The Administrative Coordinator is an administrative position that works under the direction of the PIHP Administrative Director on Corporate Compliance activities related to maintaining the integrity of the PIHP Corporate Compliance Program. The Administrative Coordinator is required to perform some or all of the following duties, however, these do not include all of the tasks which the employee may be expected to perform:

· Oversight and coordination of designated Corporate Compliance projects and tasks

· Provide support to PIHP Compliance Officer and other PIHP staff

· Identified Subject Matter Expert in the area of Corporate Compliance for Contract Monitoring

· Participate in and / or provide support to the PIHP Corporate Compliance Committee

· Coordination of Corporate Compliance Complaint Investigations

· Coordination of Corporate Compliance Fraud Referrals

· Coordination and monitoring of Business Associate Agreements

· Coordination and monitoring of the Primary Source Verification process for Practitioners and Providers

· Coordination and monitoring of reports

· Coordination and monitoring of Conflict of Interest Attestations

· Coordination of record requests (e.g., FOIA requests, Subpoenas)

· Coordination and support for data mining and data analysis

· Coordination and monitoring of PIHP policy reviews

· Bachelor’s Degree in behavioral health or relevant field

· Basic computer skills, including Microsoft Excel, Word, PowerPoint and Outlook

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

· Ability to provide, exchange and explain information of a technical or otherwise complex nature.

· Ability to provide, exchange or explain information which conveys an opinion or evaluation of the facts or analysis

· Ability to work with individuals in a positive manner.

· Ability to deal with minor conflicts tactfully

· Valid State of Michigan Driver’s License

· Must have access to transportation

· Post-secondary education

· Advanced knowledge of Microsoft Word and Excel

· Experience in the area of Corporate Compliance

· Experience with utilizing PCE Systems software related to administrative reporting

· Experience with Community Mental Health, Prepaid Inpatient Health Plan, or Medicaid Health Plan entities

· Knowledge of the State of Michigan Medicaid Provider Manual

· Experience with medical record chart auditing

· Experience with data mining