Job Details

Overview

DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona. DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. DISPUTE AND APPEALS MANAGER Job Location: Address: Division of Developmental Disabilities (DDD) 1789 West Jefferson Street, Phoenix, Arizona 85007

Posting Details: Salary: $60,000 - $70,000. Grade: 22. Closing Date: November 4, 2025.

Job Summary

The Department of Economic Security (DES), Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Dispute and Appeals Manager. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community.

Applicants for this position cannot be licensed or certified by the DDD Office of Licensing Certification and Regulation (OLCR), cannot have a principal interest in or have a spouse or close family with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Responsibilities

• Reviews and approves all proposed resolutions of service delivery claim disputes, grievances, and appeals (member, client parent, acute care, and long-term care providers) before they are forwarded to the Assistant Director.
• Reviews and approves requests and communications between the Division and the Attorney Generals Office for claim disputes, grievances, appeals, fair hearings, litigation settlements, subpoenas, summons, requests for records, and informal and formal legal opinions.
• Reviews all rules, regulations, laws, legal opinions, etc. and analyzes impact on Division operations; designs and develops the process used for providers, members, families, advocates, and other stakeholders regarding claim disputes, grievances, appeals and fair hearings; designs and develops programs and procedures to monitor and review all acute care and long-term care programs.
• Provides technical assistance to acute care/long-term care providers and Division staff regarding claim disputes, grievances, appeals, fair hearings, and related federal and state regulations, rules, policies, and procedures; and performs other additional duties as required.

Knowledge, Skills & Abilities (KSAs)

Knowledge of:

• Department and Division programs and activities; DES, AHCCCS, ADOA, DHS, and other State government agencies and state service policies, procedures, and operations.
• Federal, state and county laws and judicial systems; statutes, rules and regulations and their development and adoption.
• Grievance, appeal and fair hearing rules and regulations outlined in the Balanced Budget Act of 1997; acute health care policies and practices, including claim adjudication, fraud and abuse, ethics, service delivery and contract compliance.
• Federal and state requirements with regard to the privacy of health information; management practices and procedures; contracts management.

Skills in:

• Leadership in the development and implementation of administrative, technical, and physical safeguards to protect the privacy of health information.
• Oral and written communication including public speaking.
• Time management (planning, organizing, directing, controlling, etc.).
• Developing management and operational analysis of programs and activities.

Ability to:

• Interpret and apply statutes and agency and division policies and procedures.
• Provide sound interpretation of the federal Health Insurance Portability and Accountability Act (HIPAA) that directly impacts the maintenance of health information.
• Analyze information and data involving appeals and claim disputes.
• Analyze and interpret and understand how insurance rates are developed for acute care and long-term care services.

Selective Preference

The ideal candidate for this position will have: (3) years of managerial experience in human services programs or in direct support of such programs which developed knowledge of the programs and insight into their function. A Masters degree in business or public administration or closely related field from an accredited college or university substitutes for (1) year of the required experience.

Pre-Employment Requirements

• 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: Drivers License Requirements. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to Driver's license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operated a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) (R2-10-201.11).
• Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency's ability to reasonably accommodate any restrictions.
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
• In accordance with the Arizona Health Care Cost Containment System contract as defined in 42 CFR 455,104, SMDL #09-001) a search for the incumbent will be conducted monthly using the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM).

Benefits

• Affordable medical, dental, life, and short-term disability insurance plans.
• Participation in the Arizona State Retirement System (ASRS) and long-term disability plans.
• 10 paid holidays per year.
• Vacation time accrued at 4.00 hours bi-weekly for the first 3 years.
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Sick time accrued at 3.70 hours bi-weekly.
• Deferred compensation plan, Wellness plans, Tuition Reimbursement, Stipend Opportunities.
• Infant at Work Program, Rideshare and Public Transit Subsidy, Career Advancement & Employee Development Opportunities, Flexible schedules to create a work/life balance.

Learn more about the Paid Parental Leave pilot program and the benefits page on the State of Arizona site.

Contact Us

For questions about this career opportunity, contact Jared Dechantigny at 480-###-#### or ...@azdes.gov.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation by contacting 480-###-#### or ...@azdes.gov. Requests should be made as early as possible to allow time to arrange the accommodation.