Executive Director - AHCCCS/ALTCS Community-Based Care & Behavioral Health Residential Services - Phoenix, AZ

THE OPPORTUNITY

The Executive Director will be the senior-most on-site leader, reporting directly to the Vizx Corp CEO. Depending on program scope, this role may oversee Adult Behavioral Health Residential Services (ABHRS), DDD Developmental Home programs, ALTCS in-home and community care, or a combination of these. You will be expected to navigate Arizona's ADHS licensing and AHCCCS contracting ecosystem with demonstrated competence and compliance discipline.

Employment Type: Full-Time, Exempt — Executive Leadership

Compensation: $115,000 – $150,000 base + performance incentive up to 15%

Program Focus: AHCCCS/ALTCS Community Care | Behavioral Health Residential (ABHRS) and/or DDD Developmental Home Programs | CARF-Accredited

Key Payers: AHCCCS (Arizona Health Care Cost Containment System), ALTCS (Arizona Long Term Care System), UnitedHealthcare Community Plan AZ, Mercy Care, Banner University Health Plan

Regulatory Body: ADHS (AZ Dept of Health Services) | AAC Title 9 / ARS Title 36 | DBHS | DDD | CARF

SCOPE OF LEADERSHIP

1. Clinical & Program Operations

• ABHRS, DDD Developmental Home, and/or ALTCS community care program delivery
• MDT structure and supervision: clinical, care management, residential staff
• Direct care worker and caregiver recruitment, training, evaluation, and support
• Assessment, prior authorization, and care plan documentation workflows

2. Financial & Administrative Oversight

• Full P&L accountability for the organization
• AHCCCS revenue cycle: billing, claims, AR aging, prior authorization
• Budget management, vendor contracts, and cost controls
• Financial reporting to Vizx Corp; AHCCCS rate compliance

3. Regulatory & Compliance Authority

• ADHS licensing compliance: AAC R9-10 (behavioral health) and/or ARS Title 36 (health services) and/or DDD standards
• AHCCCS/ALTCS contractor audit readiness and corrective action
• CARF accreditation ownership — readiness, surveys, corrective action
• Level 1 Fingerprint Clearance compliance for all staff and contractors

4. Workforce & Organizational Leadership

• Executive leadership of clinical, residential, and administrative staff
• Arizona employment law compliance; ADHS DPS clearance management
• Talent strategy for a mission-driven, community-based service environment
• Organizational transition and culture integration in partnership with Vizx Corp

KEY RESPONSIBILITIES

1. Clinical Operations & Service Delivery

• Lead delivery of services across all program lines with full accountability for member outcomes, caregiver quality, and program integrity
• Maintain the multidisciplinary team (MDT) structure required under applicable regulations — ensuring each function is appropriately staffed, supervised, and performing
• Oversee caregiver and direct care worker recruitment, onboarding, annual evaluation, and ongoing support to sustain program quality and member safety
• Ensure timely completion of all clinical documentation: assessments, prior authorizations, care plans, and discharge planning
• Monitor clinical quality indicators and drive continuous improvement across all care delivery programs

2. Regulatory Compliance & Risk Management

• Maintain full compliance with ADHS licensing requirements applicable to program scope — which may include AAC R9-10 (behavioral health residential), ARS Title 36 (health services), and/or DDD Developmental Home program standards
• Own AHCCCS/ALTCS contractor compliance — including audit readiness, incident reporting, and corrective action plans submitted to AHCCCS
• Maintain CARF accreditation across all applicable service lines — internal monitoring, policy compliance, and mock survey preparation
• Oversee Level 1 Fingerprint Clearance Card compliance for all staff, contractors, and caregivers per ADHS requirements
• Ensure mandated reporter training and compliance for all applicable staff under ARS 13-3620
• Monitor ADHS, DBHS, DDD, and AHCCCS regulatory changes and implement policy updates proactively
• Maintain HIPAA compliance and all data governance obligations under AHCCCS contractor agreements

3. Financial Leadership

• Own the organization's P&L — managing budget, cost structure, and financial performance to margin and growth targets set with Vizx Corp leadership
• Oversee revenue cycle performance: billing accuracy, claims submissions, AR aging, prior authorization compliance, and payer reconciliation
• Identify and execute opportunities for financial efficiency, service-line growth, and sustainable scaling
• Deliver regular, board-quality financial performance reporting to Vizx Corp leadership

4. Workforce Leadership & Organizational Culture

• Lead, develop, and retain a high-performing executive and clinical team — with clear expectations, ongoing feedback, and visible accountability
• Own talent strategy: workforce planning, succession readiness, and key-person risk mitigation in a competitive labor market
• Build and maintain a culture of mutual respect, clinical excellence, and organizational pride across a diverse workforce
• Serve as a stabilizing, accessible executive presence for staff, caregivers, and community partners throughout organizational transition

5. Stakeholder & Community Relations

• Maintain and grow referral relationships with Maricopa County hospitals, behavioral health providers, SNFs, PCPs, and community-based organizations
• Serve as the primary executive representative with AHCCCS, ALTCS, DDD, and contracted managed care organizations (UnitedHealthcare Community Plan AZ, Mercy Care, Banner)
• Build relationships with ADHS, DBHS, and DDD regional offices relevant to the organization's licensed program areas
• Engage with Arizona tribal health programs, Native American community organizations, and Spanish-speaking community networks throughout Greater Phoenix
• Communicate proactively with members, families, caregivers, and guardians in their primary language or through qualified interpreters

6. Organizational Transition & Integration

• Partner with Vizx Corp's Director of Administration & Operational Systems on system onboarding, policy harmonization, and operational alignment
• Build the executive team and operational infrastructure required for sustained performance at scale in the Phoenix, AZ market
• Develop and execute a 12-month strategic roadmap anchored in quality outcomes, regulatory compliance, and program growth

QUALIFICATIONS & LICENSURE

Licensure & Background Check Requirements — Phoenix, AZ

• BHME (Behavioral Health Manager/Executive) credential is strongly preferred and
• NHA, LCSW, or equivalent credential.
• Background Check Required: Level 1 Fingerprint Clearance Card (ADHS) required prior to hire; no DPS disqualifying offenses
• Mandated Reporter: Arizona Mandated Reporter (ARS 13-3620) — certification required prior to hire

Required Qualifications

• 7+ years of progressive healthcare leadership, with at least 3 years in an executive or senior director role in Arizona or a directly comparable state regulatory environment
• Demonstrated P&L ownership in an AHCCCS-contracted, behavioral health residential, developmental disabilities, or ALTCS community care organization
• Direct operational experience within ADHS licensing frameworks — specifically AAC R9-10 (behavioral health) and/or DDD program standards and/or ALTCS community care requirements
• Track record of leading organizations through CARF accreditation, AHCCCS contractor audits, or equivalent quality reviews
• Financial fluency in AHCCCS billing, managed care payer contracting, and healthcare revenue cycle management
• Demonstrated ability to build and retain mission-driven teams in a high-demand, community-based service environment
• Exceptional communication skills across ADHS regulators, AHCCCS contractors, clinical staff, caregivers, and executive leadership

Preferred / Differentiating

• BHME (Behavioral Health Manager/Executive) credential and/or LISAC (Licensed Independent Substance Abuse Counselor) — strongly preferred for roles with ABHRS program scope
• NHA (Nursing Home Administrator) license and/or LCSW (Licensed Clinical Social Worker) — preferred
• Prior Executive Director, CEO, or Administrator role at an ADHS-licensed ABHRS, DDD Developmental Home, or ALTCS community care organization
• CARF accreditation experience specific to behavioral health, community integration, or residential services
• Familiarity with DDD Developmental Home programs, AHCCCS LTSS waivers, or Arizona HCBS transition requirements
• Experience supporting corporate acquisition, organizational restructuring, or multi-program integration
• Master's degree in Healthcare Administration, Business Administration, Public Health, or related field (MHA, MBA, or MPH preferred)
• ACHE Fellow (FACHE) credential valued
• Bilingual: Spanish (critical — essential for Greater Phoenix service population), Navajo and other Native American languages valued, Vietnamese, Somali, Arabic

BENEFITS

• Health & Wellness: Medical, dental, and vision coverage; wellness program access
• Time Off: Competitive PTO per Vizx Corp executive policy
• Professional Dev.: Executive leadership development; ACHE dues and conference support; Vizx Corp training resources
• Growth Path: Direct reporting relationship to CEO; opportunity to lead Vizx Corp's Arizona market expansion and AHCCCS managed care partnership strategy

Vizx Corp is an Equal Opportunity Employer.