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Tribal Liaison - Hybrid
Tribal Liaison - HybridBlue Cross Blue Shield of Arizona • Phoenix, AZ, United States
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Tribal Liaison - Hybrid

Tribal Liaison - Hybrid

Blue Cross Blue Shield of Arizona • Phoenix, AZ, United States
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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.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements :

  • Hybrid People Leaders : must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors : must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to : Customer Service, Claims Processors, and Correspondence positions) : must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite : daily onsite requirement based on the essential functions of the job
  • Remote : not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

The Tribal Liaison is responsible for a range of functions to improve and coordinate integrated health services for American Indian / Alaska Native members and serves as a single point of contact (liaison) for tribal nations / entities and providers, Medicaid Business Segment network providers, members, regulators, and other stakeholders. The Tribal Liaison collaborates with internal and external stakeholders to fulfill the contractual requirements related to tribal activities and engagement. This position requires travel throughout the state of Arizona.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

  • Two years' experience working with American Indian tribal entities and programs (Arizona preferred)
  • Two years' experience with programs in the area of assignment such as public health, managed care, tribal programs and services; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position
  • Required Education

  • A Bachelor's degree in public health, behavioral health, or related field
  • Required Licenses

  • A valid Arizona driver license with an acceptable driving record
  • Required Certifications

  • N / A
  • PREFERRED QUALIFICATIONS

    Preferred Work Experience

  • N / A
  • Preferred Education

  • N / A
  • Preferred Licenses

  • N / A
  • Preferred Certifications

  • N / A
  • ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

  • Serves as the liaison for tribal nations and tribal providers, promoting services and programs to improve the health of American Indian / Alaska Native members, as specified in the contract.
  • Collaborates with internal and external stakeholders to meet all contractual requirements for tribal-related activities.
  • Provides oversight and reporting of tribal programs and services, including coordination of care, behavioral and physical health services, telehealth services, suicide prevention, and crisis services.
  • Establishes collaborative relationships and recurring meetings with the key stakeholders, including AHCCCS, tribal nations, tribal providers, Indian Health Service (IHS), Tribal Health Programs (THP), and Urban Indian Health Programs (UIHP), for the purposes of communication, data sharing, care coordination, and use of the Health Information Exchange (HIE).
  • Develops new initiatives aimed at enhancing care and reducing disparities for American Indian / Alaska Native members.
  • Plans and implements network development activities in partnership with the Network Services Department to expand and enhance integrated health services for American Indian / Alaska Native members.
  • Advocates for care management / navigation for AHCCCS-eligible American Indian / Alaska Native members.
  • Develops and conducts training and technical assistance for providers, Medicaid Business Segment staff, and other stakeholders regarding tribal sovereignty, tribal systems, cultural competency, COE / COT, and services for American Indian / Alaska Native members.
  • Attends all AHCCCS Tribal Consultation meetings.
  • Serves on Medicaid Business Segment and state committees and participates in regular meetings with tribal and provider agencies, stakeholders, and state agencies.
  • Develops agreements between Medicaid Business Segment, network providers, and tribal entities for provision of services for American Indian / Alaska Native members on and off tribal lands.
  • Develops reports and deliverables as required by contract, including the annual Tribal Report.
  • Serves as the single point of contact regarding delivery of integrated health services and other issues concerning American Indian / Alaska Native members.
  • Travels throughout the state of Arizona as needed for job related responsibilities. This position requires the employee to reside within the Geographical Service Area in Greater Arizona.
  • Valid Arizona Drivers' License
  • Perform all other duties as assigned.
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • COMPETENCIES

    REQUIRED COMPETENCIES

    Required Job Skills

  • Excellent written and verbal communication skills
  • Ability to work effectively and collaboratively across departments
  • Ability to interact respectfully with diverse populations
  • Applied knowledge of tribal sovereignty and cultural competency
  • Advanced skills in report design and presentation
  • Advanced knowledge of Microsoft Office Products (Word, Excel, PowerPoint, Outlook)
  • Required Professional Competencies

  • Knowledge and experience working with tribal entities in the contracted service area, including but not limited to tribes, tribal providers, Urban Indian Health Programs, and Indian Health Service
  • Knowledge and experience working with the American Indian / Alaska Native population
  • Knowledge and skills to understand, interpret, coordinate, and collaborate on Arizona's publicly funded health services for American Indian / Alaska Native members
  • Knowledge of AHCCCS, NCQA, and Medicaid Business Segment requirements, policies, and procedures
  • Required Leadership Experience and Competencies

  • N / A
  • PREFERRED COMPETENCIES

    Preferred Job Skills

  • N / A
  • Preferred Professional Competencies

  • N / A
  • 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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