Cpcs Certification Jobs in Michigan (NOW HIRING)

GENERAL SUMMARY:

Under the direction, provides specialized support for Macomb County Community Mental Health's (MCCMH's) credentialing and Talent Engagement functions. Administers day-to-day credentialing and recredentialing activities for practitioners and other designated MCCMH team members. Supports department operations by serving as a key resource and liaison for credentialing-related matters, supporting accreditation readiness, and other departmental initiatives in accordance with applicable organizational, regulatory, and accreditation requirements.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Provides specialized support for credentialing, recredentialing, provider enrollment, and related departmental processes, ensuring compliance with organizational, accreditation, and regulatory requirements.

Conducts ongoing monitoring and primary source verification, including reviews of licensure status, sanctions, exclusions, disciplinary actions, complaints, and other reportable events; researches findings, identifies potential compliance concerns, and escalates issues requiring further review.

Prepares applications, reviews supporting documentation for completeness, and follows up on any missing information.

Participate in credentialing committee meetings and maintain accurate records of attendance, discussions, decisions, and meeting outcomes.

Facilitates credentialing committee activities, including preparing provider summaries, review packets, meeting materials, and compliance reports; compiles and analyzes credentialing data to support credentialing decisions, leadership review, regulatory compliance, and accreditation readiness.

Supports administration of the Organization's National Practitioner Data Bank (NPDB), MiCal, and Practitioner Directory programs, including NPDB queries, sanction screenings, background reviews, and related verification activities.

Provides guidance to team members on credentialing requirements, documentation, enrollment processes, and routine inquiries.

Prepares and assists team members with departmental requests, documentation, training resources, and process guidance to promote consistency and compliance.

Maintains credentialing records, reports, metrics, and tracking tools to support compliance, operational effectiveness, leadership reporting, and continuous improvement.

Assists in maintaining compliance with MCCMH policies, regulatory requirements, National Committee for Quality Assurance (NCQA) standards, and other accrediting agencies.

Updates and administers department content across the Supervisor Resource Hub, SharePoint sites, intranet pages, and other platforms to keep information current.

Assists with Talent Engagement initiatives, workforce compliance activities, special projects, and departmental objectives, as assigned.

Maintains the confidentiality of credentialing, personnel, and organizational information in compliance with applicable laws, regulations, and organizational policies.

Performs other duties as assigned.

QUALIFICATIONS:

Required Education and Experience

• A high school diploma or GED equivalent.
• Two (2) years of professional experience supporting credentialing, provider enrollment, onboarding, and verification processes, including the review and maintenance of confidential records and documentation.
• Experience using Microsoft Office Suite, Adobe Acrobat, electronic databases, and software systems.

Preferred Education and Experience

• Associate Degree from an accredited college or university in Business Administration, Healthcare Administration, Human Resources, or related field.
• Experience working within MiCal and other credentialing, onboarding, human resources, or healthcare-related software systems
• One (1) year of experience working in a mental health setting.

Required Licenses or Certifications

• Possession of a valid Michigan driver’s license and operable, insured automobile for authorized travel.

Preferred Licenses or Certifications

• Certified Provider Credentialing Specialist (CPCS) Certification or a Certified Professional Medical Services Management Certification (CPMSM)

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

Knowledge of:

• Applicable computer applications such as Microsoft Office Suite and Adobe
• Applicable Federal, State, and local laws/regulations
• Knowledge and understanding of NCQA standards, NPDB guidelines, MCCMH policies and procedures, and general licensing regulations.
• HIPAA
• MiCal system
• State credentialing rules and regulations
• human resources initiatives, duties, and responsibilities

Skill in:

• Interpersonal skills necessary to develop and maintain effective and appropriate working relationships with all levels of management
• Managing multiple and concurrent priorities
• Guidance and counseling
• Critical thinking
• Public speaking

Ability to:

• Collaborative: Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multiorganizational initiatives
• Accountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, daily
• Respectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadership
• Engage effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differences
• Work in an environment which embraces the county’s Dignity Campaign
• Effectively speak, write and understand the English language
• Effectively speak, write, and understand a language other than English is preferred
• Understand and carry out oral and/or written instructions
• Accurately organize and maintain paper documents and electronic files
• Maintain the confidentiality of information and professional boundaries
• Work independently

GENERAL REQUIREMENTS AND DISCLAIMERS

Complies with P.A. 390, as amended, known as the State’s Emergency Management Act and the County’s Emergency Management resolution as well as all related plans, policies and procedures covered by those statutes. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment amongst other possible accommodations.

GRANT OR EXTERNALLY FUNDED POSITION –This position will continue only if sufficient grant or external funds are provided.