Medicaid Program Integrity Jobs in Arizona (NOW HIRING)

AHCCCS 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.
Data Governance Supervisor Information Services Division (ISD)
Job Location:
Address: 150 N. 18th Ave. Phoenix, AZ 85007
Posting Details:
Must Reside in Arizona. Salary: $77,958 - $82,000 Grade: 28 FLSA Status: Exempt Closing Date: Open Until Filled This position may offer the ability to work remotely, within Arizona, based upon the agency's business needs and continual meeting of expected performance measures.
Job Summary:
The Data Governance Supervisor leads AHCCCS's enterprise Data Governance program, ensuring Medicaid data is accurate, secure, consistent, and appropriately used across the organization. This role manages a team of data governance professionals and partners with program areas, IT, analytics, compliance, privacy, security, finance, and executive leadership to establish and enforce data governance policies, standards, and processes.
The position supports federal and state reporting requirements (including CMS and TMSIS), oversees data governance tools such as Microsoft Purview, ensures compliance with AHCCCS, ADOA, and federal/state regulations, and promotes audit readiness, program integrity, and data-driven decision making throughout the data lifecycle.
Major duties and responsibilities include but are not limited to:
• AHCCCS Data Governance Strategy & Framework: Develop, implement, and maintain a comprehensive data governance framework, including policies, standards, procedures, and controls for Medicaid data assets (claims, encounters, eligibility, provider, clinical, behavioral health, and social determinants of health data).
• Team Leadership & Supervision: Supervise, mentor, and evaluate Data Governance staff. Assign work, establish priorities, provide coaching, and support professional development. Ensure staff activities align with AHCCCS program priorities, system initiatives, and federally mandated reporting deadlines.
• Data Quality Management: Lead the development and maintenance of AHCCCS business glossaries, data dictionaries, reference data standards, and data stewardship assignments.
• Metadata, Data Standards & Stewardship: Lead the development and maintenance of business glossaries, data dictionaries, reference data standards, and stewardship assignments. Ensure consistent definitions across federal reporting, actuarial analyses, quality measures, and operational reporting.
• Stakeholder Engagement & Governance Committees: Facilitate AHCCCS data governance councils, committees, or working groups. Serve as a trusted advisor and subject matter expert to program leadership, analytics teams, compliance, legal, privacy, and external partners such as contractors, managed care organizations, and CMS.
• Compliance, Privacy & Security Alignment: Ensure AHCCCS data governance practices align with HIPAA, CMS regulations, state privacy laws, data use agreements, and AHCCCS security policies. Support audits and respond to data-related findings or inquiries.
Knowledge, Skills & Abilities (KSAs):
Knowledge:
• AHCCCS Medicaid program operations, including claims and encounter processing, eligibility and enrollment, provider enrollment, managed care oversight, behavioral health, ALTCS, and quality programs • Data governance concepts and frameworks (e.g., DAMA-DMBOK or similar) as applied in a state Medicaid agency environment
• Data quality management principles, controls, and monitoring practices
• Federal and state Medicaid reporting requirements, including CMS and T-MSIS reporting
• HIPAA, data privacy, information security, and data-use requirements
• Healthcare analytics and Medicaid data lifecycle management
Skills:
• Supervisory and team leadership skills in a technical, analytic, or data-focused environment
• Strong facilitation and consensus-building skills across diverse program and operational areas
• Analytical and problem-solving skills, particularly related to Medicaid data quality and root cause analysis • Expert-level proficiency in SQL, with the ability to design, build, and execute complex data queries
• Project and workload management skills, including balancing competing federal and state deadlines
• Effective written and verbal communication skills appropriate for agency leadership, staff, and external partners
Abilities:
• Translate complex Medicaid data and governance concepts into actionable guidance and operational practices
• Balance regulatory compliance, data privacy, and security requirements with AHCCCS program and analytic needs
• Update and maintain data lineage, catalogs and definitions as new tables and data structures are added
• Work collaboratively across AHCCCS divisions, IT, vendors, contractors, and executive leadership
• Manage sensitive and confidential Medicaid data appropriately
• Adapt governance practices to evolving Medicaid policy, system modernization efforts, and CMS requirements
• Develop clear, usable policies, standards, and documentation for both technical and non-technical AHCCCS stakeholders
Qualifications:
Minimum:
• Bachelor's degree in Information Systems, Data Science, Health Informatics, Public Administration, Healthcare Administration, Statistics, or a related field and Two (2) years working within the data governance and data management field with large enterprise systems (or equivalent experience). Two (2) years of experience in a lead, supervisory, or project management role. Demonstrated experience supporting data governance, data quality, analytics, or data management functions. Experience working in or with government agencies, healthcare payers, or managed care organizations.
Preferred:
• Master's degree in Health Informatics, Data Analytics, Public Health, Public Administration, or a related field and Five (5) years of experience working with healthcare or Medicaid data, or large-scale administrative data systems. Experience supporting a state Medicaid agency, including CMS or T-MSIS reporting. Experience implementing or maturing a formal data governance program in a complex organization. Familiarity with Medicaid encounter data, T-MSIS, actuarial reporting, or quality measurement. Experience working with cross-functional governance committees. Professional certifications such as CDMP, PMP, or healthcare analytics-related certifications.
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 (see Arizona Administrative Code R2-10-207.12.)
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).
Benefits:
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. Learn more about the Paid Parental Leave pilot program here.
• 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 program here . For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
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.
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.