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