Remote Reconciliation Jobs in Michigan (NOW HIRING)

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 visit MDHHS Diversity Equity and Inclusion.

This position serves as a quality data expert within the division of contracts and quality management. The position reviews and analyzes several quality measures focused on behavioral health and provides high-level data and data system guidance, management, and coordination expertise to state systems, and local agencies. This position specializes in analyzing large amounts of data from Medicaid health plans to discover trends and patterns for policymakers, produces performance measurement/quality reports, and provides statistical consultation for local health agencies and other clients.

Duties include acting as a leader in the behavioral health field for encounter reconciliation and use of encounter data in support of performance-based incentive programs, e.g., conducting the annual performance bonus and incentive scoring, and addressing statistically significant racial/ethnic disparity in behavioral health. The position fulfills ad-hoc data/research requests involving the use of encounter data, monitors encounter data quality, completeness, timeliness, and accuracy, prepares reports of data quality, as well as develops corrective action plans to address data discrepancies and data integrity issues. Validates Symmetry performance measure rates and approves Optum data upload to Care Connect 360 that is used by external stakeholders

Manage research projects, write research projects into reports, and present findings to leadership and at conferences when needed. Fills the role for the administration by providing subject matter expertise related to changes being implemented to state systems, such as the MDHHS Data Warehouse and CHAMPS. This position works closely with others, both within and outside of the Department including Pre-Paid Inpatient Health Plans (PIHPs), Community Mental Health Service Programs (CMHSPs), and Optum to provide technical assistance and information on data systems.

Lastly, another function of this position is to lead research projects and serve as the bureau representative based on Administration priorities. Position Description 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 employment should 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 registrar's signature. Failure to complete any of the above items may result in your application not being considered.

See instructions for attaching files here: Instructions Required Education and Experience Education Possession of a bachelor's 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. The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.

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 MDHHSVacancies@michigan.gov

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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.