensuring all staff are educated and aware of the goals.
• Develops reporting tools on progress of department goals.

    Quality Management & Improvement:

• Manages Quality Improvement, Accreditation and Utilization functions within the organization, inclusive of report writing, analyses, supervision, etc.
• Regularly reviews the compliance program to ensure continuing relevance with applicable regulations and recommends appropriate revisions and modifications, including advising senior leadership on potential compliance risk areas.
• Establish and facilitate a compliance committee to be made up of key staff.
• Prepares compliance and performance reports for the annual Board Meeting.
• Works with contractors, health plans and ACO, overseeing the reporting and initiatives related to service performance progress (GAP Reports) and attribution models.
• Ensures client clinical records are maintained in accordance with all federal, state and contract laws and requirements.
• Directs the comprehensive review of all records and programs on a periodic basis.
• Oversees Incident/Accident/Death reviews and investigations, mortality reviews and other requested clinical review processes with the inclusion of analyses, write- ups, and successful completion.
• Writes, updates, and evaluates the efficiency of the Quality Management Plan and related policies and procedures annually and presents updates to the appropriate committees.
• Leads the Quality and Utilization Management activities within the organization to ensure quality care to all members.
• Works with the Compliance Manager in reviews and investigating potential Quality of Care concerns.
• Works with Department Managers in collecting, summarizing, and presenting timely performance data/information, recommends opportunities for improvement, and promotes dialogue to identify appropriate solution strategies in various committee forums and to senior leaders.
• Develops and implements the Quality Improvement Program and plan in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
• In conjunction with the Compliance Manager develops and implements systems, policies, and procedures for the identification, collection, and analysis of meaningful performance/process measurement data to facilitate identification of improvement priorities.
• Collaborates with HR, Operations, Finance, EHR Team, IT and other departments to ensure full integration of quality improvement reporting for contract and accreditation quality compliance.
• In conjunction with department managers participates in site visit preparation and execution by regulatory and accreditation agencies when applicable.
• Supervises Department Managers ensuring functional activities are performed in an efficient and effective process.

Network Support:

• Oversees the facility licensing & renewal applications and ensures compliance with regulatory and licensing standards.
• Designs, prepares sites for licensing/other regulatory agencies compliance and inspections.
• Oversees organization’s credentialing activities and ensures credentialing status.
• Provides assistance with grant and proposal development and tracks proposal submissions.
• Supports and assists with grant implementation activities and tracks deliverables.
• Monitors state, federal and local grant opportunities.
• Assists with new office and facility development including ensuring site and regularity requirements.

Contract Management & Procurement:

• Oversees the creation and updating of contracts and contract renewals with AHCCCS health plans, tribal nations, health- related vendors, state, and other funding entities.
• Monitors and Tracks contracts.
• Coordinates, develops and submits contract deliverables.
• Supports and assists contract implementation with clinical team, finance, member services, HR, QM and other internal stakeholders.
• Develops and maintain contract templates.
• Coordinates with funders and provides liaison duties.

Project Management:

• Leads & manages project teams comprised of various SME to meet development timelines.
• Interfaces with diverse team of SMEs, including architects, contractors, medical services/equipment vendors, interior designer.

Other Duties:

• Policy development, revision and editing.
• Prepares professional reports on such matters as services offered, program, personnel, and other aspects of the organization’s operations; researches and compiles statistical data; maintains records and reports, utilizing a computer and related software.
• Performs other duties as assigned or necessary as they relate to the general nature of position.
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QUALIFICATIONS:

•     Education – A Bachelor’s degree required, Master’s degree preferred.

•     Experience – A minimum of two (2) years’ experience in management or above. working with or in Quality Management, Contract Management, Compliance, Policy, or Provider Development. And Three (3) years’ experience working with insurance plans or within a healthcare system. Previous experience utilizing electronic health records.

REGULATORY:

• Minimum 21 years of age. 
• Current, valid Arizona Driver’s License and 39-month Motor Vehicle Report to meet insurance requirements.
• Eligible for DPS Level I fingerprint clearance.
• First Aid and CPR certification (employer provides).
• Initial negative TB test result less than six months prior (employer provides).

Questions about this position?  Contact us at HR@ichd.net.

ICHD is an equal opportunity employer.  ICHD does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.