Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Quality Assurance Supervisor

Division of Member and Provider Services (DMPS)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

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.

Posting Details:

Salary: $51,410

FLSA Status: Exempt

Grade: 21

Closing Date: October 27, 2026

Job Summary:

Provides direct supervision, mentors, and evaluates a team of Quality Assurance (QA) Reviewers who evaluate eligibility cases for errors. Provides clarifications on policy & procedures as well as assistance to the QA Reviewers, supervisors, and managers. Create reports on the findings of the reviews completed to ensure accuracy of eligibility determinations. Analyze data to identify error trends and collaborate to improve outcomes.

Major duties and responsibilities include but are not limited to:

• 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.

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.

Knowledge, Skills & Abilities (KSAs):

Knowledge of:

• Federal, State, and agency statutes, rules, and regulations applicable to area of assignment.
• Quality Assurance (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.

Skilled in:

• Communication skills, both verbal and written, along with good interpersonal skills.
• Analytics: Capable of interpreting, evaluating, researching, and problem solving.
• Management: Lead, plan, make decisions, and meet deadlines and goals using discretion and good judgment.
• Organizing, prioritizing, scheduling, coordinating, and implementing workload.
• Computer applications in word processing, spreadsheets, presentations, and email applications. Proprietary state applications in eligibility and healthcare programs and document management.

Ability to:

• Interpret, analyze, and apply current laws, rules, regulations, and policies.
• Direct subordinates and determine and prioritize work assignments.
• Communicate effectively, both orally and in writing.
• Provide coaching to build a cohesive team and champion morale.
• Prepare and submit a variety of administrative and statistical reports and analyze data.

Selective Preference(s):

Arizona Driver License

Minimum: Two years experience performing eligibility work related to Medicaid eligibility and six months of supervisory experience or performing in a lead capacity.

Preferred: Two years of eligibility work or provider enrollment experience, OR supervision in a high production environment.

Pre-Employment Requirements:

• 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.

Contact Us:

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.