An employee at this level is required to perform some or all of the following duties, which do not include all tasks to be performed:

• State reporting of encounter and BH-TEDS/CLD data, to include follow-up with Providers on errors/responses

• Responsible for customer support, assistance with Electronic Healthcare Record (EHR) system including but not limited to location and provider enrollment/maintenance, software development and testing

• Assist with maintenance and MDHHS updates of CPT/HCPC service codes

• Assist with Electronic Visit Verification (EVV) compliance oversight

• Assist with the preparation and coordination of internal, State and external Reviews

• Assist with OIG Data preparation and reporting

• Subject Matter Expert (SME) for SUD and CMH Contract Monitoring

• Assist with Explanation of Benefit Processing

• Profile creation for staff level provider enrollment into the EHR system, including license and certification verification.

• Participate on committees and workgroups as assigned

• Bachelor’s Degree in behavioral health or relevant field

• Experience working at Pre-Paid Inpatient Health Plan (PIHP) and/or Community Mental Health (CMH) and/or Healthcare field

• Experience in the area of Data Management

• Experience in writing reports, analyzing data and administrative projects

• Ability to be a “work leader” (of a person or function), or advise others

• Experience in managing projects and teams

• Advanced knowledge of Microsoft Word and Excel

• Ability to exercise some flexibility in problem solving, when expected results are clear and generally set by others, provided certain outcomes are avoided

• Ingenuity is required to adapt, alter or improvise alternatives when unexpected situations occur

• Ability to exercise discretion and some flexibility in selecting an optimal solution from established alternatives to obtain the desired outcome

• Ability to use or exert influence in a work process

• Ability to provide, exchange and explain information which conveys an opinion or evaluation of the facts or analyses

• Ability to develop and/or maintain effective work relationships with new, established or non-receptive individuals/organizations through tact, diplomacy and persuasion

• Valid State of Michigan Driver’s License

• Must have access to transportation

• Master’s Degree in behavioral health field

• Experience with data reporting / analysis / validation

• Experience / knowledge of statistical analysis

• Basic knowledge of Microsoft PowerPoint

• Basic knowledge of MDHHS reporting

• Knowledge of State of Michigan Medicaid Provider Manual

$1000 Sign On Bonus Available

• When applying, be sure to include evidence that the minimum qualifications are met (resume, copy of license, copy of educational transcripts, description of years of experience, skill-based experience/training, letters of reference, etc.).

• This position will be hired as employment-at-will.

• Any offer of employment is contingent upon a Criminal Background Check, as well as a 5 Panel Drug Screen.

• Region 10 PIHP embraces an employment environment that promotes recovery and discovery, a person-centered approach to treatment/services, and cultural competence. An employee in this or any position is expected to support the employment environment.

• Region 10 PIHP provides equal employment opportunities (EEO) to applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Region 10 PIHP complies with applicable state and local laws governing nondiscrimination in employment.