Job Information
Region 10 PIHP Administrative Coordinator-Data Management in Port Huron, Michigan
Region 10 is committed to being a premier employer by enhancing the lives of our Assist team and supporting their growth as people and professionals. * *$1000 Sign On Bonus Available We provide competitive wage scales that reward experience and performance, ongoing career development and training opportunities, excellent health coverage, generous paid time off with additional performance-based incentives, 13 paid holidays, flexible scheduling, and a comprehensive benefit program.
Essential Functions
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:
- Encounters and BH-TEDS reporting, follow up with Providers on errors/responses
- Responsible for customer support, assistance with managed care software system including but not limited to location and provider enrollment, software development and testing
- Maintenance and MDHHS updates of CPT/HCPC service codes
- 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
- Responsible for Explanation of Benefit Processing
- Review of Performance Indicator data and follow-up with Provider as needed
Minimum qualifications
- 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
- Experience in managing projects and teams
- Advanced knowledge of Microsoft Word and Excel
- 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
Preferred qualifications
- 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