Job Description

Venture Forthe is seeking a strategic and experienced leader to oversee and grow our Arizona operations. This role serves as the single point of accountability for all Arizona programs, driving operational excellence, regulatory compliance, and sustainable growth.

We are specifically looking for candidates with strong experience in Arizona Medicaid programs, including AHCCCS, ALTCS, and Agency With Choice (AWC) service models.

What You’ll Do

• Lead and oversee all Arizona operations, ensuring compliance, performance, and service quality
• Drive implementation and expansion of both Agency With Choice (AWC) and agency-based Attendant Care services
• Ensure compliance with all state, payer, and regulatory requirements
• Oversee program development, operational infrastructure, and service delivery
• Partner with executive leadership to align Arizona operations with company strategy
• Support payer contracting, network relationships, and market expansion efforts
• Build and lead operational teams, including staffing strategy and program scalability

What We’re Looking For

• Strong experience with Arizona Medicaid programs required, including: AHCCCS, ALTCS and Agency With Choice (AWC) models (strongly preferred)
• Proven leadership experience in home care, personal care services, or HCBS programs
• Deep understanding of regulatory compliance and program operations
• Experience launching or expanding service lines (Attendant Care experience preferred)
• Ability to manage both high-level strategy and day-to-day operations

#VFI123

Requirements

EDUCATION/EXPERIENCE:

• Bachelor’s degree in Healthcare Administration, Human Services, Business Administration, or related field preferred.
• Minimum of 3–5 years of experience in home and community-based services, Medicaid programs, or healthcare operations.
• Experience with AHCCCS, ALTCS, or Agency With Choice (AWC) service models strongly preferred.
• Strong leadership, operational planning, and regulatory compliance experience.

PREFERRED EXPERIENCE:

• Experience working with AHCCCS managed care organizations (MCOs), including coordination with care coordinators, service authorization processes, and provider-plan operational requirements.
• Experience supporting the launch or expansion of healthcare or home and community-based service programs, including developing operational processes, staffing infrastructure, and compliance systems.
• Demonstrated ability to operate in a dynamic environment while managing multiple operational responsibilities during program growth.

ESSENTIAL DUTIES AND FUNCTIONS:

• Serve as the accountable operational leader for all Venture Forthe programs in Arizona, ensuring regulatory compliance, service quality, operational effectiveness, and sustainable program growth across the state.
• Maintain accountability for Arizona program performance including regulatory compliance, staffing capacity, service delivery outcomes, payer requirements, and program sustainability.
• Coordinate with corporate leadership and administration to ensure Arizona operations align with organizational strategy, policies, financial expectations, and operational standards.
• Monitor financial and operational performance of Arizona programs, including service utilization, staffing capacity, payer requirements, and operational sustainability.
• Lead operational development and oversight of Venture Forthe’s Arizona Agency With Choice (AWC) program.
• Ensure the AWC service delivery model supports participant direction, member choice, and independence.
• Oversee the administrative infrastructure required for AWC, including onboarding, scheduling support, documentation, and compliance monitoring.
• Facilitate contracting and operational relationships with insurance providers, managed care organizations, and payer partners.
• Ensure compliance with AHCCCS and ALTCS requirements related to Agency With Choice and Attendant Care programs.
• Provide operational leadership for attendant care services including homemaker, personal care, general supervision, and companionship delivered in members’ homes.
• Review, develop, and implement policies, workflows, and operational processes to support all services provided in Arizona.
• Oversee member intake processes including enrollment, documentation, and coordination with care coordinators and case managers.
• Ensure accurate tracking of service authorizations, hours utilization, and billing readiness.
• Monitor Electronic Visit Verification (EVV) compliance and address documentation discrepancies impacting billing and regulatory compliance.
• Provide operational guidance to ensure members understand their roles and responsibilities within the Agency With Choice model.
• Maintain regular communication with care coordinators, case managers, and referral partners.
• Support quality assurance activities including service monitoring, satisfaction follow-ups, and complaint resolution.
• Ensure operational readiness for audits, regulatory reviews, and payer compliance monitoring.
• Represent Venture Forthe at community outreach events, managed care meetings, and provider networking opportunities.
• Actively participate in agency EOS meetings (Level 10, quarterly, and annual) to support operational alignment, accountability, and execution of agency goals.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions:

• Regularly required to sit, stand, walk, bend, and reach. Occasional lifting up to 25 lbs. (supplies, files, or materials). Frequent computer and phone use. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT:

This position operates in both office and field environments. Regular travel is required throughout the service area to meet with clients, attendants, and community partners; conduct visits; and attend training or meetings. The role involves occasional home visits, in-person assessments, or outreach events. Periodic out-of-state travel may be required to attend corporate meetings, leadership training, or organizational initiatives. An active driver’s license and reliable transportation is required.