Departmental Specialist 13 - Data Payment and Integrity Section
Departmental Specialist 13 - Data Payment and Integrity Section
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Job Description
Job Description
- The Michigan Department of Health and Human Services mission is to provide opportunities services and programs that promote a healthy safe and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity respect and fairness. For more information please visitMDHHS Diversity Equity and Inclusion.
The Behavioral Health Quality Specialist is responsible for the administration and operation of the quality program for the behavioral health Specialty Services & Supports Waiver which provides mental health substance abuse and intellectual/developmental disability services. The Behavioral Health Quality Specialist is responsible for the management of quality improvement processes to evaluate the quality of care delivered by the Pre-paid Inpatient Health Plan (PIHP) and Community Mental Health Service Program (CMHSP) through External Quality Review Healthcare Effectiveness Data and Information Set (HEDIS) analysis and Quality Assessment and Performance Improvement Programs (QAPIP). This position will manage quarterly reports related to quality measures evaluating Michigan Mission Based Performance Indicator System (MMBPIS) (also known as Michigans Behavioral Health Quality Program overhaul) state-wide standard performance measures as required by 42 CFR 438 Managed Care to identify trending and areas for improvement. Responsibilities will include the evaluation of existing performance measures and - patient experience surveys to determine appropriateness for specialty behavioral health. Recommend revisions and performance improvement plans while working as part of a team to develop improve upon and implement custom quality measures and patient experience surveys tools for behavioral health. The work requires staying abreast of national health care industry standards regarding quality improvement approaches. Will also review data and assigns scoring of the quality incentive performance bonuses. Additionally this position will be responsible to assist with monitoring the quality of PIHP data and working with PIHPs and CMHSPs and other external partners to resolve data quality issues. This individual is responsible for compiling manipulating and analyzing large data sets including capitation payment eligibility encounter and CHAMPS provider enrollment. These analyses are used to fulfill legislative reporting requirements reporting to CMS and other contractual reporting requirements. Lastly this position will assist with completing CMS preprint quality reporting requirements. The specialist participates and collaborates with many internal external state and federal committees and workgroups.
Job Specification
To be considered for this position you must:- apply for this position online via NEOGOV; click on Apply in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
- relevant experience and/or education referred to in supplemental questions must be documented in resume transcript and/or application to allow for accurate screening.
- attach a resume identifying specific experience and dates of employment. Dates of employmentshould include month and year and hours per week.
- attach a cover letter.
- if applicable attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based internet or copies of unofficial transcripts. Official transcripts provide the name of the institution confirmation that a degree was awarded and on what date and the registrars signature.
Required Education and Experience
Education
Possession of a bachelors degree in any major
Experience
Departmental Specialist 13
Four years of professional experience including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.Additional Requirements and Information
The physical location of this position is 400 S. Pine Street with remote options available. Based on operational needs and within established limits remote work and alternate or hybrid work schedule requests for this position may be considered.
Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.
Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely employees will be responsible for providing other components of a remote office at their own expense including:
- A secure work location that allows privacy and prevents distractions.
- A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
- Suitable lighting furniture and utilities.
YOUR APPLICATION FOR ANY POSITION DOES NOT GUARANTEE YOU WILL BE CONTACTED BY THE DEPARTMENT/AGENCY FOR FURTHER CONSIDERATION. ONLY THOSE APPLICANTS INTERVIEWED WILL BE NOTIFIED OF THE RESULTS.
The department reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.
If you previously held status in this classification and departed within the last three (3) years please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.
For information about this specific position please email. Please reference the job posting number in subject line.
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Accommodations
If you require a reasonable accommodation to participate in the application or selection processes please contact the ADA coordinator for the agency that posted this position vacancy.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
